Attachment J-3 Past Performance Questionnaire for Services 16March 2017.pdf

DTFACT-17-R-00014; ATTACHMENT J-3

PAST PERFORMANCE QUESTIONNAIRE FOR SERVICES

PART ONE: INSTRUCTIONS

The company who provided this questionnaire is proposing on a Federal Aviation Administration (FAA) acquisition for

Corporate Work Plan System Support Services. Past Performance is of importance to this acquisition. Therefore, input from current or previous customers of the Offeror is very important.

The FAA would greatly appreciate you taking the time to complete this form and returning it to the Contract Specialist, Sharon Spector via email at sharon.spector@faa.gov.

Please complete this questionnaire based on the following guidelines:

a) Handwritten responses are acceptable.

b) Indicate, based on the ratings identified on page 2, the Contractor’s performance on the identified contract.

Assessments should reflect only performance for which the Contractor is/was responsible for.

c) Please provide narrative explanations for any ‘Marginal’, ‘Unsatisfactory’ or ‘No’ ratings. Space for your narrative remarks is provided on the last page of the questionnaire. If more space is needed, please add a continuation page.

d) You are requested to provide your own knowledge of the contractor’s performance for the contract identified.

In addition to completing the attached questionnaire for the identified contract, the FAA solicits your comments on other similar programs/contracts for which your organization has contacts with this Offeror.

PART TWO: QUESTIONNAIRE

From: FAA William J. Hughes Technical Center Atlantic City International Airport, NJ 08405

PAST PERFORMANCE QUESTIONNAIRE FOR SERVICES

SOLICIATION # DTFACT-17-R-00014

Submit completed past performance questionnaire by March 24, 2017 02:00PM EST to the Contract Specialist: Sharon Spector at sharon.spector@faa.gov

(1) Name of Contractor questionnaire is being completed for:

(2) Contract Number and Order Number (if applicable):

(3) Role Contractor played in Contract listed in #2:

Prime Subcontractor Other

(4) Proposed Role in Pending Contract: Prime Subcontractor Other

(5) Contract Type:

(6) Contract Value (including all Options):

(7) Contract Funded Amount:

(8) Name of Respondent:

(9) Position/Title:

(10) Agency:

(11) Phone No. and Email:

(12) Length of involvement in program/contract:

(13) Date questionnaire was completed:

RATING SCALE: Please use the following ratings to answer the questions on page 2.

Rating Definition

Excellent

Performance meets contractual requirements and exceeds many requirements to the benefit of the Government. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

Good

Performance meets contractual requirements and exceeds some requirements to the benefit of the Government. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

Satisfactory

Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear to be or were satisfactory.

Marginal

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

Unsatisfactory

Performance does not meet most contractual requirements and corrections are not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear to be or were ineffective.

N/A (Not applicable) should be used if the ratings are not going to be applied to a particular area for evaluation

NOTE: For statements indicating less than “Satisfactory”, please provide a brief explanation in the comments section of the survey.

CONTRACTOR PAST PERFORMANCE EVALUATION

SURVEY FOR SERVICES

N /A

U ns at is fa ct or y

M ar gi na l

S at is fa ct or y

G oo d

E xc el le nt

A.) QUALITY OF SERVICE:

(1) How successful was the Contractor in providing a service that conformed to contract requirements, specifications, and standards of good workmanship?

(2) How successful was the Contractor in submitting accurate reports?

(3) How successful was the Contractor in proposing and utilizing skilled personnel that were appropriate to the effort?

(4) How successful was the Contractor in having labor turnover in personnel that was minimal and did not adversely affect Contract performance?

(5) How successful was the Contractor in committing adequate resources in a timely fashion to resolve problems that arose during performance?

(6) How would you rate the Contractor’s ability to quickly respond to frequently changing requirements?

(7) How responsive to technical and/or contractual direction was the Contractor?

B.) TIMELINESS OF PERFORMANCE / SCHEDULE:

(1) How successful was the Contractor in performing tasks/services under this effort in a timely manner and according to the agreed upon schedule?

(2) How successful was the Contractor in submitting deliverables in accordance with contract requirements?

(3) How successful was the Contractor in completing project milestones according to the agreed upon schedule?

C.) CUSTOMER SATISFACTION: (CIRCLE ONE)

(1) The services provided adequately met the needs of the program. YES NO

(2) The Contractor performed with minimal or no direction from the COR or the TPOC. YES NO

(3) I am satisfied with the performance of the Contractor under this effort. YES NO

(4) I would recommend use of this contractor again. YES NO

D.) BUSINESS RELATIONS / INTEGRITY / EFFECTIVE MANAGEMENT:

(1) How well did the Contractor demonstrate effective management over the effort performed?

(2) How well did the Contractor maintain an open line of communication so that the Contracting Officer’s Representative (COR) and/or Technical Point of Contact (TPOC) were apprised of technical, cost, and schedule issues?

(3) How well did the Contractor present information and correspondence in a clear, concise, and businesslike manner?

(4) How well did the Contractor promptly notify the COR, TPOC, and/or Contracting Officer in a timely manner regarding urgent issues?

(5) How well did the Contractor cooperate with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues?

(6) How successful was the Contractor in effectively managing its subcontractors?

E.) ABILITY TO MANAGE COST:

(1) How successful was the Contractor in performing the effort within the estimated cost/price?

(2) How successful was the Contractor in submitting accurate invoices on a timely basis?

(3) How successful was the Contractor in demonstrating cost efficiencies in performing the required effort?

(4) The actual costs/rates realized closely reflected the negotiated costs/rates. (circle one) YES NO

COMMENTS: