Attachment 5 Past Performance Survey.doc

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Attached to
Air Evacuation Aviation Ground Support Services Federal contract opportunity
Solicitation number
70FB7021R00000015
Issued by
Federal Emergency Management Agency

About this file

This document contains a past performance survey for a contractor providing aviation ground support services to the Federal Emergency Management Agency. The survey requests ratings on a scale of excellent, good, marginal, poor or neutral for the contractor's quality of service, cost control, timeliness of performance, and business relations on previous contracts. It also includes fields for the name and contact information of the person completing the survey, as well as an opportunity to provide comments. The related federal contract opportunity notice indicates that the Federal Emergency Management Agency is seeking proposals for air evacuation aviation ground support services, as described in the attached solicitation and documents.

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ATTACHMENT 5

PAST PERFORMANCE SURVEY

One (1) copy of this survey shall be submitted via email, no later than Tuesday, July 7, 2021 11:00 AM EDT.

CONTACT NAME/ATTENTION TO:

Kimberly Coakley

E-MAIL ADDRESS

Kimberly.Coakley@FEMA.DHS.GOV

REFERENCE:

70FB7021F00000015

The Federal Emergency Management Agency (FEMA) is conducting an acquisition for the purchase of Aviation Ground Support. You have been listed by [insert Contractor being evaluated] as a past performance customer reference who can assist us in determining the past performance history of this company. I request your assistance in responding to the following questions concerning their work performance. When responding to the questions, select the letter that most accurately describes the Contractor's performance. If the Contractor has no record of past performance relevant to a particular question, select “Neutral”.

E
G
M
P
N
Excellent
Good
Marginal
Poor
Neutral
Performance in this area met all contract requirements and exceeded many to the customer’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.
Performance in this area met all contract requirements and exceeded some to the customer’s benefit. There were a few minor problems, which the Contractor resolved.
Performance in this area did not meet some contractual requirements. There were problems, for which the Contractor’s corrective action was only marginally effective.
Performance in this area did not meet contractual requirements. There were serious problems, and the Contractor’s’ corrective actions were ineffective.
No record of past performance or the record is inconclusive.

**Please Use the Comments Section on the last page to elaborate on any answer.** Quality of Service

1. How would you rate the Contractor’s capability to provide the client with a quality service?

E ____ G ____ M ____ P ____ N ____

2. How would you rate the Contractor’s management of multiple delivery orders/requirements and subcontractors simultaneously?

E ____ G ____ M ____ P ____ N ____

3. How would you rate the Contractor’s capability to maintain current/up-to-date services on the contract?

E ____ G ____ M ____ P ____ N ____

4. How would you rate the Contractor’s technical and management performance (also, in the comments section include any recognition, awards, and/or acknowledgements if applicable)?

E ____ G ____ M ____ P ____ N ____

Cost Control

5. How would you rate the Contractor’s efforts to maintain competitive prices on the contract?

E ____ G ____ M ____ P ____ N ____

6. How would you rate the Contractor’s submission of reasonably priced change proposals?

E ____ G ____ M ____ P ____ N ____

7. How would you rate the Contractor’s Financial, Administrative and Billing Capacity?

E ____ G ____ M ____ P ____ N ____

Timeliness of Performance

8. How would you rate the Contractor’s ability to adhere to contract schedules, including response times and reliability?

E ____ G ____ M ____ P ____ N ____

Business Relations

9. How would you rate the Contractor’s responsiveness to inquiries, problem resolution, and ensuring customer satisfaction?

E ____ G ____ M ____ P ____ N ____ Overall Assessment

13. How would you rate the overall past performance of the services provided by this Contractor?

E ____ G ____ M ____ P ____ N ____

14. Would you use the contractor again? Yes_______ No_______

Explain No Answer

Please provide any other information and comments relating to this organization’s performance in the space provided below.

COMMENTS:

Contract Name: ______________________________________________________________ Contract Value: ______________________________________________________________

Contract Period of Performance: _________________________________________________ Name of Person Responding: ___________________________________________________ Title of Person Responding: ____________________________________________________ Telephone Number: __________________________________________________________ E-mail Address: _____________________________________________________________

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