ATIS Section L Attachment L.2 Past Performance Questionaire.pdf

PART IV- ATTACHMENT L.2

DTFAWA-17-R-00032

PAST PERFORMANCE QUESTIONNAIRE

PROCUREMENT SENSITIVE WHEN COMPLETED FOR OFFICIAL USE ONLY Page 1 of 4

_________________ (Offeror’s name here) ____________ (Respondent’s name here)

The purpose of this questionnaire is to gather information on the contractor who provided it to you to determine their suitability to provide the Automatic Terminal Information Service (ATIS) systems including all labor, materials, equipment, transportation, training supervision, and management in accordance with the Section C and Attachment J-1, ATIS High-Level Specification for the Federal Aviation Administration (FAA). Your prompt completion of this questionnaire is sincerely appreciated as it is critical to the completion of the proposal evaluation process.

Please complete this questionnaire based on the following guidance:

(a) Handwritten responses are acceptable.

(b) Indicate, using 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 ACCEPTABLE: 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.

PROCUREMENT SENSITIVE WHEN COMPLETED FOR OFFICIAL USE ONLY Page 2 of 4

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.

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.

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.

PART ONE: INSTRUCTIONS

(Offeror’s name here) is proposing on a Federal Aviation Administration (FAA) requirement for Automatic Terminal Information Service (ATIS) systems. Past performance is of considerable importance to this acquisition

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 provide an honest assessment and immediately return to FAA not later July 21, 2017, 12:00 P.M. EST by e-mail or mail overnight to:

Federal Aviation Administration Attn: Ryan Thompson or Wanda Mundy (AAQ-310) 800 Independence Ave.

S.W., Washington DC 20591 Phone:

(202) 267-4438; (202) 267-4449 E-mail: ryan.thompson@faa.gov / wanda.mundy@faa.gov

If you have any questions, please contact Mr. Ryan Thompson and Ms. Wanda Mundy.

PART TWO: GENERAL INFORMATION- Refer to Attachment L.1

If performance involved one or more of the following, please mark all that apply:

Installation of battery strings or electrical equipment at critical power facilities

Program Management

Quality Control Program mailto:ryan.thompson@faa.gov mailto:wanda.mundy@faa.gov

PROCUREMENT SENSITIVE WHEN COMPLETED FOR OFFICIAL USE ONLY Page 3 of 4

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

A. DELIVERY SCHEDULE

1. How successful was the contractor in providing equipment training, in a timely manner, to manage this requirement?

0 1 2 3 4 N/A

2. How effective was the contractor in managing all phases of a task or project?

0 1 2 3 4 N/A

3. How well did the contractor demonstrate initiative and ability to quickly identify technical, management or schedule problems and provide venues to resolve them?

0 1 2 3 4 N/A

4. How effective was the contractor’s quality control program? 0 1 2 3 4 N/A

5. How responsive was the contractor to meeting equipment delivery schedules?

0 1 2 3 4 N/A

6. How timely was the contractor in submitting required data reports? 0 1 2 3 4 N/A

7. How well did key personnel communicate with Government/company personnel?

0 1 2 3 4 N/A

8. How cooperative were key personnel with Government/company personnel?

0 1 2 3 4 N/A

9. How supportive was corporate management to the Government/company personnel?

0 1 2 3 4 N/A

10. How would you rate the contractor’s overall management of this contract? 0 1 2 3 4 N/A

11. Have any major contract requirements been terminated or rescheduled as a result of the contractor’s inability to perform?

a. If so, please explain?

Yes or No

12. Were any “cure” or “show cause” notices issued?

a. If so, for what?

b. What corrective action did the contractor take to correct the situation?

Yes or No

13. Was an election made not to exercise an option due to the contractor’s poor performance?

a. If so, why?

Yes or No

B. INSTALLATION

1. How effective was the contractor in providing installation services? 0 1 2 3 4 N/A

2. How would you rate the contractor’s overall technical performance for this contract?

0 1 2 3 4 N/A

PROCUREMENT SENSITIVE WHEN COMPLETED FOR OFFICIAL USE ONLY Page 4 of 4

C. Is there anyone to whom you recommend we send this survey? If so, please provide their name, organization and telephone number.

NAME:

ORGANIZATION:

TELEPHONE NO.:

D. Would you recommend award of a similar contract to this contractor? Yes o r No

E. 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!