Past Performance.pdf

CUSTOMER SATISFACTION SURVEY (PAGE 1 OF 2)

DTFASA-17-R-00215: Buchanan Field PAPIs

SECTION 1 -- TO BE COMPLETED BY THE OFFEROR AND PROVIDED TO THE CUSTOMER REFERENCE

Name of Firm Being Evaluated:

Project Title & Location:

Project Dollar Value:

Year Completed: Project Manager:

SECTION 2 -- TO BE COMPLETED BY THE CUSTOMER REFERENCE AND MAILED, HAND-DELIVERED OR

EMAILED DIRECTLY TO: Forms submitted by other than the customer (i.e., by the offeror), will not be considered.

FAA

Attn: Darren Odegard, AAQ-530 OR darren,Odegard@faa.gov

1601 Lind Ave SW

Renton, WA 98057

OVERVIEW: The firm shown above has submitted a proposal on a Federal Aviation Administration solicitation and provided your name as a customer reference. Part of our evaluation process requires information on the firm's past performance. Your input is important to us and responses are required by 4:00 PM on February 6, 2017 for inclusion in this evaluation. Your assistance is greatly appreciated.

In blocks below, please indicate your overall level of satisfaction with work performed by the firm shown in Section 1. Mark Not

Applicable (N/A) for any areas that do not apply. Provide any additional comments on page 2.

On this project, the firm:

Low

Satisfaction

High

N/A

1. Kept You Informed & Treated You as Important Member of the Team 1 2 3 4 5 N/A

2. Displayed Flexibility in Responding to Your Needs 1 2 3 4 5 N/A

3. Displayed Initiative in Problem Solving 1 2 3 4 5 N/A

4. Resolved Your Concerns 1 2 3 4 5 N/A

5. Completed Your Project Milestones on Time 1 2 3 4 5 N/A

6. Managed the Project Effectively (including adequate Cost Controls) 1 2 3 4 5 N/A

7. Managed their Work Force Effectively (including Subcontractors) 1 2 3 4 5 N/A

8. Maintained an Effective Quality Control Program 1 2 3 4 5 N/A

9. Provided Warranty Support 1 2 3 4 5 N/A

10. Maintained Operational Continuity at Existing Facility During Project 1 2 3 4 5 N/A

11. Minimized Adverse Construction Impacts on Ongoing Operations 1 2 3 4 5 N/A

12. Your OVERALL Level of Customer Satisfaction 1 2 3 4 5 N/A

13. Was payment withheld or liquidated damages assessed? (If yes, please describe below). Yes......No......N/A mailto:darren%2COdegard@faa.gov

CUSTOMER SATISFACTION SURVEY (PAGE 2 OF 2)

DTFANM-15-R-00159

14. REMARKS: (Discuss strengths and weaknesses of the firm)

Your Name: Phone Number:

Firm Name:

Relationship to this Project: