UPS SEC-L ATT L.2 Performance.docx

PROCUREMENT SENSITIVE WHEN COMPLETED

FOR OFFICIAL USE ONLY

SECTION L ATTACHMENT L.2 PAST PERFORMANCE QUESTIONNAIRE

FOR

Uninterruptible Power Supply (UPS) Equipment, Integrated Logistics, and Technical Services Contract Introduction (Offeror’s name here) is proposing on a Federal Aviation Administration (FAA) multi-year Uninterruptible Power System (UPS) supply contract. Past performance is of considerable importance to this acquisition.

Please complete this questionnaire on behalf of (add Offeror’s name here). Indicate, based on the ratings below, the Offeror’s performance on the identified program. Assessments should reflect only performance for which Offeror is/was responsible. The following is a definition of the rating levels:

Rating Performance Level

4 EXCELLENT: Performance meets contractual requirements and exceeds many requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with few minor problems for which corrective actions taken by the Offeror were highly effective.

3 GOOD: Performance meets contractual requirements and exceeds some requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with some minor problems for which corrective actions taken by the Offeror were effective.

2 SATISFACTORY: Performance meets contractual requirements. The contractual performance of the factors contains some minor problems for which corrective actions taken by the Offeror appear or were satisfactory.

1 MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the factors being assessed reflects a serious problem for which the Offeror has not yet identified corrective actions or the Offeror’s proposed actions appear only marginally effective or were not fully implemented.

0 POOR: Performance does not meet most contractual requirements and corrections are not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the Offeror’s corrective actions appear or were ineffective.

Please circle (or underline for e-mailed responses) a “Number” or “Yes” / “No” corresponding to your rating or “N/A” if you are unable to provide a rating for an area.

PLEASE PROVIDE NARRATIVE EXPLANATIONS FOR ANY MARGINAL, POOR OR “YES” RATINGS. SPACE FOR YOUR NARRATIVE REMARKS IS PROVIDED ON THE LAST PAGE OF THE QUESTIONNAIRE. IF MORE SPACE IS NEEDED, USE THE BACK OF THE QUESTIONNAIRE.

You are urged to supplement your own knowledge of the Offeror’s performance with judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, we solicit your comments on other similar programs for which your activity has contracts with this offeror.

DTFACC-17-R-00013

L.2 01/19/17

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

(Offeror’s name here) is proposing on a Federal Aviation Administration (FAA) multi-year Uninterruptible Power System (UPS) supply contract. Past performance is of considerable importance to this acquisition

We would greatly appreciate you taking the time to complete this form. Please provide an honest assessment and return to FAA not later than __________ to, Federal Aviation Administration Attn: Stefanie Wiles (AAQ-722) 6500 S MacArthur Blvd Oklahoma City, OK 73169 Phone: (405) 954-3577;

E-mail: Stefanie.Wiles@faa.gov

If you have any questions, please contact Ms. Stefanie Wiles.

PART TWO: GENERAL INFORMATION

A. OFFEROR: (name of Offeror from Part One above)

POINT OF CONTACT:

TITLE:

TELEPHONE NO.:

B. CONTRACT NUMBER:

CONTRACT TYPE:

PERIOD OF PERFORMANCE:

APPROXIMATE DOLLAR VALUE:

CONTRACT DESCRIPTION:

If performance on UPS supply contract involved one or more of the following, please mark all that apply:

Uninterruptible Power Supply multi-year contract _____ UPS Logistics support: ______ UPS Contract Depot Logistics Support: _____ UPS factory Training: _____ Ancillary Equipment Supply (load banks, batteries, and battery monitor): _____

PART THREE: QUESTIONS ON Uninterruptible Power Supply (UPS) Equipment, Integrated Logistics, Offeror Depot Logistics Support, and Training Contract

The numbers “0” to “4” correspond with the following descriptive values provided on the questionnaire cover page:

PROJECT MANAGEMENT

a. If so, please explain?

Yes or No

a. If so, for what?

b. What corrective action did the Offeror take to correct the situation?

Yes or No

a. If so, why?

Yes or No

LOGISITCS

If Yes, did the Offeror meet your time constraints?

Yes or No 0 1 2 3 4 N/A

If yes, how would you rate its help-line support?

Yes or No

0 1 2 3 4 N/A

If yes, how would you rate the Offeror’s field support technician’s on-site repair and maintenance service?

Yes or No

0 1 2 3 4 N/A

CONTRACTOR DEPOT LOGISTICS SUPPORT (CDLS)

If yes, how effective was the Offeror in providing CDL support?

Yes or No

0 1 2 3 4 N/A

If Yes, how would you rate the Offeror’s depot level support warehouse service?

Yes or No

TRAINING AND TRAINING SUPPORT

If yes, how would you rate the training provide?

Yes or No 0 1 2 3 4 N/A

If yes how would you rate the training?

Yes or No 0 1 2 3 4 N/A

If yes, how would you rate this training?

Is there anyone to whom you recommend we send this survey? If so, please provide their name, organization and telephone number.

Would you recommend award of a similar contract to this Offeror? Yes or No

Remarks: _______________________________________________________________

PART FOUR: RESPONDENT INFORMATION

The following information will assist in the analysis of the data provided. Information will be kept CONFIDENTIAL:

NAME OF RESPONDENT: (your name here)

POSITION TITLE:

ORGANIZATION:

TELEPHONE NO.:

LENGTH OF INVOLVEMENT IN PROGRAM/CONTRACT:

DATE QUESTIONNAIRE COMPLETED:

THANK YOU!