Past Performance Questionnaire.doc

SSAE PPQ 08/25/2017

Attachment 2

PAST PERFORMANCE QUESTIONNAIRE

DTFAAC-17-R-00210

Questionnaires are to be returned directly to the CO prior to closing date and time (10/04/17, 1300 CT) of the solicitation at Jason.mclaughlin@faa.gov Please complete and/or verify the following reference check information:

1. Name of Contractor: ____________________________________________________

2. What type(s) of audits/assessments were provided: ___________________________________________________________________________

3. Number of Controls audited/assessed: __________________________________________

4. Type of Contract/Agreement for Pricing (i.e. firm fixed-price, fixed rate per hour (labor-hour, T&M), cost-reimbursable, etc.):

5. Contract Number: _________________________________

6. Total Contract Amount: $____________________________

7. Date of Contract Award: ____________________________

8. Contract Period of Performance: Start _________________ Complete_____________

9. Contractor Role / Responsibility (circle one): Prime Contractor Sub-Contractor

Please complete and/or verify the following responder information:

Name of Responding Point of Contact: _____________________________________________________ Agency / Organization: _________________________________________________________________

Mailing Address:

Telephone Number:

Fax Number:

E-mail Address:

PAST PERFORMANCE QUESTIONNAIRE

1.

Quality/Timeliness of Service.

a. How would you rate the contractor's general overall compliance with contract requirements?

Considerably surpassed minimum requirements

Exceeded minimum requirements

Met minimum requirements

Less than minimum requirements

b. How would you rate the timeliness of the Contractor's service - delivered reports on time and adhering to the required schedule?

c. Did the contractor commit adequate resources in timely fashion to meet contract requirements?

Provided abundant resources

Provided sufficient resources

Provided minimal resources

Provided insufficient resources

d. Did the contractor commit adequate resources in timely fashion to solve problems?

Provided abundant resources

Provided sufficient resources

Provided minimal resources

Provided insufficient resources

e. How would you rate the contractor on the timeliness of its responses to inquiries or other administrative matters?

Extremely timely

Generally timely

Generally not timely

Seldom timely

2.

Business Relations - Effective Management.

a. To what extent was the contractor able to solve contract performance problems without extensive guidance from government (or entity with requirement) counterparts?

Considerably successful

Generally successful

Little Success

No success

b. To what extent did the contractor display initiative in meeting contract requirements?

Displayed considerable initiative

Displayed some initiative

Displayed little initiative

Displayed no initiative

c. Has this contract been partially or completely terminated for default, or is a termination pending?

( ) Yes If yes, please explain (e.g., inability to meet cost, performance or delivery schedules.)

( ) No

d. Has it ever been necessary to send this Contractor a Notice to Cure letter?

( ) Yes If yes, please explain and indicate the status.

( ) No

e. How would you rate the performance of the contractor's key personnel?

Extremely effective

Generally effective

Generally ineffective

Extremely ineffective

3.

Customer Satisfaction.

a. To what extent did the contractor provide timely assistance, when responding to problems?

b. How would you rate the contractor's response to inquiries related to administrative issues?

Displayed considerable initiative

Displayed some initiative

Displayed little initiative

Displayed no initiative

c. Would you select this contractor again?

( ) Yes ( ) No

4.

Please provide any other comments you may have.

*Note: Past performance questions are not limited to those on the questionnaire should the FAA contact and request additional information from the past performance point of contact.