Attachment 4 - Past Performance Survey.doc
DOC document 87 KB Posted
- Solicitation number
- 697DCK-25-R-00028
About this file
This document is a Past Performance Survey that is part of the solicitation process for a Water Treatment & Humidifier Upgrade Project at the Federal Aviation Administration's (FAA) Air Route Traffic Control Center (ARTCC) in Anchorage, Alaska. The solicitation number is 697DCK-25-R-00028, and the project is estimated to be between $500,000 and $750,000. The survey collects past performance information on contractors and their key personnel, which will be used to assist the FAA in selecting a contractor for the project. The survey includes nine criteria for the rater to evaluate the contractor's performance, such as cost management, schedule adherence, compliance with regulations, safety, and communication. The survey also includes information about the contract, including the contract number, type, award and completion dates, and value. The related federal contract opportunity is open to all sized businesses, and key dates include a site visit on November 12, 2024, and offers due by December 3, 2024.
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PAST PERFORMANCE SURVEY INSTRUCTIONS
SOLICITATION NO. 697DCK-25-R-00028
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor to provide construction services for a Water Treatment & Humidifier Upgrade Project at FAA’s Air Route Traffic Control Center (ARTCC) located in Anchorage, Alaska. 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
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:
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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 |
| N/A |
1.
Contractor was able to manage project cost (i.e., minimize change orders).
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2.
Contractor was able to maintain project schedule (completed on time or early).
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3.
Contractor followed customer’s rules and regulations (i.e., contract requirements, building codes, specific policy, etc.)
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4.
Contractor was efficient in project coordination and scheduling of different trades.
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5.
Contractor complied with all safety standards and/or requirements.
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6.
Contractor communicated effectively with you (the customer) throughout the entire project.
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7.
Contractor utilized problem-solving skills effectively when problems arose during the project work.
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8.
Closeout process was smooth and contractor submitted all closeout documents (as-builts, warranties, O&Ms, promptly).
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| 9. Overall customer satisfaction. |
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Comments or additional information:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
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