Attachment J-3 Past Performance Questionnaire Form.docx
DOCX document 27 KB Posted
- Attached to
- COD Supplemental Engineering & Technical Support Services Federal contract opportunity
- Solicitation number
- 692M15-24-R-00001
About this file
This is a past performance questionnaire form related to solicitation number 692M15-24-R-00001 from the Department of Transportation Federal Aviation Administration Technical Center for COD Supplemental Engineering & Technical Support Services. The form collects information on the respondent's performance on prior contracts over the past three years for similar products or services. It requests details on contract period of performance, products/services provided, dollar value, government point of contact information and ratings of the respondent's performance in areas such as quality, cost control, and regulatory compliance. Relevant experience providing engineering, technical, or professional support services to the FAA is preferred. The closing date for responses is not specified on this template form.
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Text version
J-3 ATTACHMENT: 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, Deveopment/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 Sub Contractor?
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 Manageent Personnel
b. Contractor Onsite Facility Personnel
ADDITIONAL COMMENTS:
Rating Guidelines Use the following definitions in your assessment of contractor performance.
| RATING |
| QUALITY OF PRODUCT OR SERVICE |
| COST CONTROL |
| TIMELINESS OF PERFORMANCE |
| BUSINESS RELATIONS |
| 4-Outstanding |
| Contractor is in compliance with contract requirements and/or delivers quality products/services |
| Contractor is effective in managing costs and submits current, accurate, and complete billings |
| Contractor is effective in meeting milestones and delivery schedules |
| Response to inquiries, technical/service/ |
administrative issues is effective
| 3-Good |
| Minor inefficiencies/errors have been identified |
| Contractor is usually effective in managing costs |
| Contractor is usually effective in meeting milestones and delivery schedules |
| Response to inquiries, technical/service/administrative issues is usually effective |
| 2-Satisfactory |
| Some problems have been encountered |
| Contractor is having some problems in managing costs effectively |
| Contractor is having some problems meeting milestones and delivery schedules |
| Response to inquiries, technical/service/administrative issues is somewhat effective |
| 1-Unsatisfactory |
| Contractor is not in compliance and is jeopardizing achievement of contract objectives |
| Contractor is unable to manage costs effectively |
| Contractor delays are jeopardizing performance of contract objectives |
| Response to inquiries, technical/service/administrative issues is not effective |
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