J.26 Past Performance Questionnaire.docx
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- Power Systems Installation Services
- Solicitation number
- 6973GH-20-R-00044
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PROCUREMENT SENSITIVE WHEN COMPLETED
FOR OFFICIAL USE ONLY
We [Offeror’s Name] are currently responding to the Federal Aviation Administration’s (FAA) Screening Information Request (SIR) No. [6973GH-20-R-00044], for Power Systems Installation and Design Services. The FAA places emphasis in an Offeror’s past performance and experience as an evaluation factor in its procurements. Accordingly, the FAA is requiring that clients of entities responding to its SIR be identified and their participation in the evaluation process be requested.
| Category: 1 | 2 | 3 | ||
| Program: UPS | EG | FST | ELD | CPDS |
Project Name:
We have identified Mr./Ms. [Insert name of Client/Respondent POC] of [Insert name of Client/Respondent to questionnaire] as the point of contact based on his/her knowledge concerning our work. Your cooperation and completion of the following Past Performance Questionnaire is appreciated. If contacted by a representative of the FAA requesting additional information and/or clarification of your response to the questionnaire, you are hereby authorized to respond to such a request. Any questions may be directed to
Point of Contact: [Insert Offeror’s POC] Title: [Insert Offeror’s POC] Telephone No.: [Insert Offeror’s Telephone No.] E-Mail: [Insert Offeror’s E-mail]
PART ONE: INSTRUCTIONS
The company who provided this questionnaire is proposing on a Federal Aviation Administration (FAA) Power Systems Installation and Design Contract. Past performance is of considerable importance to this Source Selection. Therefore, input from current or previous customers of the Contractor is very important.
We would greatly appreciate you taking the time to complete this form. Please provide an honest assessment and immediately return no later than TBD to the following point of contact:
Stefanie Wiles, Contracting Officer (AAQ-722) E-mail: Stefanie.Wiles@faa.gov Subject Line: SIR 6973GH-20-R-00044 Offeror Name Phase 2 – Past Performance Category #
If you have any questions, please contact Stefanie Wiles via email Stefanie.Wiles@faa.gov
GENERAL INFORMATION
Contract Number:
Contract Type:
Period of Performance:
Approximate Dollar Value:
Contract Description:
1. Please complete this questionnaire indicating, based on the ratings below, the Contractor’s performance for the identified program. Assessments should reflect only performance for which the Contractor is/was responsible. Below are the rating levels and corresponding definitions:
RATING PERFORMANCE LEVEL
4 EXCELLENT: Performance meets contractual requirements and exceeds many requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
3 GOOD: Performance meets contractual requirements and exceeds some requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
2 SATISFACTORY: Performance meets contractual requirements. The contractual performance of the factors contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.
1 MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the factors being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the Contractor’s proposed actions appear only marginally effective or were not fully implemented.
0 UNSATISFACTORY: Performance does not meet most contractual requirements and corrections are not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.
2. Please select a “Number” or “Yes” / “No” corresponding to your rating or “N/A” if you are unable to provide a rating for an area. Selecting N/A is not detrimental to overall score of the Contractor.
3. You are urged to supplement your own knowledge of the Contractor’s performance with judgment of others in your organization. In addition to completing the attached questionnaire for the identified project/program, we solicit your comments on other similar projects/programs for which your activity has contracts with this Contractor.
