Attachment 5 - Past Performance Questionnaire.pdf
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- Attached to
- Architecture and Engineering Services - MMAC
- Solicitation number
- 6973GH-26-R-00130
About this file
This document is a Past Performance Questionnaire template issued by the Federal Aviation Administration (FAA) for SIR/RFO No. 6973GH-26-R-00130, an A&E (Architecture and Engineering) Services procurement. The questionnaire is designated as Procurement Sensitive when completed and for official use only. Responses must be submitted to Charity Daniel, Contracting Specialist, at Caridad.Daniel@faa.gov no later than September 17, 2026.
The four-page form is designed to gather past performance feedback from references provided by contractors bidding on A&E services. Section A requests reference check information including contractor name, contract type (firm-fixed price, labor-hour, T&M, or cost-reimbursable), contract number, total contract amount, award date, and performance period. Section B collects responder information such as the point of contact's name, agency/organization, mailing address, telephone number, and email address. The questionnaire then employs a standardized rating scale (0=Unacceptable, 1=Marginal, 2=Satisfactory, 3=Good, 4=Excellent) to evaluate six performance areas: overall compliance with contract requirements, schedule timeliness, key personnel performance, and recommendation for future work. Additional yes/no questions address terminations for default, Notice to Cure letters, integrity issues, and allow for supplemental comments. This template is used to evaluate contractor performance history as part of the source selection process for the A&E services contract.
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Text version
6973GH-26-R-00130
Attachment 5
PROCUREMENT SENSITIVE WHEN COMPLETED
FOR OFFICIAL USE ONLY
SIR/RFO No. 6973GH-26-R-00130
A&E SERVICES
PAST PERFORMANCE QUESTIONNAIRE
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: Charity Daniel, Contracting Specialist
E-mail Address: Caridad.Daniel@faa.gov
For questions, please email the above.
Please provide your response no later than September 17, 2026
Thank you!
A. Please complete and/or verify the following reference check information:
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_____________
B. Please complete and/or verify the following responder information:
Name of Responding Point of Contact: _____________________________________________________
Agency/Organization: _________________________________________________________________
Mailing Address: __________________________________________________________
Telephone Number: __________________________________
E-mail Address: __________________________________
Rating Narrative 4 Excellent 3 Good 2 Satisfactory 1 Marginal 0 Unacceptable
1. How would you rate the contractor's overall compliance with contract requirements?
2. How would you rate the timeliness of the Contractor - adhering to the required schedule?
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.
5. How would you rate the performance of the contractor's key personnel?
6. Would you recommend awarding similar contracts or using the offeror again for future work?.
( ) Yes ( ) No
0 1 2 3 4
7. Did you experience any integrity problems with this Contractor?
( ) Yes If yes, please explain.
8. Please provide any other comments you may have.
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