J-9 Past Performance Questionnaire.pdf

PDF 353 KB Posted

Attached to
PDX ATCT Elevator Modernization Federal contract opportunity
Solicitation number
697DCK-23-R-00026
Issued by
Department of Transportation Federal Aviation Administration Southwestern Region

About this file

This document contains a past performance questionnaire and information on a federal contract opportunity for an elevator modernization project. The past performance questionnaire requests information on a previous contract to assist with source selection, and evaluates factors such as quality, performance, schedule, cost control, and customer satisfaction. The related federal contract opportunity is solicitation number 697DCK-23-R-00026 to modernize and provide maintenance for elevators at the Portland International Airport air traffic control tower. Interested vendors must register in SAM and submit a proposal in accordance with the solicitation instructions by the response date. The work includes elevator modernization and maintenance services. The contracting 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 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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