| 4. | Please return completed questionnaire, by e-mail, no later than [insert closing date of SIR] to the following: |
| Stefanie Wiles, Contracting Officer (AAQ-722) | |
| E-mail: stefanie.wiles@faa.gov |
ATTACHMENT J.26
PAST PERFORMANCE QUESTIONNAIRE
Please indicate if performance involved one or more of the following products or services by marking all that apply:
Program Management: _____
Design Services:
Engine Generator(s) _____ Uninterruptible Power Supply(s) ____ Electrical Distribution Equipment _____ Fuel Storage Tank(s) _____ Underground Power Cable Distribution System _____
Installation Services:
Engine Generator(s) _____ Uninterruptible Power Supply(s) _____ Electrical Distribution Equipment _____ Fuel Storage Tank(s) _____ Underground Power Cable Distribution System _____
Other:
PART TWO: QUESTIONS
The numbers 0 to 4 correspond with the following descriptive values provided on the questionnaire cover page:
| 0 | 1 | 2 | 3 | 4 | |
| Unsatisfactory Marginal Satisfactory Good Excellent |
PROGRAM MANAGEMENT
| 1. |
| How successful was the Contractor in providing fully trained and skilled personnel, in a timely manner, to manage this program? |
| 0 1 2 3 4 N/A |
| 2. |
| How effective was the Contractor in managing all phases of a task or project? |
| 0 1 2 3 4 N/A |
| 3. |
| How well did the Contractor demonstrate initiative and ability to quickly identify technical, management or schedule problems and provide venues to resolve them? |
| 0 1 2 3 4 N/A |
| 4. |
| How effective was the Contractor’s quality control program? |
| 0 1 2 3 4 N/A |
| 5. |
| How responsive was the Contractor in meeting equipment delivery schedules? |
| 0 1 2 3 4 N/A |
| 6. |
| How timely was the Contractor in submitting required data reports? |
| 0 1 2 3 4 N/A |
| 7. |
| How competent were key personnel, i.e., Program Manager and Alternate Program Manager? |
| 0 1 2 3 4 N/A |
| 8. |
| How well did key personnel communicate with Government/Customer personnel? |
| 0 1 2 3 4 N/A |
| 9. |
| How cooperative were key personnel with Government/Customer personnel? |
| 0 1 2 3 4 N/A |
| 10. |
| How supportive was corporate management to the Government/Customer personnel? |
| 0 1 2 3 4 N/A |
| 11. |
| How would you rate the Contractor’s overall management of this contract? |
| 0 1 2 3 4 N/A |
| 12. |
| Have any major contract requirements been terminated or rescheduled as a result of the Contractor’s inability to perform? |
a. If so, please explain? ___________________________
Yes or No
| 13. |
| Were any “cure” or “show cause” notices issued? |
a. If so, for what? ________________________________
b. What action did the Contractor take to correct the situation? ________________________________________________
Yes or No
| 14. |
| Was an election made not to exercise an option due to the Contractor’s poor performance? |
If so, why? _________________________________________ Yes or No or N/A
DESIGN SERVICES
| 15. |
| How effective was the Contractor in providing Engineering Services? |
| 0 1 2 3 4 N/A |
| 16. |
| How efficiently did the Contractor integrate your project design work with their work schedule? |
| 0 1 2 3 4 N/A |
| 17. |
| How detailed was the contractor’s Site Survey and Report? |
| 0 1 2 3 4 N/A |
| 18. |
| If the contractor provided a Statement-of Work, did the Contractor uphold the duties as outlined? |
| 0 1 2 3 4 N/A |
| 19. |
| Was the Cost Estimate organized and structured in a way that pricing could be analyzed and all costs accounted for? |
0 1 2 3 4 N/A
| 20. |
| If the Contractor provide an Arc Flash Risk Assessment Report, was the Contractor’s assessment thorough and accurate? |
| 0 1 2 3 4 N/A |
| 21. |
| How detailed were the drawings in the Engineering Package for this project? |
| 0 1 2 3 4 N/A |
| 22. |
| How would you rate the Contractor’s overall performance providing Engineering Services? |
| 0 1 2 3 4 N/A |
INSTALLATION SERVICES
| 23. |
| How effective was the Contractor in providing Installation Services? |
| 0 1 2 3 4 N/A |
| 24. |
| How efficiently did the Contractor integrate your installation project with their work schedule? |
| 0 1 2 3 4 N/A |
| 25. |
| How would you rate the Contractor’s performance in tracking equipment shipments and arranging delivery? |
| 0 1 2 3 4 N/A |
| 26. |
| How would you rate the Contractor’s performance in coordinating permits and approvals from Federal, State and local authorities having jurisdiction over the projects Scope-of-Work? |
| 0 1 2 3 4 N/A |
| 27. |
| How would you rate the Contractor’s performance in obtaining qualified subcontractors, such as licensed electricians and fuel tank installers? |
| 0 1 2 3 4 N/A |
| 28. |
| How would you rate the Contractor’s performance in completing as-built drawings? |
| 0 1 2 3 4 N/A |
| 29. |
| How would you rate the Contractor’s performance in resolving the final inspection discrepancy list? |
| 0 1 2 3 4 N/A |
| 30. |
| How well did the Contractor manage the installation project schedule overall? |
| 0 1 2 3 4 N/A |
| 31. |
| How would you rate the Contractor’s overall technical performance for this installation contract? |
| 0 1 2 3 4 N/A |
Would you recommend award of a similar contract to this contractor? Yes or No
PART THREE: RESPONDENT INFORMATION
The following information will assist in the analysis of the data provided. Information will be kept CONFIDENTIAL:
| Name of Respondent: | ____________________________________ | ||||
| Position Title: | ____________________________________ | ||||
| Organization: | ____________________________________ | ||||
| Telephone No.: | ____________________________________ | ||||
| Length of Involvement in Program/Contract: | ____________________________________ | ||||
| Date Questionnaire Completed: | _______________________________________ |
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