Attachment 04 - Past Performance Questionnaire.pdf
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- Solicitation number
- 697DCK-25-R-00245
About this file
This document is a Performance Questionnaire for evaluating contractor performance, specifically for an EVV Fire Protection / Life Safety Upgrade project at the Federal Aviation Administration. The questionnaire is designed to support a source selection process and requires the offeror to provide contract details including contractor name, contract number, initiation and completion dates, total contract value, and contract type. The evaluation portion allows an organization representative to rate the contractor's performance across seven key areas: quality of products and services, overall performance, technical requirements, schedule adherence, cost control, customer satisfaction, and an overall assessment. The rating scale ranges from Exceptional (EX) to Unsatisfactory (US), with options to mark Very Good (VG), Satisfactory (S), Marginal (MG), or Not Observed (N/O). The questionnaire is to be completed and emailed to Elisha Distler, a FAA Contracting Officer/Specialist, with space provided for additional comments if needed.
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PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection Please complete this Questionnaire and email to Elisha Distler, Federal Aviation Administration Contracting Officer/Specialist at:
elisha.distler@faa.gov EVV Fire Protection / Life Safety Upgrade Please ensure this form is completed, signed and return to the Contracting Officer.
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS: 2. CONTRACT NO:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. TOTAL CONTRACT VALUE:
6. TYPE OF CONTRACT:
(Fixed Price, GMP, FPI, etc.)
7. DETAILED DESCRIPTION OF PROJECT
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.
EX = Exceptional S = Satisfactory US = Unsatisfactory VG = Very Good MG = Marginal N/O = Not Observed A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).
EX VG S MG US N/O
B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
EX VG S MG US N/O
C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
EX VG S MG US N/O
D. Schedule – Assess the timeliness of contractor against the schedule of activities.
EX VG S MG US N/O
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
EX VG S MG US N/O
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”
EX VG S MG US N/O
G. Overall Assessment.
EX VG S MG US N/O
Comments: One additional page can be added for comments, if applicable.
File details come from the government source that posted it. Updated .