J-5 Past Performance Questionnaire.pdf

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Attached to
Construction of New Airport Traffic Control Tower (ATCT) - Grand Forks, ND
Solicitation number
697DCK-26-R-00034
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About this file

This document is a Performance Questionnaire issued by the Federal Aviation Administration (FAA) with contract number 697DCK-26-R-00034. The form is designed to collect performance evaluation information from a previous contractor, to be used in a source selection process. The questionnaire requires detailed feedback across seven key performance areas: Quality of Products and Services, Performance, Technical Requirements, Schedule, Cost Control, Customer Satisfaction, and Overall Assessment. Each area is rated using a scale ranging from Exceptional (EX) to Unsatisfactory (US), with additional options for Very Good (VG), Satisfactory (S), Marginal (MG), and Not Observed (N/O). The completed questionnaire should be emailed to the Contracting Officer at Erin.m.crabtree@faa.gov, and is intended to provide a comprehensive evaluation of the contractor's past performance.

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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

697DCK-26-R-00034

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 .