Attachment 5 Past Performance Survey 9.21.26.docx
DOCX document 30 KB Posted
- Attached to
- Mike Monroney Aeronautical Center (MMAC) Industrial Waste Water Treatment Plant Upgrades
- Solicitation number
- 6973GH-27-R-00005
About this file
This is a Past Performance Survey template designed to collect contractor performance feedback for the Industrial Wastewater Treatment Plant (IWTP) Upgrades project at the FAA's Mike Monroney Aeronautical Center (MMAC), Solicitation Number 6973GH-27-R-00005. The survey is to be completed by past clients or project owners who have worked with contractors bidding on this $10-20 million total small business set-aside construction project.
The survey is divided into two parts: Part 1 requires the offeror to provide project details including contract type, contractor role (prime or subcontractor classification), contract amounts, performance period, and any compliance issues such as deficiency notices, cure notices, or show cause orders. Part 2 requests the customer or client point of contact to evaluate contractor performance across multiple criteria including overall compliance with contract requirements, schedule adherence, absence of terminations for default, personnel performance, integrity, and willingness to recommend for future work. Responses must be submitted to Contracting Officer Andre Casiano at Andre.Casiano@faa.gov no later than November 20, 2026, at 4:00 p.m. Central Time, which is the RFP due date. The survey serves as a critical evaluation tool for past performance documentation in the proposal evaluation process, with responses requested from organizations that can speak to contractor performance on similar renovation or industrial wastewater treatment projects.
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Text version
PROCUREMENT SENSITIVE WHEN COMPLETED Attachment 5 Sept 21, 2026
FOR OFFICIAL USE ONLY
SIR/RFO No. 6973GH-27-R-00005 IWTP Construction
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) (Mechanical Subcontractor) (Electrical Subcontractor) (Other Subcontractor)
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
E-mail Address: Andre.Casiano@faa.gov
For questions, please contact me at telephone 405-954-7850
Please provide your response no later than the RFP due date of Thursday, November 20th, 2026, at 16:00p.m. Central Time
Thank you!
PART 1. OFFEROR TO COMPLETE THIS PAGE:
1. Name of Contractor: ____________________________________________________
2. Provide a brief description of the renovation project and how it is same/similar to the Industrial Wastewater Treatment Plant (IWTP) Upgrades. Offeror’s may provide additional description of project on an additional sheet.
3. Type of contract; e.g., firm fixed-price, cost-reimbursable: _______________________________________
4. Contractor Role (circle one):
Prime Contractor, Mechanical Subcontractor, Electrical Subcontractor, Pool Subcontractor
5. Contract Number (if applicable): _______________________________________________
6. Total Contract Amount - Original contract amount: $____________ Final Contract Amount: $_____________ Provide rationale for the difference________________________________________________________
7. Date of Contract Award: ______________________________________________________
8. Contract Period of Performance: Start Complete _________________
9. Was project completion date consistent with the contract completion date? ___________ If no, explain why___________________________________________________________________________________.
10. Was a deficiency notice issued? ___________ If so, was the issue successfully resolved? ___________
11. Was a Cure Notice issued? _____________ If so, was the issue successfully resolved? _____________
12. Was a Show Cause issued? _____________ If so, was the issue successfully resolved? _____________
PART II. CUSTOMER/CLIENT TO COMPLETE THE FOLLOWING PAGES:
Name of Responding Point of Contact: _____________________________________________________
Agency/Organization: _________________________________________________________________
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.
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