J-3 Past Performance Questionnaire.pdf

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Attached to
Major Improvement Project at Fort Lauderdale International ATCT
Solicitation number
697DCK-20-R-00248
Issued by

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This document includes a past performance questionnaire and a solicitation for a major improvement project at Fort Lauderdale International Airport Air Traffic Control Tower. The past performance questionnaire requests information about a contractor's previous contracts to assist with source selection for a new contract. Details requested include contract number, dates, value, type of contract, requirements, and performance ratings.

The solicitation seeks proposals for a major improvement project at Fort Lauderdale International Airport ATCT in Fort Lauderdale, Florida. Services required include a review of all attachments pertaining to the solicitation. A virtual site visit is scheduled for July 15, 2020. Questions regarding the solicitation are due by July 20, 2020 and proposals are due by August 3, 2020. To be eligible, offerors must be registered in SAM and submit proposals in accordance with Sections L and M. The award will be made by the Department of Transportation Federal Aviation Administration Southwestern Region.

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PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection

Please complete this Questionnaire and email Contracting Officer at:

Erin.m.crabtree@faa.gov

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: 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

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