Attachment L-001- Past Performance Survey 697DCK-19-R-00518.pdf

PAST PERFORMANCE SURVEY

Solicitation 697DCK-19-R-00518

Fitness/Wellness Center Management Services at the Great Lakes Regional Office

To: (Point of Contact) (Company) (Phone) (Fax)

The Federal Aviation Administration is currently evaluating in consideration of award for the above referenced requirement. You were listed as a performance reference. It would be greatly appreciated if you would take a few minutes to complete the following information and return to me via email by October 1, 2019 at Alicia.Prince@faa.gov.

Thank you in advance.

Alicia Prince

Please identify the project(s) that this company has performed for your organization, description, city, state, and approximate dollar value:

Respond to the following on a scale of 1 to 5, with 3 being Acceptable, and 5 being Outstanding.

1. Did the contractor commit adequate resources in timely fashion to the contract to meet the requirements and to successfully solve problems? 1 2 3 4 5

2. To what extent did the contractor respond positively and promptly to technical direction, contract change orders, etc.? 1 2 3 4 5

3. How reliably did the contractor follow through on commitments?

1 2 3 4 5

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4. To what extent did the contractor’s management system provide visibility into problems and risks?

1 2 3 4 5

5. How responsive do you think the contractor was to information requests, issues, or problems during the course of the contract? 1 2 3 4 5

6. How effective has the contractor been in identifying user requirements?

1 2 3 4 5

7. To what extent did the contractor have the ability to administer and manage the contract?

1 2 3 4 5

8. To what extent did the contractor issue professional correspondence?

1 2 3 4 5

9. How well did the contractor adhere to the Statement of Work? 1 2 3 4 5

10. What was your level of satisfaction with the contractor’s management and support staff?

1 2 3 4 5

11. What was your level of satisfaction with the contractor’s Supervisor(s)?

1 2 3 4 5

12. To what extent did the contractor submit required reports and documentation in a timely manner? 1 2 3 4 5

13. To what extent were the contractor’s reports and documentation accurate and complete?

1 2 3 4 5

14. To what extent was the contractor’s maintenance and problem tracking/reporting documentation timely, accurate and of appropriate content?

1 2 3 4 5

15. To what extent did the contractor comply with safety requirements?

16. What was your level of satisfaction with the contractor’s overall quality of service?

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17. To what extent was the contractor effective in interfacing with the Government staff?

1 2 3 4 5

18. What was your level of overall customer satisfaction? 1 2 3 4 5

19. To what extent were the contractor’s employees experienced and qualified?

1 2 3 4 5

Respond: Yes or No.

20. Were there any cure notices issued? Yes: No:

21. Was contractor pro-active? Yes: No:

22. Did contractor suggest cost-saving changes? Yes: No:

23. Would you recommend this contractor? Yes: No:

For Federal contracts:

24. Were there any Labor Department Investigations? Yes: No:

24a. If yes, please describe reason and final outcome.

25. Were there any safety investigations? Yes: No:

25a. If yes, please describe reason and final outcome.

26. Were there any security investigations? Yes: No:

26a. If yes, please describe reason and final outcome.

27. Was there a partial or complete termination for default or convenience?

Yes: No:

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Solicitation 697DCK-19-R-000518

27a. If yes, please describe reason and final outcome.

28. Are there any pending terminations? Yes: No:

29. What is/was the duration of the contract?

30. Were there any performance issues regarding the contractor’s work? If yes, please describe.

Please provide other helpful comments:

Signature:

Date:

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