zS02 St Petersburg Restroom - PAST PERFORMANCE SURVEY.docx
DOCX document 87 KB Posted
- Attached to
- Y1AZ--VB3210 Bathroom Renovation
- Solicitation number
- 36C10E20R0003
About this file
This notice provides details for a solicitation seeking renovation services for ten restrooms at a Veterans Affairs facility in St. Petersburg, Florida. The Department of Veterans Affairs Veteran Benefits Administration will issue a solicitation on or around August 10th, 2020 to renovate ten restrooms in Building 46 at the St. Petersburg VARO. The solicitation number is 36C10E20R0003 and offers will be due within 30 days of issuance. The project scope involves providing all materials and labor to renovate each restroom according to the statement of work. The estimated value is between $1,000,000 to $2,000,000 and the contract type will be firm-fixed price awarded based on price reasonableness and past performance. The acquisition has been set aside for total service-disabled veteran owned small businesses who must be registered and verified in the Vendor Information Pages database by the time offers are due. The NAICS code is 236220 for commercial and institutional building construction and the size standard is $39.5M. The period of performance is expected to be 180 days from notice to proceed.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10E20R0003 0005.docx | DOCX document | |
| 36C10E20R0003 0004.docx | DOCX document | |
| 36C10E20R0003 0003.docx | DOCX document | |
| 36C10E20R0003 0002.docx | DOCX document | |
| S02 St Petersburg Restroom - 100_CD_Specifications.pdf | ||
| 100_CD_Drawings_05082020.pdf | ||
| 36C10E20R0003 0001.docx | DOCX document | |
| P09 St Petersburg Restroom - SOW ATT 1.pdf | ||
| 36C10E20R0003_1.docx | DOCX document | |
| P07 St Petersburg Restroom - Wage Determination.pdf |
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Text version
SOLICITATION #
PAST OR PRESENT PERFORMANCE SURVEY
RFQ#: 36C10E20R0003
Your Company Name:
Street Address:
City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
Company President: Vice President:
Dun & Bradstreet Number:
Is company a: Partnership [ ] Separate entity [ ] Division [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-6 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
Point of Contact: Telephone Number:
Contract Number: Contract/Subcontract Amount: $
Project Title and Location:
General Scope of Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
Were You Terminated?
Did you use a Quality Control Plan? Did you use a Safety Plan?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved?:
b. Second Contract:
Contracting Agency or Company:
Point of Contact: Telephone Number:
Contract Number: Contract/Subcontract Amount: $
Project Title and Location:
General Scope of Project:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
Were You Terminated?
Did you use a Quality Control Plan? Did you use a Safety Plan?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved?:
c. Third Contract:
Contracting Agency or Company:
Point of Contact: Telephone Number:
Contract Number: Contract/Subcontract Amount: $
Project Title and Location:
General Scope of Project:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
Were You Terminated?
Did you use a Quality Control Plan? Did you use a Safety Plan?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved?:
Certification of Past Performance Information: Type or Print Information Name of Survey Preparer Phone:
E-Mail;
Title_
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