Past Performance Survey.docx
DOCX document 23 KB Posted
- Attached to
- High Speed Camera Lighting Array-Sled
- Solicitation number
- 6973GH-25-R-00214
About this file
The document is a Past Performance Survey form for a High Speed Camera Lighting Array contract (Solicitation Number 6973GH-25-R-00214) issued by the Federal Aviation Administration's Civil Aerospace Medical Institute (CAMI). The survey is designed to collect feedback from a previous contractor's performance, focusing on contract compliance, timeliness, key personnel performance, and overall recommendation for future work.
The associated federal contract opportunity seeks to procure a high-speed lighting array for the CAMI Biodynamics Research team to support research on aircraft seats and restraints. The system must interface with existing high-speed video capture equipment (2,000 frames per second) and crane systems, and include training and annual maintenance. Key procurement details include a full and open competition under NAICS code 335139, with proposals due electronically by 3:00 p.m. CT on September 10, 2025. Contractors must be registered in the System for Award Management (SAM), and a pre-proposal site visit is scheduled for August 21, 2025, at the Mike Monroney Aeronautical Center in Oklahoma City.
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Text version
PROCUREMENT SENSITIVE WHEN COMPLETED
FOR OFFICIAL USE ONLY
SIR/RFO No. 6973GH-25-R-00214 High Speed Camera Lighting Array
PAST PERFORMANCE SURVEY
To: _______________________________________________________________________
Organization:_____________________________________________________________
Fax No.: _________________________ E-mail Address:_________________________
Date: __________________________ Number of Pages (including this sheet): 4 in total
Your name was provided as a past performance point of contract for the following:
Contractor Name:_________________________________________________________
Contract Number: _______________________________ Date(s)____________________
Project Title: ___________________________________________________________
Contractor Role / Responsibility (circle one): Prime Contractor Sub-Contractor
In regard to the above contractor’s performance on the referenced contract, please complete the attached Past Performance Questionnaire and return as follows:
Send to: Kimberly Sites, Contracting Officer
E-mail Address: kimberly.sites@faa.gov
Please provide your response no later than 3:00 p.m. CT on Thursday September 10th, 2025 .
Thank you!
A. Please complete and/or verify the following reference check information:
1. Name of Contractor: ____________________________________________________
2. Type of contract/agreement for pricing; e.g., firm fixed-price, fixed rate per hour (labor-hour, T&M), cost-reimbursable:
3. Contract Number: _________________________________
4. Total Contract Amount: $____________________________
5. Date of Contract Award: ____________________________
6. Contract Period of Performance: Start _________________ Complete_____________
B. Please complete and/or verify the following responder information:
Name of Responding Point of Contact: _____________________________________________________
Agency/Organization: _________________________________________________________________
Mailing Address: __________________________________________________________
Telephone Number: __________________________________
E-mail Address: __________________________________
1. How would you rate the contractor's overall compliance with contract requirements?
( ) Acceptable ( ) Unacceptable
2. How would you rate the timeliness of the Contractor - adhering to the required schedule?
( ) Acceptable ( ) Unacceptable `
3. Has this contract been partially or completely terminated for default, or is a termination pending?
( ) Yes / If yes, please explain and indicate the status.
( ) No/Acceptable
4. Has it ever been necessary to send this Contractor a Notice to Cure letter?
( ) Yes If yes, please explain and indicate the status.
( ) No
5. How would you rate the performance of the contractor's key personnel?
( ) Acceptable ( ) Unacceptable
6. Would you recommend awarding similar contracts or using the offeror again for future work?
( ) Yes/Acceptable ( ) No/Unacceptable
7. Did you experience any integrity problems with this Contractor?
( ) Yes If yes, please explain.
( ) No
8. Please provide any other comments you may have.
Attachment 3
File details come from the government source that posted it. Updated .