Attachment J-7 - Past Performance Questionnaire.docx

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Attached to
Screening Information Request (SIR) for Instrument Landing System (ILS) Installation Demonstrations
Solicitation number
693KA8-24-R-00024
Issued by

About this file

This document is a Past Performance Questionnaire to be completed by the Agency/Organization/Company providing past performance information on a contractor. It requests details on the contractor's adherence to delivery schedules, timeliness and accuracy of reports and documentation, ability to solve performance problems, responsiveness to change orders, subcontractor management, technical assistance, support of operational issues, invoicing, and cost accounting and performance reporting. The questionnaire uses an adjectival rating scale to assess the contractor's performance on these various criteria.

The related federal contract opportunity is a Screening Information Request (SIR) for Instrument Landing System (ILS) Installation Demonstrations, issued as a partial Small Business Set-Aside by the Federal Aviation Administration. The FAA requires the replacement of MK1D ILS systems with ILS-420 systems at a general aviation airport in Kansas, Illinois, or Indiana. The FAA may award up to three individual contracts in response to this SIR, with each contract covering the ILS replacement work at a single project site. The SIR provides instructions for submitting questions and proposals, with a proposal due date of September 10, 2024.

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ATTACHMENT J-7 – Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

Agency/Organization/Company Identification

Name: (Offeror’s Client, Please identify your information in this section.)

Point of Contact Name/Phone Number:

Contractor Information

Contractor Name:

Contract Number:

To be completed by Agency/Organization/Company

Contract Type:

FFP

CPIF

CPAF

CPFF

T&M

Other

Competitively Awarded:

Yes

No

Non-Competitively Awarded:

Yes

No

Period Of Performance:

Initial Contract Value:

Current Contract Value:

Has this contract been partially or completely terminated for default or convenience?

If yes, please explain.

Product Description and or Service Provided:

PAST PERFORMANCE QUESTIONAIRE (continued)

Please check the box next to the description, which best describes the performance of the Contractor and its subcontractors on this contract. Use blank area below questions for justifications especially when the adjectival description selected is the fourth or least desirable.

1. To what extent did the Contractor adhere to contract delivery schedules?

Justification
Always met schedule

Occasionally had delays of less than 30 days

Experienced one or more delay of greater than 30 days

Never met schedule

2. To what extent did the Contractor submit required reports and documentation in a timely manner?

Justification
Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

3. To what extent were the reports and documentation from the Contractor accurate and complete?

Justification
Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

4. To what extent was the Contractor able to solve contract performance problems without extensive guidance from the Contracting Organization?

Justification
Considerably successful

Generally successful

Little success

No success

5. How responsive was the Contractor to contract change orders?

Justification
Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

6. To what extent did the Contractor coordinate, integrate, and provide for effective subcontractor management?

Justification
Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

7. To what extent did the Contractor provide timely technical assistance when requested?

Justification
Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

8. To what extent did the Contractor provide effective support to minimize or mitigate operational problems?

Justification
Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

9. To what extent did the Contractor submit invoices in a timely and accurate manner?

Justification
Always

Most of the time

Some of the time

Seldom

10. To what extent did the Contractor's Cost Accounting and Performance Reporting provide accurate insight into Cost and Performance progress?

Justification
Always

Most of the time

Some of the time

Seldom

11. To what extent did the Contractor deliver the product at the original agreed upon price?

Justification
Always

Most of the time

Some of the time

Seldom

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