Attachment 12 Past Performance Survey.docx

PROCUREMENT SENSITIVE WHEN COMPLETED Oct 1, 2025

FOR OFFICIAL USE ONLY

Proposed Project: V-PAR Construction

PAST PERFORMANCE SURVEY

To: _______________________________________________________________________

Organization:_____________________________________________________________

Fax No.: _________________________ E-mail Address:_________________________

Date: __________________________ Number of Pages (including this sheet): 4 in total

Your name was provided as a past performance point of contract for the following:

Contractor Name:_________________________________________________________

Contract Number: _______________________________ Date(s)____________________

Project Title: ___________________________________________________________

Contractor Role / Responsibility (circle one):

(Prime Contractor) (Mechanical Subcontractor) (Electrical Subcontractor) (Other Subcontractor)

In regard to the above contractor’s performance on the referenced contract, please complete the attached Past Performance Questionnaire and return as follows:

Send to: Neil Amaral, Contracting Officer

E-mail Address: neil.s.amaral@faa.gov

For questions, please contact me on the telephone at 405-954-8381.

Please provide your response no later than the due date stated in the SIR/RFO.

Thank you!

PART 1. OFFEROR TO COMPLETE THIS PAGE:

1. Name of Contractor: ____________________________________________________

2. Provide a brief description of the renovation project and how it is same/similar to the V-PAR Construction Project. Offeror’s may provide additional description of project on an additional sheet.

3. Type of contract; e.g., firm fixed-price, cost-reimbursable: _______________________________________

4. Contractor Role (circle one):

Prime Contractor, Mechanical Subcontractor, Electrical Subcontractor, Pool Subcontractor

5. Contract Number (if applicable): _______________________________________________

6. Total Contract Amount - Original contract amount: $____________ Final Contract Amount: $_____________ Provide rationale for the difference________________________________________________________

7. Date of Contract Award: ______________________________________________________

8. Contract Period of Performance: Start Complete _________________

9. Was project completion date consistent with the contract completion date? ___________ If no, explain why___________________________________________________________________________________.

10. Was a deficiency notice issued? ___________ If so, was the issue successfully resolved? ___________

11. Was a Cure Notice issued? _____________ If so, was the issue successfully resolved? _____________

12. Was a Show Cause issued? _____________ If so, was the issue successfully resolved? _____________

PART II. CUSTOMER/CLIENT TO COMPLETE THE FOLLOWING PAGES:

Name of Responding Point of Contact: _____________________________________________________

Agency/Organization: _________________________________________________________________

Telephone Number: __________________________________

E-mail Address: __________________________________

1. How would you rate the contractor's overall compliance with contract requirements?

( ) Acceptable ( ) Unacceptable

2. How would you rate the timeliness of the Contractor - adhering to the required schedule?

( ) Acceptable ( ) Unacceptable `

3. Has this contract been partially or completely terminated for default, or is a termination pending?

( ) Yes / If yes, please explain and indicate the status.

( ) No/Acceptable

4. Has it ever been necessary to send this Contractor a Notice to Cure letter?

( ) Yes If yes, please explain and indicate the status.

( ) No

5. How would you rate the performance of the contractor's key personnel?

( ) Acceptable ( ) Unacceptable

6. Would you recommend awarding similar contracts or using the offeror again for future work?

( ) Yes/Acceptable ( ) No/Unacceptable

7. Did you experience any integrity problems with this Contractor?

( ) Yes If yes, please explain.

( ) No

8. Please provide any other comments you may have.