Attachment 6: Past Performance Questionnaire
Updated
A PDF document (385 KB) attached to Road Paving IAH (Houston Bush) Airport, from the Federal Aviation Administration. Due Jan 14, 2027, 5:00 PM (UTC-6).
File name: Attachment 6 Past Performance Questionnaire.pdf
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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: [email protected]
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
VG = Very Good
S = Satisfactory
MG = Marginal
US = Unsatisfactory
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
MG
US
N/O
US
N/O
D. Schedule – Assess the timeliness of contractor against the schedule of activities. EX
VG
S
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
EX
VG
S
MG
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
Comments:
VG
S
MG
US
N/O
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