J-3_Past Performance Questionnaire.pdf
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This is a Past Performance Questionnaire template to be used for evaluating contractors bidding on the EVV Fire Protection/Life Safety Upgrade project for the Federal Aviation Administration. The questionnaire requires basic contract information from the offeror including contractor details, contract number, dates, value, and contract type. The evaluation portion is completed by the evaluating organization representative and assesses seven key performance areas: Quality of Products/Services, Performance as General Contractor/Architect/Engineer, Technical Requirements, Schedule adherence, Cost Control, Customer Satisfaction, and Overall Assessment.
The evaluation uses a rating scale of Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Observed. Completed questionnaires are to be returned to FAA Contracting Officer Elisha Distler. The questionnaire relates to a fire protection and life safety systems upgrade project at the EVV Air Traffic Control Tower in Evansville, Indiana, which involves replacing fire detection/alarm systems and preparing documentation for as-built configurations and maintenance.
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PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection Please complete this Questionnaire and email to Elisha Distler, Federal Aviation Administration Contracting Officer/Specialist at:
elisha.distler@faa.gov EVV Fire Protection / Life Safety Upgrade Please ensure this form is completed, signed and return to the Contracting Officer.
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS: 2. CONTRACT NO:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. TOTAL CONTRACT VALUE:
6. TYPE OF CONTRACT:
(Fixed Price, GMP, FPI, etc.)
7. DETAILED DESCRIPTION OF PROJECT
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.
EX = Exceptional S = Satisfactory US = Unsatisfactory VG = Very Good MG = Marginal N/O = Not Observed A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).
EX VG S MG US N/O
B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
EX VG S MG US N/O
C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
EX VG S MG US N/O
D. Schedule – Assess the timeliness of contractor against the schedule of activities.
EX VG S MG US N/O
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
EX VG S MG US N/O
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”
EX VG S MG US N/O
G. Overall Assessment.
EX VG S MG US N/O
Comments: One additional page can be added for comments, if applicable.
File details come from the government source that posted it. Updated .