Attachment 17 - PAST PERF SURVEY _Template TMB ATCT Design.pdf

PAST PERFORMANCE SURVEY

Architect and Engineering

TMB ATCT Design

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

The Federal Aviation Administration is currently evaluating and you were listed you as a performance reference. It would be greatly appreciated if you would take 5 or 10 minutes to complete the following information and respond via email to:

sonia.o.holguin@faa.gov.

1. A/E Firm’s Name: 2. Contract Number:

3. A/E Firm Address: 4. Contract Type:

5. Your Company Name: 6. Your Company POC/Phone/email/Fax:

7. Period of Performance: 8. Dollar Amount of Award: $ Total Dollar Value with Mods: $

9. Title of Contract:

10. Description of Contract Service:

11. Type of Work:

Design Service Other

TMB ATCT Design

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PLEASE RESPOND TO THE FOLLOWING:

NOTE :

1-Unsatisfactory 2-Marginal 3-Satisfactory 4-Good 5-Outstanding NA-Not Applicable

Please provide brief explanations for ratings of 3 and below.

1. How well did the A/E firm adhere to the Statement of Work?

1 2 3 4 5 NA

2. How well did the A/E firm managed the schedule and cost of the design?

1 2 3 4 5 NA

3. To what extent were the A/E firm’s documenation and submittals accurate and complete?

1 2 3 4 5 NA

4. How would you rate the A/E firm’s quality control program?

1 2 3 4 5 NA

5. How would you rate the quality of the design developed by the A/E firm?

1 2 3 4 5 NA

6. To what extent did the A/E firm respond positively and promptly to technical direction, contract change orders, etc.?

1 2 3 4 5 NA

7. Did the A/E firm commit adequate resources in a timely fashion to the contract to meet the requirements and to successfully solve problems?

1 2 3 4 5 NA

8. How well did the A/E firm comply with the contract time of performance and critical schedule milestones?

1 2 3 4 5 NA

9. To what extent did the A/E firm submit required reports and documentation in a timely manner?

1 2 3 4 5 NA

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10. Were the A/E firms projects managed adequately by the Project Manager assigned?

1 2 3 4 5 NA

11. How responsive do you think the A/E firm was to information requests, issues, or problems during the course of the contract?

1 2 3 4 5 NA

12. Did the A/E firm take corrective action promptly when issues arised?

1 2 3 4 5 NA

13. Were any contract changes reasonably negotiated?

1 2 3 4 5 NA

14. Were accepted contract changes implemented promptly by the firm?

1 2 3 4 5 NA

15. How well did the firm managed any sub-consultants?

1 2 3 4 5 NA

16. How well did the A/E firm coordinated work between all engineering diciplines participating in the design?

1 2 3 4 5 NA

17. To what extent were the firm’s employees experienced and qualified?

1 2 3 4 5 NA

18. How would you rate the level of responsiveness by the A/E firm personnel to project related emails and/or calls?

1 2 3 4 5 NA

19. How well did the A/E firm personnel conducted and coordinated meetings?

1 2 3 4 5 NA

20. What was your level of satisfaction with the firm’s overall quality of service?

1 2 3 4 5 NA

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21. To what extent was the contractor effective in interfacing with the Owner’s staff?

1 2 3 4 5 NA

22. What was your level of overall customer satisfaction?

1 2 3 4 5 NA

Please Respond Yes or No

23. Was the firm pro-active?

Yes No

24. Did the firm suggest cost-saving changes?

Yes No

25. Would you recommend this A/E firm?

Yes No

Questions 26-30 (For Federal Contracts ONLY)

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

Yes No 26a. If yes, please describe reason and final outcome.

27. Are there any pending terminations?

Yes No

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

29. Were there any performance issues regarding the contractor’s work?

Yes No

29a. If yes, please describe reason and final outcome.

30. Please provide other comments:

Signature: Date: