Attachment 5 Past Performance Questionnaire.pdf
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- Attached to
- The Federal Aviation Administration (FAA) has a requirement for Second Level Engineering Services
- Solicitation number
- 6973GH-26-R-00011
About this file
This document is a Past Performance Questionnaire designed to collect comprehensive performance evaluation data for a federal contract. The form is divided into two primary parts: Part I to be completed by the offeror requesting the reference, and Part II to be completed by the respondent evaluating the contractor's performance. Part II includes detailed rating sections covering Quality of Service, Timeliness of Performance, Cost Control, Program Management, Customer Relationship, and Overall Customer Satisfaction, with ratings ranging from 1 (Unsatisfactory) to 4 (Outstanding). The questionnaire enables a systematic, objective assessment of a contractor's past performance across multiple critical dimensions, allowing potential customers to evaluate the contractor's capabilities, reliability, and effectiveness in delivering contracted services or products.
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PAST PERFORMANCE QUESTIONNAIRE
PART I (TO BE COMPLETED BY OFFEROR REQUESTING THE REFERENCE)
A. OFFEROR INFORMATION
Offeror Name:
Offeror Address:
B. CONTRACT IDENTIFICATION
Project Title:
Contract Number:
Agency/Customer:
Agency/Customer POC Name:
Agency/Customer POC Email Address
Contract/Order/Subcontract/Other:
Contract Type:
Contract Purpose (e.g., Service, Supply, Development/First Article, R&D)?
Contract Award Date:
Period of Performance
Total Contract Value:
Value of Offeror’s Share
Was the Offeror a Prime Contractor? Yes No
Was the Offeror a Subcontractor? Yes No
Competitive Award? Yes No
Program Title and nature of the effort (i.e., describe the scope of the effort, the type of tasks involved, labor skills used, and products/support delivered).
PART II (TO BE COMPLETED BY RESPONDENT)
Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support very high or very low rating should be noted on page 5.
Assign each area a rating of, 4 (Outstanding), 3 (Good), 2 (Satisfactory), and 1 (Unsatisfactory). Use the attached Rating Guidelines which is provided as Exhibit 1 as guidance in making these evaluations. Circle the appropriate rating.
A. IDENTIFICATION OF RESPONDENT
Name:
Title:
Telephone Number:
Address:
Email:
B. EVALUATION
QUALITY OF SERVICE:
# Category Rating
1 2 3 4 N/A
1 Compliance with contract requirements
2 Accuracy of reports
3 Level of knowledge, experience, and training of personnel
4 Capability of personnel to perform required services
5 Effectiveness of personnel in performing required services
6 Overall quality of service
TIMELINESS OF PERFORMANCE:
# Category Rating
1 2 3 4 N/A
1 Reliability
2 Responsive to technical direction
3 Meets contract delivery schedules and/or task deadlines
COST CONTROL:
# Category Rating
1 2 3 4 N/A
1 Current, accurate and complete billings
2 Relationship of negotiated costs to actuals
3 Cost effectiveness
PROGRAM MANAGEMENT:
# Category Rating
1 2 3 4 N/A
1 Adequate and complete management plan
2 Specific management team dedicated to this project
3 Indications that the provided team had experience in subcontractor management and surveillance
4 Process, or metrics, for the evaluation of their own overall management performance
CUSTOMER RELATIONSHIP:
# Category Rating
1 2 3 4 N/A
1 Effective management, including subcontracts
2 Reasonable/cooperative behavior
3 Responsive to contract requirements
4 Notification of problems
5 Flexibility
6 Proactive vs. reactive
OVERALL CUSTOMER SATISFACTION:
# Category Response
Yes No
1 The contractor is committed to customer satisfaction:
a. Contractor Management Personnel
b. Contractor Onsite Facility Personnel
ADDITIONAL COMMENTS:
File details come from the government source that posted it. Updated .