PAST PERFORMANCE QUESTIONNAIRE.pdf
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- Attached to
- Denver (DEN) NAS Equipment Building (NASEB) HVAC
- Solicitation number
- 697DCK-22-R-00071
About this file
This document contains a federal contract opportunity solicitation and a past performance questionnaire template. The solicitation is for replacing the HVAC system at the Denver National Air Space Equipment Building for the Federal Aviation Administration. Interested vendors must attend a virtual site visit on February 3, 2022 and submit any questions by February 14, 2022. Proposals are due on February 21, 2022. The contract is set aside for small businesses and will result in a single award. Offerors must be registered in SAM.gov and include all required documents outlined in Sections L and M of the solicitation. The past performance questionnaire is a template for contractors to provide feedback on previous projects to support source selection for new opportunities.
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PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection
Please complete this Questionnaire and email to Contracting Officer at: katherine.fogle@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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