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The document is a Past Performance Questionnaire (PPQ) used by the Federal Aviation Administration (FAA) to evaluate contractor performance across multiple rating categories. The questionnaire is structured in three parts: Part A captures contract summary details including contractor information, contract type, period of performance, and cost data; Part B provides a performance evaluation matrix with ratings ranging from Exceptional to Unsatisfactory across quality, schedule, cost control, and management dimensions; and Part C includes space for evaluator identification and contact information. The evaluation guidance indicates ratings are based on contract requirement fulfillment, problem resolution, and corrective action effectiveness, with a commitment to maintaining the confidentiality of the assessment information.

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SIR Attachment E – Past Performance Questionnaire

Page 1 / 2

SIR Attachment E – Past Performance Questionnaire

Federal Aviation Administration

Page 2 / 2

Reference Information: Provide the following information for the organization that performed the referenced work:

Part A. Contract Summary

Contractor Name

Contract Number

Street

Contract Type

City

Competitive

State

Zip Code

Follow-on
Yes
No

Telephone # email

Performed work as (select 1)
Prime

Subcontractor Period of Performance

Contract Cost Data
Estimated Cost
Fee
Total Value
Initial Contract Cost
$
Current Contract Cost
$

Subcontractors:

Product Description and/or Services Provided

Part B. Performance Evaluation of Contract

Evaluation Area
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

Quality

Schedule

Cost Control

Management (including business, subcontract, program, personnel management)

Overall Evaluation

Remarks on exceptional performance. Provide data supporting this observation. [Continue on separate sheet(s) if needed.]

Remarks on unsatisfactory performance. Provide data supporting the observation. [Continue on separate sheet(s) if needed.]

Part C. Identification of Evaluator

Name

Organization

Phone #

Email

Title

Date

NOTE: If verbal telephonic response received, complete the following
Information obtained by

Evaluator Signature:

Evaluation Ratings Guidance

Rating
Contract Requirements
Problems
Corrective Actions
Exceptional
Exceeds many
Few minor
Highly effective
Very Good
Exceeds some
Some minor
Effective
Satisfactory
Meets all
Some minor
Satisfactory
Marginal
Does not meet some – Govt impact
Serious, recovery still possible
Marginally effective, not fully implemented
Unsatisfactory
Does not meet most – Govt impact
Serious, recovery not likely
Ineffective

NOTE: THIS INFORMATION WILL BE KEPT CONFIDENTIAL

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