Attachment 4 - Past Performance Survey.doc

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Attached to
Water Treatment and Humidifier Upgrade Project at FAA's Anchorage Air Route Traffic Control Center (ARTCC) in Anchorage, Alaska
Solicitation number
697DCK-25-R-00028
Issued by

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
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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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