3. Past Performance Survey Form.doc
DOC document 82 KB Posted
- Attached to
- Roof Replacement - Oakland ARTCC (Fremont, CA. )
- Solicitation number
- 697DCK-24-R-00437
About this file
This document is a Past Performance Survey related to a federal contract opportunity. The survey is intended to evaluate the past and present performance of offerors submitting proposals in response to solicitation 697DCK-24-R-00437 for a roof replacement project at the Oakland Air Route Traffic Control Center in Fremont, California. The survey asks the respondent to provide information about the contractor, including the contract number, value, type, award and completion dates, as well as to rate the contractor's performance on various elements using a 1-6 scale. The survey also includes a section for the respondent to provide comments. The related federal contract opportunity is for roof replacement work valued between $500,000 and $1,000,000, with a site visit scheduled for June 25, 2024 and offers due by July 15, 2024. The contracting agency is the Department of Transportation Federal Aviation Administration Southwestern Region.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0001.pdf | ||
| 2. Wage Determination.pdf | ||
| 1.A. Drawings.pdf | ||
| 697DCK-24-R-00437.pdf | ||
| 1. Specifications.pdf |
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Text version
Past Performance Survey Federal Aviation Administration – AAQ-540
The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to the 697DCK-24-R-00437. The information provided will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).
a.
Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.
b.
Include the contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.
c.
Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.
d.
Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient.
Thank you for your time and participation.
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
PAST PERFORMANCE SURVEY
Your Name & Title yOUR Organizational Address
TEL NO.
FAX :
E-MAIL:
CONTRACTOR’S NAME & ADDRESS
TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
CONTRACT TYPE:
FORMCHECKBOX
FIXED PRICE
FORMCHECKBOX
COST + FEE
FORMCHECKBOX
COMPETITIVE
FORMCHECKBOX
NON-COMPETITIVE
FORMCHECKBOX
SET-ASIDE
FORMCHECKBOX
SEALED BID
FORMCHECKBOX
NEGOTIATED
FORMCHECKBOX
SEALED BID
FORMCHECKBOX
NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
1.
Contractor demonstrated a thorough understanding of technical requirements of the contract/task.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
2.
Contractor anticipated/identified and resolved problems effectively.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
3.
Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
4.
Contractor provided the necessary skilled personnel to perform the required work.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
5.
Contractor retained the necessary skilled personnel and maintained a low turnover rate.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
CUSTOMER SATISFACTION SURVEY
6.
Contractor met scheduled contract delivery dates.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
7.
Contractor provided accurate, complete and high quality deliverables.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
8.
Contractor complied with the terms of the contract.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
9.
Contractor was diligent in forecasting and controlling contract cost.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
| 10. I would recommend award to this contractor again. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
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