Attachment 5 - Past Performance Survey.doc

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Attached to
AMENDMENT 0002 - ADA Compliant Ramp Installation Project at FAA's Seattle Air Route Traffic Control Center (ARTCC) in Auburn, WA
Solicitation number
697DCK-24-R-00305
Issued by

About this file

This document is a Past Performance Survey that is part of the solicitation process for a federal construction contract opportunity. The Federal Aviation Administration (FAA) is seeking a contractor to provide construction services to install an ADA compliant ramp at their Air Route Traffic Control Center (ARTCC) located in Auburn, WA. The survey is being used to collect past performance information on contractors and their key personnel to assist the FAA in the selection of a contractor. The survey asks the rater to evaluate the contractor's performance across several criteria including cost management, schedule, compliance with requirements, coordination, safety, communication, problem-solving, and closeout. The related federal contract opportunity is for the ADA Compliant Ramp Installation Project at the FAA's Seattle ARTCC, which is a small business set-aside under NAICS code 236220 with an estimated value between $250,000 and $500,000. Key dates include a site visit on April 17, 2024, questions due by April 29, 2024, and offers due by May 20, 2024.

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PAST PERFORMANCE SURVEY INSTRUCTIONS

SOLICITATION NO. 697DCK-24-R-00305

FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY

Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor to provide construction services to install an ADA compliant ramp at FAA’s Air Route Traffic Control Center (ARTCC) located in Auburn, WA. 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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