16 SIR16R00176_Atch7_PPQ_Wall Panels - 29Aug16.pdf

OMB No. 2120-0595 DTFAEN-16-R-00175

Attachment 9

Past Performance Survey

Replace Obsolete Wall Panels Hampton ARTCC Hampton, Georgia

PAST PERFORMANCE SURVEY

Solicitation No.: DTFAEN-16-R-00175 Replace Obsolete Wall Panels Hampton ARTCC

Hampton, Georgia

To: ____________________ (Point of Contact) ____________________ (Company) ____________________ (Phone) ____________________ (Fax)

The Federal Aviation Administration is currently evaluating and you were listed as a performance reference. It would be greatly appreciated if you would take 5 or 10 minutes to complete the following information and return to me via email (preferred) by September 28 , 2015 . Email: michael.hollis@faa.gov or Fax: 404-305-5774

If you have any questions or comments, feel free to contact me. Thank you in advance for your assistance.

Michael Hollis Contracting Officer, AAQ-510ATL Eastern Acquisitions Service Area Southern Region, Tel-404-305-5298

Please identify the project(s) that this company has performed for your organization, description, city, state, and approximate dollar value:

Respond to the following on a scale of 1 to 5, with 3 being Acceptable, and 5 being Outstanding.

1. Did the contractor commit adequate resources in timely fashion to the contract to meet the requirements and to successfully solve problems? 1 2 3 4 5

2. To what extent did the contractor respond positively and promptly to technical direction, contract change orders, etc.? 1 2 3 4 5

3. How reliably did the contractor follow through on commitments? 1 2 3 4 5

Replace Obsolete Wall Panels Hampton ARTCC

Hampton, Georgia

4. To what extent did the contractor’s management system provide visibility into problems and risks? 1 2 3 4 5

5. How responsive do you think the contractor was to information requests, issues, or problems during the course of the contract? 1 2 3 4 5

6. How effective has the contractor been in identifying user requirements?

1 2 3 4 5

7. To what extent did the contractor have the ability to administer and manage the contract?

1 2 3 4 5

8. To what extent did the contractor issue professional correspondence?

1 2 3 4 5

9. How well did the contractor adhere to the Statement of Work? 1 2 3 4 5

10. What was your level of satisfaction with the contractor’s management and support staff?

1 2 3 4 5

11. What was your level of satisfaction with the contractor’s Supervisor(s)?

1 2 3 4 5

12. To what extent did the contractor submit required reports and documentation in a timely manner? 1 2 3 4 5

13. To what extent were the contractor’s reports and documentation accurate and complete?

1 2 3 4 5

14. To what extent was the contractor’s maintenance and problem tracking/reporting documentation timely, accurate and of appropriate content?

1 2 3 4 5

15. To what extent did the contractor comply with safety requirements?

1 2 3 4 5

16. What was your level of satisfaction with the contractor’s overall quality of service?

1 2 3 4 5

Replace Obsolete Wall Panels Hampton ARTCC

Hampton, Georgia

17. To what extent was the contractor effective in interfacing with the Government staff?

1 2 3 4 5

18. What was your level of overall customer satisfaction? 1 2 3 4 5

19. To what extent were the contractor’s employees experienced and qualified?

1 2 3 4 5

Respond: Yes or No.

20. Were there any cure notices issued? Yes: ____ No: ____

21. Was contractor pro-active? Yes: ____ No: ____

22. Did contractor suggest cost-saving changes? Yes: ____ No: ____

23. Would you recommend this contractor? Yes: ____ No: ____

For Federal contracts:

24. Were there any Labor Department Investigations? Yes: ____ No: ____

24a. If yes, please describe reason and final outcome.

25. Were there any safety investigations? Yes: ____ No: ____

25a. If yes, please describe reason and final outcome.

26. Were there any security investigations? Yes: ____ No: ____

26a. If yes, please describe reason and final outcome.

27. Was there a partial or complete termination for default or convenience? Yes: ___ No: ___

Replace Obsolete Wall Panels Hampton ARTCC

Hampton, Georgia

27a. If yes, please describe reason and final outcome.

28. Are there any pending terminations? Yes: ____ No: ____

29. What is/was the duration of the contract? _____________________

30. Were there any performance issues regarding the contractor’s work? If yes, please describe.

Please provide other comments:

Signature: ____________________________

Date: ____________________________