Attachment 6 - Customer Satisfaction Survey.doc

DOC document 84 KB Posted May 4, 2023

Attached to: Amendment 0001: Barrow Flight Service Station (FSS) HVAC Upgrades Project
Solicitation number: 697DCK-23-R-00419
Issued by: Department of Transportation Federal Aviation Administration Northwest Mountain Region

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Other files

File	Type	Posted
697DCK-23-R-00419 Amendment 0001.pdf	PDF	May 24, 2023
Attachment 5 - DB WD No. AK20230001 dated 4-14-2023.pdf	PDF	May 4, 2023
Attachment 1 - Specifications.pdf	PDF	May 4, 2023
Attachment 3 - REF FAA-C-1217h.pdf	PDF	May 4, 2023
Attachment 1(a) - Drawings (as an attachment to the Specifications).pdf	PDF	May 4, 2023
RFO 697DCK-23-R-00419.pdf	PDF	May 4, 2023
Attachment 2 - Photos (reference only).pdf	PDF	May 4, 2023
Attachment 4 - REF FAA-STD-019f.pdf	PDF	May 4, 2023

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CUSTOMER SATISFACTION SURVEY INSTRUCTIONS

SOLICITATION NO. 697DCK-23-R-00419

FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY

Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor for an HVAC upgrades project at FAA’s Flight Service Station (FSS) located in Utqiagvik, 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:

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:

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 DATE:

PAST PERFORMANCE ELEMENT

RATING

Contractor was able to manage project cost.

FORMCHECKBOX

Contractor was able to maintain project schedule (completed on time or early).

FORMCHECKBOX

Contractor adhered to all contract requirements

FORMCHECKBOX

Contractor was efficient in project coordination.

FORMCHECKBOX

Contractor utilized problem solving skills effectively when problems arose during the project.

FORMCHECKBOX

Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)

FORMCHECKBOX

Contractor made necessary changes or corrective work as necessary in a timely manner?

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 May 4, 2023.