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This is a Past Performance Questionnaire (PPQ) form to be completed in support of a source selection for the FAA's Palmdale ARTCC Stairways and Loading Ramp Demolition and Replacement project. The questionnaire is designed to evaluate previous contractor performance across seven key areas: Quality of Products and Services, Overall Performance, Technical Requirements, Schedule adherence, Cost Control, Customer Satisfaction, and Overall Assessment.

The form consists of two main sections - one to be completed by the offeror (including contract details, value, and description) and one by the evaluating organization representative. The evaluation uses a six-point rating scale ranging from Exceptional (EX) to Unsatisfactory (US), with Not Observed (N/O) as an option. Completed questionnaires are to be emailed to the Contracting Officer at raymond.a.lena@faa.gov. This is a standard evaluation template that would be used to assess past performance references as part of the contractor selection process for this FAA construction project.

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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:

raymond.a.lena@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 .