Attachment 7 - Past Performance Survey.doc
DOC document 88 KB Posted
- Solicitation number
- 697DCK-24-R-00361
About this file
This document is a Past Performance Survey related to a Design/Build Underground Utilities Replacement and Parking Lot Refurbishment project for the Federal Aviation Administration (FAA) in Longmont, Colorado. The survey is being collected as part of the solicitation process to assist the FAA in selecting a contractor for the project. The survey asks the rater to evaluate the contractor's past performance in areas such as cost management, schedule maintenance, compliance with requirements, project coordination, safety, communication, problem-solving, and overall customer satisfaction. The related federal contract opportunity is a small business set-aside solicitation under NAICS code 237110 for a project valued between $5,000,000 and $10,000,000. The key dates are a site visit the week of May 20, 2024, with questions due by June 5, 2024 and offers due by June 24, 2024.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE SURVEY INSTRUCTIONS
SOLICITATION NO. 697DCK-24-R-00361
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor to provide design and construction services for underground utilities replacement and parking lot refurbishment project at FAA’s Air Route Traffic Control Center (ARTCC) located in Longmont, Colorado. 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:
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 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| N/A |
1.
Contractor was able to manage project cost (i.e., minimize change orders).
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
2.
Contractor was able to maintain project schedule (completed on time or early).
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
3.
Contractor followed customer’s rules and regulations (i.e., contract requirements, building codes, specific policy, etc.)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
4.
Contractor was efficient in project coordination and scheduling of different trades.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
5.
Contractor complied with all safety standards and/or requirements.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
6.
Contractor communicated effectively with you (the customer) throughout the entire project.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
7.
Contractor utilized problem-solving skills effectively when problems arose during the project work.
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
8.
Closeout process was smooth and contractor submitted all closeout documents (as-builts, warranties, O&Ms, promptly).
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 9. Overall customer satisfaction. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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 .