Attachment 3 - Customer Satisfaction Survey.doc

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Attached to
Amendment 0002: Earthquake Damage Repair at FAA's Anchorage Air Traffic Facility in Anchorage, Alaska
Solicitation number
697DCK-23-R-00369
Issued by

About this file

This document includes a customer satisfaction survey for past performance evaluation and a solicitation for an earthquake damage repair project at an FAA facility in Anchorage, Alaska. The Federal Aviation Administration is seeking offers from contractors to complete repairs including demolition and replacement of concrete, ceilings, HVAC equipment, and lighting fixtures. The project value is estimated between $500,000 and $1,000,000. Offer due date is June 7, 2023. The NAICS code is 236220 for commercial and institutional building construction, and the size standard for small businesses is $45 million. A site visit is scheduled for May 9, 2023 with RSVPs due May 4. Questions are due by May 19. The continued safe operation of equipment and safety of life and property are paramount considerations for the work.

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CUSTOMER SATISFACTION SURVEY INSTRUCTIONS

SOLICITATION NO. 697DCK-23-R-00369

FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY

Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor to provide construction services to repair earthquake damage at FAA’s Air Route Traffic Control Center (ARTCC) located in Anchorage, AK. As part of the solicitation process, we are collecting past performance information on contractors and their key personnel. This information will be used to assist the FAA in the selection of a contractor to complete the project. You have been listed as a past performance reference.

Please rate each of the criteria according to the following scale:

1
0 – 25% of the time
Strongly Disagree
PLEASE RETURN COMPLETED RESPONSE TO:

Federal Aviation Administration

ATTN: Cindi Tjelde E-MAIL: cindi.tjelde@faa.gov

2
26 – 40% of the time
Disagree
3
41 – 55% of the time
Somewhat Disagree
4
56 – 70% of the time
Somewhat Agree
5
71 – 85% of the time
Agree
6
86 – 100% of the time
Strongly Agree

NA

No Knowledge of This Element

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

CUSTOMER SATISFACTION SURVEY

RATER’S Name & Title

RATER’S Organization / agency

RATER’S TEL NO.

RATER’S E-MAIL ADDRESS:

CONTRACTOR’S NAME & ADDRESS

PROJECT TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT TYPE:

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FIXED PRICE

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COST + FEE

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COMPETITIVE

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NON-COMPETITIVE

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SET-ASIDE

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SEALED BID

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NEGOTIATED

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SEALED BID

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NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT
RATING
1
2
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6
NA

1.

Contractor was able to manage project cost.

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2.

Contractor was able to maintain project schedule (completed on time or early).

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3.

Contractor adhered to all contract requirements

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4.

Contractor was efficient in project coordination.

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5.

Contractor utilized problem solving skills effectively when problems arose during the project.

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6.

Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)

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7.

Contractor made necessary changes or corrective work as necessary in a timely manner?

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8.

Overall customer satisfaction

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Comments or additional information:

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

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