Attachment 4 - Past Performance Questionairre.pdf
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- Attached to
- San Luis Obispo (SBP) ATCT Roof Replacement
- Solicitation number
- 00SBP
About this file
This document is a Performance Questionnaire template used by the Federal Aviation Administration (FAA) to collect contractor performance evaluations for source selection purposes.
The questionnaire is related to Contract No. 697DCK-25-R-00048 for PHX and P50 Fire Life Safety services. Responses should be submitted to Thuylinh TranNguyen (Thuylinh.T.TranNguyen@faa.gov) and Melina M. Nguyen (Melina.M.Nguyen@faa.gov), with completed forms requiring signatures from both the Contract Specialist and Contracting Officer. The first section requests offeror-provided information including contractor name and address, contract number, contract initiation and completion dates, total contract value, contract type, and a detailed project description. The evaluation section requires input from a designated organizational representative (Project Manager, Contracting Officer's Representative, or other position) who must provide their name, phone number, and the duration of performance monitoring. Evaluators assess contractor performance across seven categories using a standardized rating scale: Exceptional (EX), Very Good (VG), Satisfactory (S), Marginal (MG), Unsatisfactory (US), or Not Observed (N/O). Assessment areas include quality of products and services, general contractor or architect/engineer performance, technical requirements fulfillment, schedule adherence, cost control and budget management, customer satisfaction and responsiveness, and an overall assessment. The form permits additional commentary on a supplementary page if needed.
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PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection Please complete this Questionnaire and email or send by facsimile to Thuylinh Trannguyen, Federal Aviation Administration Contracting Officer at:
Thuylinh.T.TranNguyen@faa.gov and Melina.M.Nguyen@faa.gov 697DCK-25-R-00048 -PHX and P50 Fire Life Safety Please ensure this form is completed, signed and return to the Contract Specialist and 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 .