Attachment 3 - Past Performance Survey.pdf
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- Solicitation number
- 697DCK-22-R-00517
About this file
This solicitation package seeks proposals for an elevator rehabilitation project at the Anchorage Air Route Traffic Control Center located in Anchorage, Alaska. The Federal Aviation Administration requires the rehabilitation of elevators with an estimated construction value between $500,000 and $1,000,000. Interested contractors must attend a mandatory site visit on September 15, 2022 and submit any requests for information by September 22nd. Proposals in files less than 10MB are due by September 29th. The solicitation will result in a fixed price or cost plus fee contract award for non-competitive set aside work.
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PAST PERFORMANCE SURVEY INSTRUCTIONS
SOLICITATION NO. 697DCK-22-R-00517
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
Anchorage, AK
The Federal Aviation Administration (FAA) is considering a contractor for an Elevator Rehabilitation 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: Elaina Atkins
E-MAIL: elaina.d.atkins@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
PAST PERFORMANCE 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:
FIXED PRICE COST + FEE
COMPETITIVE NON-COMPETITIVE
SET-ASIDE
SEALED BID NEGOTIATED
SEALED BID NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
PAST PERFORMANCE ELEMENT
RATING
1 2 3 4 5 6 NA
1. Contractor was able to manage project cost.
2. Contractor was able to maintain project schedule
(completed on time or early).
3. Contractor adhered to all contract requirements
4. Contractor was efficient in project coordination.
5. Contractor utilized problem solving skills effectively when problems arose during the project.
6. Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)
7. Contractor made necessary changes or corrective work as necessary in a timely manner?
8. Overall customer satisfaction
Comments or additional information:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
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