Attachment 4 - Past Performance Survey.docx

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Solicitation - Laboratory Support Services - Mike Monroney Aeronautical Center
Solicitation number
6973GH-26-R-00079
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This is a Past Performance Survey template designed to collect evaluation data on contractor performance for the Laboratory Support Services IDIQ contract (6973GH-26-R-00079) with the FAA Mike Monroney Aeronautical Center. The survey is completed by government customers or clients who have worked with the contractor on previous contracts and is sent to identified points of contact for past performance evaluation. Responses must be submitted to the Contracting Officer Andre Casiano and Contracting Specialist Charity Daniel at the FAA no later than April 10, 2026 at 4:00 p.m. Central Time.

The survey comprises two sections: Part 1 requires the offeror to provide basic contract information including contractor name, contract type (firm fixed-price, labor-hour, T&M, or cost-reimbursable), contract number, total contract amount, award date, and period of performance; Part 2 requires the customer or client to evaluate the contractor across eight performance criteria including overall compliance with contract requirements, schedule adherence, default or termination status, cure notices, key personnel performance, recommendation for future work, integrity issues, and general comments. Evaluation options are typically binary (Acceptable/Unacceptable or Yes/No), with space for explanatory comments where required.

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6973GH-26-R-00079.pdf PDF
Attachment 2 - Section B - Bid Schedule 10.17.2025.xlsx XLSX spreadsheet
Attachment 1 - PWS Laboratory Services 1.28.26.pdf PDF
Attachment 3 - Client Authorization Letter.docx DOCX document

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PROCUREMENT SENSITIVE WHEN COMPLETED

FOR OFFICIAL USE ONLY

SIR/RFO No. 6973GH-26-R-00079

MMAC LAB SUPPORT SERVICES IDIQ

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 Sub-Contractor

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: Andre Casiano, Contracting Officer & Charity Daniel, Contracting Specialist

E-mail Address: Andre.Casiano@faa.gov & Caridad.Daniel@faa.gov For questions, please contact by e-mail.

Please provide your response no later than April 10, 2026 at 4:00 p.m. Central Time.

Thank you!

PART 1

PART 1. OFFEROR TO COMPLETE THIS PAGE:

1. Name of Contractor: ____________________________________________________

2. Type of contract/agreement for pricing; e.g., firm fixed-price, fixed rate per hour (labor-hour, T&M), cost-reimbursable:

3. Contract Number: _________________________________

4. Total Contract Amount: $____________________________

5. Date of Contract Award: ____________________________

6. Contract Period of Performance: Start _________________ Complete_____________

PART 2. CUSTOMER/CLIENT TO COMPLETE THE FOLLOWING PAGES:

Name of Responding Point of Contact: _____________________________________________

Agency/Organization: ___________________________________________________________

Mailing Address: __________________________________________________________

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.

Attachment 4

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