Attachment 4 - Customer Satisfaction Survey.doc

DOC document 83 KB Posted Oct 1, 2021

Attached to: Amendment 0001: Boiler Stack Replacement Project at FAA's Seattle Air Route Traffic Control Center (ARTCC) Facility in Auburn, Washington
Solicitation number: 697DCK-22-R-00004
Issued by: Department of Transportation Federal Aviation Administration

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CUSTOMER SATISFACTION SURVEY INSTRUCTIONS

SOLICITATION NO. 697DCK-21-R-00189

FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY

Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor for a Boiler Stack Replacement Project at FAA’s Seattle Air Route Traffic Control Center (ARTCC) located in Auburn, Washington. As part of the contracting 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:

0 – 25% of the time

Strongly Disagree

PLEASE RETURN COMPLETED RESPONSE TO:

Federal Aviation Administration

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

26 – 40% of the time

Disagree

41 – 55% of the time

Somewhat Disagree

56 – 70% of the time

Somewhat Agree

71 – 85% of the time

Agree

86 – 100% of the time

Strongly Agree

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:

FORMCHECKBOX

FIXED PRICE

FORMCHECKBOX

COST + FEE

FORMCHECKBOX

COMPETITIVE

FORMCHECKBOX

NON-COMPETITIVE

FORMCHECKBOX

SET-ASIDE

FORMCHECKBOX

SEALED BID

FORMCHECKBOX

NEGOTIATED

FORMCHECKBOX

SEALED BID

FORMCHECKBOX

NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT

RATING

Contractor was able to manage project cost (minimize change orders)

FORMCHECKBOX

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

FORMCHECKBOX

Contractor adhered to all safety standards and/or requirements

FORMCHECKBOX

Contractor was efficient in project coordination and scheduling of different trades

FORMCHECKBOX

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

FORMCHECKBOX

Closeout Process (Did contractor submit as-builts, warranties, etc., promptly?)

FORMCHECKBOX

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

FORMCHECKBOX

Overall customer satisfaction

FORMCHECKBOX

Comments or additional information:

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

File details come from the government source that posted it. Updated Oct 1, 2021.