J-4_Past Performance Questionnaire.pdf

PDF 384 KB Posted

Attached to
DFWA and DFWB Raised Floor Replacement Federal contract opportunity
Solicitation number
697DCK-22-R-00531
Issued by
Department of Transportation Federal Aviation Administration Southwestern Region

About this file

This document contains a past performance questionnaire and details of a related federal contract opportunity for raised floor replacement. The past performance questionnaire requests a contractor's name and address, contract number, initiation and completion dates, total value, type of contract, description of requirements, and performance ratings in quality, schedule, cost control, customer satisfaction, and overall assessment. The related federal contract opportunity is a solicitation to replace raised flooring in two air traffic control towers at Dallas-Fort Worth International Airport. The work includes removal and replacement of ground level raised floors and carpet, installation of a proper grounding system, and other tasks as indicated in the specifications and drawings. The agency is the Department of Transportation Federal Aviation Administration Southwestern Region.

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Text version

PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection

Please complete this Questionnaire and email it to the Contracting Officer at:

joni.l.haynes@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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File details come from the government source that posted it. Updated .