Attachment J-3 Past Performance Survey.pdf

PAST PERFORMANCE SURVEY (PAGE 1 OF 2)

697DCK-18-R-00513

SECTION 1 -- TO BE COMPLETED BY THE OFFEROR AND PROVIDED TO THE CUSTOMER REFERENCE

Name of Firm Being Evaluated: ______________________________________________

Project Title & Location: ____________________________________________________

Project Dollar Value:_________________________________________________________

Year Completed: _________________ Project Manager: _________________________

SECTION 2 -- TO BE COMPLETED BY THE CUSTOMER REFERENCE AND EMAILED DIRECTLY TO:

Katherine.fogle@faa.gov

Forms submitted by other than the customer (i.e., by the offeror), will not be considered.

In blocks below, please indicate your overall level of satisfaction with work performed by the firm shown in Section 1. Mark Not Applicable (N/A) for any areas that do not apply. Please Provide any additional comments on page 2.

On this project, the firm: Satisfaction Low High N/A

1. Met contract requirements and provided quality service/product. 1 2 3 4 5 N/A

2. Managed project schedule 1 2 3 4 5 N/A

3. Communicated effectively 1 2 3 4 5 N/A

5. Managed project schedule 1 2 3 4 5 N/A

6. Managed project cost controls. 1 2 3 4 5 N/A

7. Managed employees, including subcontractors. 1 2 3 4 5 N/A

8. Maintained an effective quality control and safety program 1 2 3 4 5 N/A

12. Overall Level of Customer Satisfaction 1 2 3 4 5 N/A

CUSTOMER SATISFACTION SURVEY (PAGE 2 OF 2)

697DCK-18-R-00513

mailto:Katherine.fogle@faa.gov

14. REMARKS: (Please speak to QUALITY OF PRODUCT PRODUCED / ADHERENCE TO PROJECT

SCHEDULE / PROJECT MANAGEMENT)

Your Name: ____________________________________ Phone Number: ______________________

Firm Name: ________________________________________________________

Relationship to this Project: ___________________________________________________________