Draft DNTS Sect L2 - Past Performance Survey.pdf

Dedicated Network Telecommunications System (DNTS) DRAFT SIR # 693KA8-23-R-000xx

Attachment L-2 – Page 1

ATTACHMENT L-2

Past Performance Survey Form

Instructions to Offerors Sending Reference Survey Forms:

Section A (Part I and Part II) of this form must be completed by the Offeror (the firm requesting the reference) prior to issuing the survey.

The Offeror must send the Past Performance Survey in accordance with instructions in SIR Section L.5.3.

The Past Performance Survey must be provided to a reference that represents the Program Office or Contracts organization , i.e. Program Manager, Task Order Lead, Contracting Officer’s Representative, Contracting Officer, Contract Specialist, etc. For commercial references, send to personnel with duties similar to those for Government contracts. It is the responsibility of the Offeror to follow-up and encourage references to submit the survey by the due date of the proposal. The completed survey must be submitted to the FAA Contracting Officer by the proposal due date via e-mail directly from the person providing the reference.

Instructions to Person Providing Reference:

In order to assess potential vendors under the Dedicated Network Telecommunications System (DNTS) contract, the FAA contracting office is obtaining past performance information with respect to each Offeror.

As a reference for work performed by the firm identified in Section A of this survey, your candid response will assist in the evaluation process.

Please complete Section B (Part I and Part II) of the survey as thoroughly as possible. The surveys must be submitted to Austin.W.Francis@faa.gov by [TBD]. The subject line in the submission e-mail must clearly indicate: SIR 693KA8-23-R-TBD) – Submission of Past Performance Survey [Insert Offeror Name]. The message must originate from the reference’s government or commercial e-mail system.

In addition to this survey, you may receive a follow-up phone call to confirm or clarify information. This is a major FAA acquisition and your input into this evaluation is greatly appreciated. If you have questions regarding this survey or require assistance, please submit inquiries to Austin.W.Francis@faa.gov.

Sincerely, Austin W. Francis FAA Contracting Officer

Attachment L-2 – Page 2

SECTION A

To Be Completed By Offeror (The Firm Requesting the Reference

PART I: OFFEROR INFORMATION

DNTS PRIME OFFEROR Company Name:

PRIME OFFEROR ADDRESS:

COMPANY NAME of Teaming Partner for This Reference (IF APPLICABLE):

TEAM MEMBER ADDRESS:

PART II: PAST PERFORMANCE INFORMATION

TITLE OF PROJECT AND CONTRACT NUMBER FOR WHICH REFERENCE IS REQUESTED:

AGENCY/CUSTOMER:

CONTRACT/ORDER/SUBCONTRACT/OTHER:

CONTRACT TYPE: (Check all that apply)

☐ Fixed Price ☐ Cost Plus Fixed Fee ☐ Cost Plus Incentive Fee ☐ Cost Plus Award Fee

☐ Indefinite delivery, indefinite quantity /Task Order ☐ Requirements ☐ Labor-Hour ☐ Time & Material

☐ Cost Reimbursable ☐ Other (Specify) _____________________

DATE OF AWARD:

PERIOD OF PERFORMANCE (INCLUDING OPTIONS):

CONTRACT AMOUNT:

• Initial Contract Dollar Value at Award (W/Options): _________________

• Final or Current Contract Dollar Value (W/Options): _________________

ROLE ON PROJECT:

☐ PRIME

☐ SUBCONTRACTOR (Explain Type And Extent Of Subcontracting, If Applicable):

☐ OTHER (EXPLAIN):

GENERAL DESCRIPTION OF TYPE OF SERVICES/PRODUCTS REQUIRED UNDER THE CONTRACT:

Attachment L-2 – Page 3

SECTION B

(To Be Completed By Evaluator (Person Providing Reference)

PART I: REFERENCE INFORMATION

YOUR NAME & TITLE:

ORGANIZATION (INCLUDING AGENCY AND/OR COMPANY):

CONTRACT ROLE (e.g. Contracting Officer, COR):

ADDRESS:

PHONE NUMBER:

E-MAIL:

PART II: INFORMATION ABOUT PROJECT/CONTRACT FOR WHICH REFERENCE IS

REQUESTED

Please identify and correct any information that is not accurate in Section A.

PART III: DEFINITION OF PERFORMANCE LEVELS

Satisfactory Performance meets or betters requirements.

Unsatisfactory Performance does not meet requirements.

Not Applicable Performance in this area is not applicable to effort assessed.

Proprietary The answer will lead to release of proprietary data and cannot be provided.

Attachment L-2 – Page 4

SECTION B (Continued)

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

PART IV: PEFORMANCE ELEMENTS

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating as described below. Please provide a narrative explanation to clarify your response.

1. Product and Service Performance – As to the Contractor’s product and/or Contractor’s services meeting or exceeding the requirements in the contract, the Contractor’s Performance was/is:

☐ Satisfactory ☐ Unsatisfactory ☐ Not Applicable ☐ Proprietary

Explanation of Your Response:

2. Timeliness of Performance – As to the Contractor adhering to contract delivery schedules, the Contractor’s Performance was/is:

3. Quality – As to the extent the Contractor demonstrated an overall commitment to quality and customer satisfaction, the Contractor’s Performance was/is?

Attachment L-2 – Page 5

4. Cost Management – As to managing costs and delivering the required outputs within budget, the Contractor’s Performance was/is:

5. Program Management – As to the Contractor successfully managing all aspects of the contract, committing adequate resources in a timely manner, and implementing corrective actions when appropriate, the Contractor’s Performance was/is:

6. Customer Relationship – As to the extent the Contractor communicated in an effective and proactive manner, and the Contractor was/is proactive in responding to problems, issues and customer concerns, the Contractor’s Performance was/is:

Attachment L-2 – Page 6

7. Maintenance and Problem Tracking – As to the extent the Contractor’s maintenance and problem tracking system was sufficient, up-to-date, and easily accessible, the Contractor’s Performance was/is:

8. Maintenance and Repair – As to the Contractor’s maintenance and repair service meeting the terms of the contract in a timely and cost efficient manner, the Contractor’s Performance was/is:

9. Training and Documentation – As to the Contractor’s Technical documentation (e.g. user manuals) and training documentation being user friendly and sufficient, the Contractor’s Performance was/is:

Attachment L-2 – Page 7

10. Overall – If given the choice, would you do business with this Contractor again?

☐ Yes ☐ No

Any other information you wish to share:

PART V: Evaluator’s Signature and Date

(End of Survey)