Attachment 4 - Past Performance Survey.doc
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- Solicitation number
- 697DCK-22-R-00179
About this file
This solicitation seeks qualified contractors to replace air handler units at a Federal Aviation Administration facility. The Federal Aviation Administration is soliciting offers to replace ten air handler units and associated components at its Air Route Traffic Control Center in Longmont, Colorado. The estimated value of the project is between $1,000,000 to $2,000,000. The procurement is set aside for small businesses under NAICS code 238220 with a size standard of $16.5 million. Key dates include responding to the site visit by June 2nd, a site visit on June 6th, questions due by June 13th, and offers due by July 1st.
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Text version
ATTACHMENT 4
CUSTOMER SATISFACTION SURVEY INSTRUCTIONS
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
Des Moines, WA The Federal Aviation Administration (FAA) is pursuing a firm for an Air Handler Unit Replacement Project at the Denver Air Route Traffic Control Center (ARTCC) Childcare facility located in Longmont, Colorado. As part of the contracting process, we are collecting past performance information on firms and their key personnel. This information will be used to assist the FAA in the selection of a firm 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 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
1.
Contractor was able to manage project cost (minimize change orders)
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2.
Contractor to maintained project schedule (completed on time or early)
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3.
Contractor adhered to all safety standards and/or requirements
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4.
Contractor was efficient in project coordination and scheduling of different trades
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5.
Contractor utilized problem solving skills effectively when problems arose during the project
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6.
Closeout Process (Did contractor submit as-builts, warranties, etc., promptly?)
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7.
Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)
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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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