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Attachment C <br />SURVEY QUESTIONNAIRE <br />CITY OF ROSEVILLE <br />To: Mark Maloney <br />(Name of person completing survey) <br />Phone: 651.490.4651 <br />Survey ID <br />Fax: 651.490.4699 <br />Subject: Past Performance Survey of: Short Elliott Hendrickson Inc. (SEH) <br />(Name of Company) <br />Ron Leaf, Mark Lobermeier <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 <br />Project <br />City of Shoreview <br />Date <br />Surface Water Management Plan, Turtle Lake Augmentation <br />C)C-IT ' jpV'fJ LL <br />NO <br />CRITERIA <br />UNIT <br />1 <br />Ability to manage the project cost (minimize change orders) <br />(1-10) <br />/O <br />2 <br />Ability to maintain project schedule (complete on-time or early) <br />(1-10) <br />/ CD <br />3 <br />Quality of workmanship <br />(1-10) <br />l® <br />4 <br />Professionalism and ability to manage (includes responses and prompt <br />(1-10) <br />) 0 <br />pa ment to suppliers and subcontractors <br />5 <br />Close out process (no punch list upon turnover, warranties, as-builts, <br />(1-10) <br />f <br />operating manuals, tax clearance, etc. submitted promptly) <br />6 <br />Communication, explanation of risk, and documentation <br />(1-10) <br />I L <br />Ability to follow the users rules, regulations, and requirements <br />(1-10) <br />(housekeeping, safety, etc...) <br />8 <br />Overall customer satisfaction and comfort level in hiring <br />(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: Barb Miller at Fax # (651) 490.2150 or email a scanned <br />copy to bmiller(a)-sehinc.com <br />IC�roi�L <br />Printed Name (of Evaluator) <br />Signatu (of Evalua <br />Page <br />