Attachment L-1_Past Performance Customer Survey 11-26-2024.docx

DOCX document 3 MB Posted

Attached to
Weather Systems Integration Contract (WSIC) Federal contract opportunity
Solicitation number
693KA8-25-R-00002
Issued by
Department of Transportation Federal Aviation Administration Headquarters

About this file

This is a Past Performance Customer Survey template (Attachment L-1) for the Weather Systems Integration Contract (WSIC) solicitation number 693KA8-25-R-00002. The survey template is designed to collect performance evaluation data from previous customers and includes sections for contract summary information (contractor details, contract number, type, costs, and period of performance) and performance ratings across five key areas: quality of work, timely performance, cost control, management practices, and overall evaluation. The rating scale ranges from Exceptional to Unsatisfactory, with specific guidance provided for each rating level. The form includes space for remarks on excellent and unsatisfactory performance and requires evaluator identification details. The template indicates this information will be kept confidential.

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Attachment J-2 Contract Data Requirements List And Data Items Description 11-26-2024.docx DOCX document
Attachment J-1 Pricing Worksheet 11-26-2024.xlsx XLSX spreadsheet
WSIC SIR 693KA8-25-R-00002 11-26-2024.pdf PDF
Attachment J-4 Example of a Contractors Property Management Plan 11-26-2024.docx DOCX document
693KA8-25-R-00002_Industry_Comment_Form 11-26-2024.xlsx XLSX spreadsheet

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Text version

WSIC Screening Information Request Part III – Lists of Documents, Exhibits and Other Attachments SIR No. 693KA8-25-R-00002 Section J – List of Attachments

ATTACHMENT L-1

PAST PERFORMANCE CUSTOMER SURVEY

Page 1 / 2

WSIC Screening Information Request Part III – Lists of Documents, Exhibits and Other Attachments SIR No. 693KA8-25-R-00002 Section J – List of Attachments

ATTACHMENT L-1

PAST PERFORMANCE CUSTOMER SURVEY

Page 2 / 2

Reference Information: Provide the following information for the organization that performed the referenced work:

Part A. Contract Summary

1. Contractor Name:

2. Contract Number:

Street:

3. Contract Type:

City:

4. Competitive:

State:

5. Follow-on:

6. Telephone:

7. email:

8. Period of Performance:

9. Contract Cost Data
Estimated Cost
Fee
Total Value
Initial Contract Cost
$
Current Contract Cost
$

10. Product Description and/or Services Provided.

(a)

Part B. Performance Evaluation of Contract

Performance Elements
Exceptional
Good
Satisfactory
Marginal
Unsatisfactory

11. Quality of Work

12. Timely Performance

13. Cost Control

14. Management Practices (including subcontract, program, personnel management)

15. Overall Evaluation

16. Remarks on excellent performance. Provide data supporting this observation. [Continue on separate sheet(s) if needed.]

17. Remarks on unsatisfactory performance. Provide data supporting the observation. [Continue on separate sheet(s) if needed.]

Part C. Identification of Evaluator

17. Name:

18. Organization:

19. Title:

20. Date:

NOTE: If verbal telephonic response received, complete the following:
21. Information obtained by:

22. Signature:

Evaluation Ratings Guidance

Rating
Contract Requirements
Problems
Corrective Actions
Exceptional
Exceeds many
Few minor
Highly effective
Good
Exceeds some
Some minor
Effective
Satisfactory
Meets all
Some minor
Satisfactory
Marginal
Does not meet some – Govt impact
Serious, recovery still possible
Marginally effective’ not fully implemented
Unsatisfactory
Does not meet most – Govt impact
Serious, recovery not likely
Ineffective

NOTE: THIS INFORMATION WILL BE KEPT CONFIDENTIAL

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