Attachment 2 - Customer Satisfaction Survey.doc
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- Solicitation number
- DTFASA-17-R-00631
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ATTACHMENT 2
CUSTOMER SATISFACTION SURVEY INSTRUCTIONS
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
RENTON, WA
Sol# DTFASA-17-R-00631 The Federal Aviation Administration (FAA) is pursuing a firm for a roofing project located at FAA’s Seattle ARTCC located in Auburn, WA. 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
1601 Lind Ave. SW
Renton, WA 98057-3356
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
CUSTOMER SATISFACTION SURVEY
Your Name & Title yOUR Organization NAME/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.
Ability to manage project cost (minimize change orders)
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2.
Ability to maintain project schedule (completed on time or early)
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3.
Adherence to all safety standards and/or requirements
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4.
Project coordination and scheduling of different trades
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5.
Contractor’s problem solving skills
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6.
Closeout Process (Did contractor submit as-builts, warranties, etc., promptly?)
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7.
Ability 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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