Solicitation No. DTFASA-17-R-00617 - Past Performance Survey Form.pdf

PAST PERFORMANCE SURVEY

Solicitation No. DTFASA-17-R-00617

Armed Guard Services, Southern Region Headquarters, College Park, Georgia

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

The Federal Aviation Administration (FAA) is currently evaluating our company/firm (insert company name) _______________________ for past performance and customer satisfaction.

Since you are one of our past customers it would be greatly appreciated if you would take 5 or 10 minutes to complete the following information and return to the (FAA) via facsimile to 404-305- 5774 or email to: tracie.harris@faa.gov.

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

Tracie B. Harris, Contracting Officer Telephone: (404) 305-5779 Facsimile: (404) 305-5774

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

Solicitation No. DTFASA-17-R-00617

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

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

Solicitation No. DTFASA-17-R-00617

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

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: ____

Solicitation No. DTFASA-17-R-00617

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: ____

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.

Solicitation No. DTFASA-17-R-00617

Please provide other comments:

Signature: ____________________________

Date: ____________________________