Past Performance Survey.pdf

PROCUREMENT SENSITIVE WHEN COMPLETED

FOR OFFICIAL USE ONLY

ATTACHMENT 9

SIR/RFO DTFAAC-17-R-02323

PAST PERFORMANCE SURVEY

PART ONE: INSTRUCTIONS

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

a. Handwritten responses are acceptable.

b. 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

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 contractor 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 contractor 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 contractor 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 contractor has not yet identified corrective actions or the contractor’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 contractor’s corrective actions appear or were ineffective.

c. Please circle a “Number” or “Yes” / “No” corresponding to your rating or “N/A” if you are unable to provide a rating for an area.

d. 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.

e. 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 contracts with this offeror.

2. Please return completed questionnaire via e-mail to the following:

Ms. Casey E. Davis, Contract Specialist, AAQ-811 Phone: (405) 954-7897 E-mail: casey.davis@faa.gov Due Date: December 8, 2016

PART TWO: GENERAL INFORMATION

The company who provided this questionnaire is proposing on a Federal Aviation Administration (FAA) Multiple Award Mechanical Construction Services contract at the Mike Monroney Aeronautical Center (MMAC), in Oklahoma City, Oklahoma. Past performance is of considerable importance to this Source Selection. Therefore, input from current or previous customers of the offeror is very important.

A. CONTRACTOR:

POINT OF CONTACT:

TITLE:

TELEPHONE NO.:

E-MAIL:

B. CONTRACT NUMBER:

CONTRACT TYPE:

PERIOD OF PERFORMANCE:

APPROXIMATE DOLLAR VALUE:

CONTRACT DESCRIPTION:

PART THREE: QUESTIONS

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

0 1 2 3 4 Poor Marginal Satisfactory Good Excellent

Quality/Timeliness of Service

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

0 1 2 3 4 N/A

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

0 1 2 3 4 N/A

3. How well did the contractor commit adequate resources in timely 0 1 2 3 4 N/A mailto:casey.davis@faa.gov fashion to meet contract requirements?

4. How well did the contractor commit adequate resources in timely fashion to solve problems?

0 1 2 3 4 N/A

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

0 1 2 3 4 N/A

Cost Control

6. If applicable, how well did the contractor meet the proposed cost estimates?

0 1 2 3 4 N/A

Business Relations – Effective Management

7. If applicable, how well did the contractor meet the proposed cost estimates?

0 1 2 3 4 N/A

8. How well did the contractor display initiative in meeting contract requirements?

0 1 2 3 4 N/A

9. How well was the contractor's selection of personnel and how well was it appropriate for the performance of this contract?

0 1 2 3 4 N/A

10. How effective was the contractor in interfacing with the Government's (or other) staff?

0 1 2 3 4 N/A

11. How would you rate the contractor’s overall management of this contract?

0 1 2 3 4 N/A

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

0 1 2 3 4 N/A

Customer Satisfaction

13. How well did the contractor provide timely assistance, when responding to problems?

0 1 2 3 4 N/A

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

a. If so, please explain? ___________________________

Yes or No

Integrity

15. Did you experience any integrity problems with this Contractor?

16. Did the contractor maintain integrity during contract performance? If not, please provide reason.

17. Please provide any other comments you may have

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!