J-3 - Past Performance Questionnaire.pdf

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Attached to
San Luis Obispo (SBP) ATCT Roof Replacement
Solicitation number
697DCK-26-R-00345
Issued by

About this file

This document is a Performance Questionnaire used to support source selection for federal contracting purposes. The form is designed to gather evaluation data on contractor performance for the Federal Aviation Administration contract 697DCK-26-R-00345 for SBP Roof Replacement. Completed questionnaires must be signed and submitted to Erin Crabtree, FAA Contracting Officer, at Erin.M.Crabtree@faa.gov.

The questionnaire contains two sections: an offeror completion section requesting contractor name and address, contract number, contract initiation and completion dates, total contract value, contract type (Fixed Price, GMP, FPI, etc.), and a detailed project description; and an evaluating organization representative section requiring the evaluator's name, position, organization, phone number, and duration of performance monitoring. The evaluation section uses a standardized rating scale (EX=Exceptional, VG=Very Good, S=Satisfactory, MG=Marginal, US=Unsatisfactory, N/O=Not Observed) to assess seven performance categories: Quality of Products and Services, Performance, Technical Requirements, Schedule, Cost Control, Customer Satisfaction, and Overall Assessment. The form permits additional comments on a supplementary page if needed.

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PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection Please complete ans sign this Questionnaire and email to Erin Crabtree, Federal Aviation Administration Contracting Officer at Erin.M.Crabtree@faa.gov

697DCK-26-R-00345 - SBP Roof Replacement Please ensure this form is completed, signed and return to the Contract Specialist and 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 .