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2012_0312_Packet
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2012_0312_Packet
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4/6/2012 3:27:33 PM
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3/8/2012 4:03:01 PM
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Attachment C <br />SURVEY QUESTIONNAIRE <br />CITY OF ROSEVILLE <br />Survey ID <br />To: <br />(Name of person completing survey) <br />Phone:Fax: <br />Subject: Past Performance Survey of: <br />(Name of Company) <br />(Name of Individuals) <br />The City of Roseville is implementing a process that collects past performance information on firms and their key <br />personnel. The firm/individual listed above has listed you as a client for which they have previously performed <br />work. We would appreciate your taking the time to complete this survey. Rate each of the criteria on a scale of 1 <br />to 10, with 10 representing that you were very satisfied (and would hire the firm/individual again) and 1 <br />representing that you were very unsatisfied (and would never hire the firm/individual again). Please rate each of <br />the criteria to the best of your knowledge. If you do not have sufficient knowledge of past performance in a <br />particular area, leave it blank. <br />Client Date <br />Project <br />NOCRITERIAUNIT <br />1 Ability to manage the project cost (minimize change orders)(1-10) <br />2 Ability to maintain project schedule (complete on-time or early)(1-10) <br />3 Quality of workmanship (1-10) <br />Professionalism and ability to manage (includes responses and prompt <br />4 (1-10) <br />payment to suppliers and subcontractors) <br />Close out process (no punch listupon turnover, warranties, as-builts, <br />5 (1-10) <br />operating manuals, tax clearance, etc. submitted promptly) <br />6 Communication, explanation of risk, and documentation (1-10) <br />Ability to follow the users rules, regulations, and requirements <br />7 (1-10) <br />(housekeeping, safety, etc…) <br />Overall customer satisfaction and comfort level in hiring <br />8 (1-10) <br />vendor/individual again <br />Thank you for your time and effort in assisting the City of Roseville in this important endeavor. <br />Please fax the completed survey to:_____________ at Fax # (___)________or email a scanned <br />copy to ___________________ <br />Printed Name (of Evaluator)Signature (of Evaluator) <br />Page 14 <br /> <br />
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