4. Past Performance Survey Form.doc

DOC document 82 KB Posted Aug 1, 2023

Attached to: Siding and Roof Replacement - Power Service Building - Denver Air Route Traffic Control Center (Longmont, CO. )
Solicitation number: 697DCK-23-R-00489
Issued by: Department of Transportation Federal Aviation Administration Southwestern Region

About this file

Written by GovTribe AI · Dec 21, 2023

This document is a past performance survey form to be completed by a government customer regarding an incumbent contractor's performance on a prior contract. The survey requests ratings and comments on 10 performance elements for a contractor that provided siding and roof replacement services for the Power Service Building at the Denver Air Route Traffic Control Center in Longmont, Colorado under solicitation number 697DCK-23-R-00489. The Federal Aviation Administration Southwestern Region issued the solicitation seeking fixed price proposals for the roof and siding replacement work. The survey collects information on the contractor's understanding of requirements, problem resolution, resource management, personnel provision and retention, schedule adherence, deliverable quality, compliance with contract terms, cost control, and whether the customer would recommend future award to the contractor. Ratings use a 6-point scale and comments are encouraged.

The past performance survey will be used to evaluate proposals submitted in response to the abovementioned solicitation for siding and roof replacement services at the Denver Air Route Traffic Control Center facility. Completion of the survey by a government customer will provide past performance information to assist the FAA's source selection process.

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Other files

File	Type	Posted
Amendment 0001.pdf	PDF	Aug 30, 2023
1. Specifications.pdf	PDF	Aug 1, 2023
3. Wage Determination.pdf	PDF	Aug 1, 2023
2. Drawings.pdf	PDF	Aug 1, 2023
697DCK-23-R-00489.pdf	PDF	Aug 1, 2023

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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-23-R-00489. The information provided will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).

Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.

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.

Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.

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

Contractor demonstrated a thorough understanding of technical requirements of the contract/task.

FORMCHECKBOX

Comments:

Contractor anticipated/identified and resolved problems effectively.

FORMCHECKBOX

Comments:

Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.

FORMCHECKBOX

Comments:

Contractor provided the necessary skilled personnel to perform the required work.

FORMCHECKBOX

Comments:

Contractor retained the necessary skilled personnel and maintained a low turnover rate.

FORMCHECKBOX

Comments:

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

CUSTOMER SATISFACTION SURVEY

Contractor met scheduled contract delivery dates.

FORMCHECKBOX

Comments:

Contractor provided accurate, complete and high quality deliverables.

FORMCHECKBOX

Comments:

Contractor complied with the terms of the contract.

FORMCHECKBOX

Comments:

Contractor was diligent in forecasting and controlling contract cost.

FORMCHECKBOX

Comments:

10. I would recommend award to this contractor again.

FORMCHECKBOX

Comments:

0 – 25% of the time

Strongly Disagree

26 – 40% of the time

Disagree

41 – 55% of the time

Somewhat Disagree

56 – 70% of the time

Somewhat Agree

71 – 85% of the time

Agree

86 – 100% of the time

Strongly Agree

No Knowledge of This Element

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

File details come from the government source that posted it. Updated Aug 1, 2023.