Attachment 5 - Past Performance Survey.doc

DOC document 85 KB Posted Jun 2, 2022

Attached to: Amendment 0002 - Replace Vertical Platform Lift at FAA's Air Traffic Facility in Anchorage, Alaska
Solicitation number: 697DCK-22-R-00417
Issued by: Department of Transportation Federal Aviation Administration Northwest Mountain Region

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Other files

File	Type	Posted
697DCK-22-R-00417 Amendment 0002.pdf	PDF	Jul 21, 2022
697DCK-22-R-00417 Amendment 0001.pdf	PDF	Jun 28, 2022
Attachment 4 - FAA-C-1217H dated 1-5-2021.pdf	PDF	Jun 2, 2022
Attachment 1(a) - Drawings.pdf	PDF	Jun 2, 2022
Attachment 3 - DB Wage Determination No. AK20220001.pdf	PDF	Jun 2, 2022
Attachment 2 - COVID-19 Contractual Requirement.pdf	PDF	Jun 2, 2022
Attachment 1 - Specifications.pdf	PDF	Jun 2, 2022
RFO 697DCK-22-R-00417.pdf	PDF	Jun 2, 2022

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CUSTOMER SATISFACTION SURVEY INSTRUCTIONS

SOLICITATION NO. 697DCK-22-R-00417

FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY

Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor for a vertical platform lift replacement project at FAA’s Anchorage Air Route Traffic Control Center (ARTCC) located in Anchorage, Alaska. 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:

CONTRACTOR ROLE:

FORMCHECKBOX

PRIME

FORMCHECKBOX

SUBCONTRACTOR

DESCRIPTION OF PROJECT SCOPE OF WORK:

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 DATES:

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 Jun 2, 2022.