Attach 2 - Customer Satisfaction Survey.doc
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- DTFASA-17-R-00370
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ATTACHMENT 2
CUSTOMER SATISFACTION SURVEY INSTRUCTIONS
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
Renton, WA The Federal Aviation Administration (FAA) is pursuing a firm for the restroom renovation at the Oakland Air Route Traffic Control Center (ARTCC) located in Fremont, California. As part of the contracting process, we are collecting past performance information on firms and their key personnel. This information will be used to assist the FAA in the selection of a firm 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
FAX: 425-227-1055
| 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
CUSTOMER SATISFACTION SURVEY
Your Name & Title yOUR Organization / agency Address
TEL NO.
FAX :
E-MAIL:
CONTRACTOR’S NAME & ADDRESS
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 |
| 4 |
| 5 |
| 6 |
| NA |
1.
Contractor was able to manage project cost (minimize change orders)
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2.
Contractor to maintained project schedule (completed on time or early)
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3.
Contractor adhered to all safety standards and/or requirements
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4.
Contractor was efficient in project coordination and scheduling of different trades
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5.
Contractor utilized problem solving skills effectively when problems arose during the project
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6.
Closeout Process (Did contractor submit as-builts, warranties, etc., promptly?)
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7.
Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)
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8.
Overall customer satisfaction
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Comments or additional information:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
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