Past Peformance Questionnaire Rev 1.docx

ATTACHMENT 1

PAST PERFORMANCE QUESTIONNAIRE

SIR/RFO No. DTFAAC-17-R-00053, Rev 1

1. Please complete this questionnaire based on the following guidelines:

0. Handwritten responses are acceptable.

0. Indicate, based on the ratings below, the contractor’s performance on the identified program. Assessments should reflect only performance for which contractor is/was responsible. The following is a definition of the rating levels;

Rating Performance Level

0. 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.

0. PLEASE PROVIDE NARRATIVE EXPLANATIONS FOR ANY MARGINAL, UNSATISFACTORY 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.

0. You are urged to supplement your own knowledge of the contractor’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 contacts with this offeror.

2. Please return completed questionnaire by, e-mail or mail to: FAA, Attn: Sherrie Files (AAQ-812), 6500 S. MacArthur Blvd., P.O. Box 25082, Oklahoma City, OK 73125. If mailing by overnight means, the address should also cite: Multi-Purpose Building, Room 313 and ZIP Code 73169. Phone: (405) 954-7882; e-mail: sherrie.files@faa.gov.

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PROCUREMENT SENSITIVE WHEN COMPLETED

FOR OFFICAL USE ONLY

PART ONE: INSTRUCTIONS

The company who provided this questionnaire is proposing on a Federal Aviation Administration (FAA) acquisition for Helicopter Pilot Training. Past performance is of considerable importance to this acquisition. Therefore, input from current or previous customers of the offeror is very important.

We would greatly appreciate you taking the time to complete this form. Please return completed questionnaire by e-mail or mail to: FAA, Attn: Sherrie Files (AAQ-812), 6500 S. MacArthur Blvd., P.O. Box 25082, Oklahoma City, OK 73125. If mailing by overnight means, the address should also cite: Multi-Purpose Building, Room 313 and ZIP Code 73169.

Phone: (405) 954-7882; e-mail: sherrie.files@faa.gov.

PART TWO: GENERAL INFORMATION

1. CONTRACTOR:

POINT OF CONTACT:

TITLE:

TELEPHONE NO.:

1. CONTRACT NUMBER:

CONTRACT TYPE:

PERIOD OF PERFORMANCE:

APPROXIMATE DOLLAR VALUE:

CONTRACT DESCRIPTION:

PART THREE: QUESTIONS

The numbers 0 to 5 correspond with the following descriptive values provided on the questionnaire cover page:

MANAGEMENT

QUALITY/TIMELINESS OF SERVICE

SUBCONTRACTING AND/OR TEAMING ARRANGEMENT(S) SUPPORT CAPABILITY

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

Please include any comments or 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:

POSITION/TITLE:

ORGANIZATION:

TELEPHONE NO.:

LENGTH OF INVOLVEMENT IN PROGRAM/CONTRACT:

DATE QUESTIONNAIRE COMPLETED:

THANK YOU!