The Federal Aviation Administration (FAA) intends to establish a Qualified Vendors List (QVL) for Cab Glass repair and/or replacement in various US locations.

PERFORMANCE QUESTIONNAIRE Your assistance is requested in support of a source selection Please complete this Questionnaire and email or send by facsimile to Joni L. Haynes, Federal Aviation Administration Contracting Officer at: 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: Please circle the response code for each topic (A – G) that best reflects your experience with this contractor. EX = Exceptional S = Satisfactory VG = Very Good MG = Marginal US = Unsatisfactory 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 B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project. EX VG S MG US C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract. EX VG S MG US D. Schedule – Assess the timeliness of contractor against the schedule of activities. EX VG S MG US E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs. EX VG S MG US F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness” EX VG S MG US G. Overall Assessment. EX VG S MG US -- 1 of 1 --