J-3_Past Performance Questionnaire.pdf
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This document is a Performance Questionnaire to be completed by an evaluating organization representative for a federal contract opportunity. The questionnaire evaluates the contractor's performance across several categories including quality of products and services, overall performance, technical requirements, schedule, cost control, and customer satisfaction. The evaluator is asked to rate the contractor's performance as Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory for each category. The completed questionnaire is to be submitted to the Contracting Officer for the Fire Life Safety Upgrade project at the Evansville Air Traffic Control Tower (EVV ATCT) in Evansville, Indiana. The federal contract opportunity involves work to improve the architectural, mechanical, electrical, and fire protection systems at the EVV ATCT to comply with OSHA, FAA, and Fire Code requirements, including replacing the fire detection/alarm system components.
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PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection Please complete this Questionnaire and email to Erin Crabtree and Joni Haynes, Federal Aviation Administration Contracting Officer/Specialist at:
Erin.M.Crabtree@faa.gov AND Joni.L.Haynes@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 .