J-1_Past Performance Questionnaire.pdf

PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection Please complete this Questionnaire and email or send by facsimile to Joni L. Haynes, Federal Aviation Administration Contracting Officer at:

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. DESCRIPTION OF CONTRACT REQUIREMENTS:

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:

Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.

EX = Exceptional S = Satisfactory VG = Very Good MG = Marginal

US = Unsatisfactory

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

B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.

EX VG S MG US

C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.

EX VG S MG US

D. Schedule – Assess the timeliness of contractor against the schedule of activities.

EX VG S MG US

E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.

EX VG S MG US

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”

EX VG S MG US

G. Overall Assessment.

EX VG S MG US

mailto:Robert.Higgins@faa.gov Daniel McCormick Typewritten Text

CAB GLASS QVL / ATTACHMENT