Attachment 2 - Past Performance Survey.docx

ATTACHMENT 2

PAST PERFORMANCE SURVEY

FEDERAL AVIATION ADMINISTRATION

Des Moines, WA

The Federal Aviation Administration (FAA) is pursuing a firm for the major mechanical sustainment project at the Denver Air Route Traffic Control Center (ARTCC) located in Longmont, Colorado. As part of the contracting process, we are collecting past performance information on firms and their key personnel. This information will be used to assist the FAA in the selection of a firm to complete the project. You have been listed as a past performance reference. Please fill out the survey below and expand on any areas that will assist in evaluating the past performance of the contractor.

YOUR NAME & TITLE/POSITION

YOUR ORGANIZATION / AGENCY

TEL NO.

FAX :

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

|_| SET-ASIDE

|_| SEALED BID |_| NEGOTIATED

|_| SEALED BID |_| NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE QUESTIONS

1. Was the contractor able to manage project cost (i.e., minimize change orders)? |_| YES |_| NO Comments: ______________________________________________________________________________________________________________________

2. Did the contract maintain project schedule (i.e., complete the project early, on time, late)? |_| YES |_| NO If no, please explain: _________________________________________________________________________________________________________

3. Was the contractor efficient in project coordination and scheduling of different trades? |_| YES |_| NO Comments: ____________________________________________________________________________________________________________________

4. Did the contractor comply with all safety standards and/or requirements? |_| YES |_| NO Comments: ____________________________________________________________________________________________________________________

5. Were there any safety concerns or major safety issues during the project duration? |_| YES |_| NO If yes, please explain: _________________________________________________________________________________________________________

6. Did the contractor communicate effectively with you (the customer) throughout the entire project? |_| YES |_| NO

7. Did the contractor ensure timely payments to subcontractors? |_| YES |_| NO Comments: _______________________________________________________________________________________________________________________

8. Please rate the contractor’s ability to follow customer’s rules and regulations (i.e., contract requirements, building codes, customer specific policy, etc.) |_| POOR |_| GOOD |_| EXCEPTIONAL Comments: _______________________________________________________________________________________________________________________

9. Did the contractor utilize problem-solving skills effectively when problems arose during the project? |_| YES |_| NO Comments: ________________________________________________________________________________________________________________________

10. Was the closeout process smooth? Did the contractor submit as-builts, warranties, etc. promptly? |_| YES |_| NO

11. Overall customer satisfaction. |_| POOR |_| GOOD |_| EXCEPTIONAL Comments: _______________________________________________________________________________________________________________________

12. Would you recommend this contractor? |_| YES |_| NO

Additional comments: ________________________________________________________________________________________________________________

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED