SIR Section J.9 Past Performance Questionnaire.pdf

DTFAWA-16-R-00016 Attachment J-9

Attachment J.9

Past Performance Questionnaire

DTFAWA-16-R-00016 Attachment J-9

PAST PERFORMANCE QUESTIONNAIRE

THIS DOCUMENT IS CONSIDERED TO BE SOURCE SELECTION SENSITIVE

INFORMATION WHEN FILLED IN

INSTRUCTIONS TO OFFERORS SENDING REFERENCE SURVEY FORMS:

Section 1 (Part I and Part II) shall be completed by the Offeror (the firm requesting the reference) prior to issuing the surveys. The Offeror shall send the surveys for relevant projects that are in progress or completed in the past five (5) years to the individuals who will provide the reference.

For Government contracts, send to the Contracting Officer (CO) or CO’s

Representative/Technical Representative. For commercial references, send to personnel with duties similar to those for Government contracts. It is the responsibility of the Offeror to follow-up and encourage references to submit the survey. The completed survey shall be submitted via e-mail directly from the person providing the reference. In addition, copies of all requested survey forms by the Offeror to the Reference source must be included with the

Offeror’s proposal due no later than the proposal due date.

INSTRUCTIONS TO PERSON PROVIDING REFERENCE:

In order to assess Offeror past performance under the RRCIU competition, the FAA contracting office is obtaining past performance information with respect to each Offeror. As a reference for work performed by the firm identified in Section 1 of this survey, your candid response will assist in the evaluation process. Please complete Section 2 (Part I and Part II) of the survey as thoroughly as possible and submit to marlies.drechsel@faa.gov due no later than the proposal due date. The subject line in the submission e-mail shall clearly indicate: RRCIU Past

Performance Survey Submission for (Offeror name cited in Section 1) and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this survey, you may receive a follow-up phone call to confirm or clarify information. Your input into this evaluation is greatly appreciated. If you have questions regarding this survey or require assistance, please submit inquiries to: marlies.drechsel@faa.gov.

SECTION 1

TO BE COMPLETED BY OFFEROR (THE FIRM REQUESTING THE REFERENCE)

PART I: (RRCIU OFFEROR INFORMATION)

COMPANY NAME OF RRCIU OFFEROR:

OFFEROR ADDRESS:

DTFAWA-16-R-00016 Attachment J-9

PART II: (PAST PERFORMANCE INFORMATION)

TITLE OF PROJECT AND CONTRACT NUMBER FOR WHICH REFERENCE IS REQUESTED:

AGENCY/CUSTOMER:

CONTRACT/ORDER/SUBCONTRACT/OTHER:

CONTRACTURAL INFORMATION: Please provide the following information regarding contractor and contract number identification provided above:

Contract Type: ____________________

Contract Purpose (e.g., Service, Supply, Development/First Article, R&D)?

Contract Award Date: __________ Period of Performance: ____________________

Total Contract Value: __________ Value of Contractor’s Share: ________________

Was the contractor a prime contractor __ yes __ no; or subcontractor __ yes __ no

Competitive __ yes__ no

Program Title and nature of the effort (i.e., describe the scope of the effort, the type of tasks involved, labor skills used, and products/support delivered).

Section 2:

PART I: RATINGS AND QUESTIONS

RATINGS: Please review this questionnaire based on the following guidance.

1. You are urged to read the questionnaire and supplement your own knowledge of the offeror’s performance with the judgment of others (e.g., coordinated effort between the

Contracting Officer and the Technical Point of Contact) in your program. In addition to

DTFAWA-16-R-00016 Attachment J-9 providing the information for the contract or order identified, we solicit your comments on other similar contract or order that your activity has with this offeror.

2. For each item requesting a rating, respond with the rating that best describes the contractor’s performance for the referenced contract or order. If an item is not applicable to your contract order, or if you do not know how the contractor performed/is performing on that item, please respond N/A. The rating scale is defined as:

7 Consistent record of exceptional past performance by the offeror.

and any proposed major subcontractors on work identical or very similar to the work requirements of the proposed contract. Many strengths and no weaknesses.

6 Consistent record of successful past performance by the offeror and any proposed major subcontractors on work identical or very similar to the work requirements of the proposed contract. Strengths far outweigh any weaknesses.

5 Successful past performance by the offeror and any proposed major subcontractors on work similar to the work requirements of the proposed contract. Strengths outweigh any weaknesses.

4 Neutral score. Assigned to offerors with no relevant past performance.

3 Weaknesses outweigh strengths.

2 Weaknesses far outweigh strengths.

1 Significant weaknesses with no strengths.

B. QUESTIONS:

1. Has this contract been partially or completely terminated for Default?

__ Yes __ No

If “yes”, please explain:

2. This contract included support in the following areas: check all that apply

____________Equipment Development to Specification

____________First Article Approval and Testing

____________Quality Control

____________Configuration Management

____________Fabrication and Assembly

____________Logistics Management

____________Hardware Development

____________Engineering Change Proposal Management

DTFAWA-16-R-00016 Attachment J-9

3. Further define the type of effort this contractor provided, based upon Question 2. above for the type of effort provided.

4. What technical areas described below do you feel the contractor is strong?

____________First Article Development

____________Quality Control

____________Configuration Management

____________Fabrication and Assembly

____________Logistics Management

5. What technical areas described below do you feel the contractor is weak?

____________First Article Approval and Testing

____________Quality Control

____________Configuration Management

____________Fabrication and Assembly

____________Logistics Management

Technical Performance Questions

6. Rate the overall technical quality of this contractor for your contract.

7 6 5 4 3 2 1

Comments:

7. Rate the contractor’s record in completing tasks/milestones/deliverables within established time schedules.

DTFAWA-16-R-00016 Attachment J-9

8. Rate the contractor’s record in demonstrating a thorough understanding of the nature of the work required and the disciplines required to accomplish them.

9. Rate the contractor’s record in its ability to adapt to technical challenges or changes or changes in priority.

10. Rate the contractor’s record in identifying and mitigating risks.

11. Rate the contractor’s record in establishing, maintaining and implementing a Configuration

Management System (CM).

DTFAWA-16-R-00016 Attachment J-9

12. Rate the contractor’s CM reporting related to the reporting of accurate and complete data.

Contract Management and Administration Questions

13. Rate the contractor’s record in accurately estimating and managing resources required to perform the assigned tasks in accordance with requirements.

14. Rate the contractor’s record in responding to requirements and the quality of deliveries completed.

15. Rate the contractor’s performance in dealing with problems and implementing corrective actions.

DTFAWA-16-R-00016 Attachment J-9

Other Questions

16. In your opinion, what, if not already addressed, would you consider the contractor’s strong points and what did you like most about them?

17 In your opinion, what, if not already addressed, would you consider the contractor’s weak points and what did you like least most about them?

18. If you know any further information that was not covered by this questionnaire, but you feel is important, please provide this information.

PART II: RESPONDENT INFORMATION:

Name (printed)__________________________________________________________________

Phone, Commercial: _________________________ FAX:______________________________

Office Designation:_______________________________________________________________

Position/Title:___________________________________________________________________

Relationship to Program:___________________________________________________________

Length of Involvement in Program___________________________________________________