SIR Attachment 4 - Past Performance Questionnaire_08112026.docx

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Attached to
Print Consumables Indefinite Delivery, Indefinite Quantity (IDIQ)
Solicitation number
697DCK-25-F-00368
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template used by the Federal Aviation Administration (FAA) Office of Information Technology to evaluate contractor past performance for Solicitation 697DCK-25-R-00368, an Indefinite Delivery, Indefinite Quantity (IDIQ) contract for print consumables.

The questionnaire is designed to be completed by references familiar with the offeror's prior performance on similar work and must be returned to Ms. Kay F. Morello and Stephen Young at the FAA no later than 5:00 PM ET on September 21, 2026. References must evaluate the contractor's performance on contracts involving the delivery of over 750 printer consumables to the 48 contiguous states, District of Columbia, and non-foreign Outside Continental United States locations, with specific emphasis on whether the contractor met four-business-day delivery timelines for CONUS/OCONUS orders at least 98% of the time. The evaluation uses a standardized five-point rating scale (Exceptional, Very Good, Satisfactory, Marginal, or Unacceptable) across eight performance categories: client relationship, quality of work, quality control, schedule performance, schedule problem resolution, cost control, documentation timeliness, and overall contractor capability. References must also provide binary responses regarding their willingness to award future contracts and customer satisfaction with deliverables, with space for additional remarks and supporting comments for any marginal or unacceptable ratings.

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Attachment 4 (SIR # 697DCK-25-R-00368)

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The Federal Aviation Administration (FAA) AIT (Office of Information Technology) is considering the Offeror listed below for a U.S. Government contract. Your comments would be appreciated regarding this firm’s past performance. After completing this PPQ, return it directly to this office via email to Ms. Kay F. Morello (kay.f.morello@faa.gov and Stephen.young@faa.gov) no later than 5:00 PM ET on 9/21/2026. Your prompt response is greatly appreciated. If the referenced project is a government project, you may forward a copy of the official performance evaluation in lieu of completing this form.

THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

Part I – Offeror’s Information (To be completed by Offeror)

Offeror Information

Name of Offeror Being Evaluated:

Address of Offeror Being Evaluated:

CAGE Code of Offeror Being Evaluated:

UEI Number of Offeror Being Evaluated:

Part II- Contract Information (To be completed by Offeror’s Reference) Please provide the following information regarding the contractor identified in Part I above:

Project Information

Contract Number:

Delivery/Task Order Number:

Contract/Project Title:

Location:

Award Date:

Completion Date:

Contract Value:

Offeror Performed As:
|_| Prime Contractor

Describe how the work performed relates to the purchase of over 750+ printer consumables within the 48 United States, and the District of Columbia, to include non-foreign Outside Continuous United States locations.

Was the delivery timeline for four (4) -business days or less for CONUS/OCONUS orders?
|_| Yes |_| No
Did the contractor meet those delivery timelines more than 98% of the time? If not, what percentage?
|_| Yes |_| No

Part III – Ratings and Questions (To be completed by Offeror’s Reference)

Evaluator Information

Name of Evaluator:

Government Agency/Commercial Company:

Address:

Phone Number:

Email Address:

Position Held in Relation to this Project:

Rating: Please evaluate the past performance using only the following ratings without variation.

DO NOT RATE ON A “+” OR “-” SCALE. If a “+” or “-” is used, the rating without the “+” or “-” will be applied. If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“E”
Exceptional
Performance greatly exceeded the contract requirements.
“VG”
Very Good
Performance exceeded the contract requirements.
“S”
Satisfactory
Performance met the contract requirements.
“M”
Marginal
Performance met the minimum contract requirements, but some material aspects of the contractor’s performance were less than satisfactory.
“UA”
Unacceptable
Performance was poor and/or did not satisfy contract requirements.
“NA”
Not Acceptable
No information or did not apply to your contract

Please rate and provide any supporting information/comments for the following:

1. The relationship between the Offeror and client’s/customer’s contract team:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

2. Quality of work:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

3. Quality control:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

4. Ability to meet the performance schedule:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

5. Ability/actions to improve schedule problems, if applicable:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

6. Ability to control costs:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

7. Ability to submit required documentation (invoices, reports, data, etc.) in a timely manner:
|_| |_| |_| |_| |_| |_|

E VG S M U NA

8. Would you award another contract to the party being evaluated? If not, please explain:
|_| |_|

Yes No

9. Was the customer satisfied with the end product (deliverables)? If not, please explain:
|_| |_|

Yes No

10. Additional Remarks:

Overall rating for this firm:
|_| |_| |_| |_| |_|

E VG S M U

Signature of Evaluator Date

RFP/SIR # 697DCK-25-R-00368

Past Performance Questionnaire, Page 1 of 3

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