03 Offeror Compliance Matrix BVTO Franklin County OH 36C10F25R0057.xlsx

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Franklin County Outpatient Clinic, OH. 97,449 ANSI/BOMA Square Feet
Solicitation number
36C10F25R0057
Issued by

About this file

This is an Offeror Compliance Matrix template for a Department of Veterans Affairs Request for Lease Proposal (RLP) for a Franklin County, Ohio outpatient clinic facility of approximately 97,449 ANSI/BOMA square feet, solicitation number 36C10F25R0057.

The matrix tracks offeror submittal requirements across four volumes: Volume I contains the technical proposal organized by six evaluation factors (site and location compliance, architectural and building plans, construction management, past performance and qualifications, operations and maintenance planning, and business compliance); Volume II requires price proposal and financial capability documentation including GSA Forms 1217 (Lessor's Annual Cost Statement) and 1364 (Proposal to Lease Space) with detailed cost breakdowns; Volume III addresses National Environmental Policy Act (NEPA) and National Historic Preservation Act (NHPA) compliance including floodplain assessment, environmental site assessment, and hazardous materials disclosure; and Volume IV contains additional submittals such as the Offering Entity Acknowledgement Form, ownership evidence, conflict of interest certifications, and lease agreement templates. Key technical exhibits required include GSA Form 12000 (Prelease FPLS evaluation), GSA SF 330 (Architect-Engineer Qualifications), GSA Form 527 (Contractor's Qualifications and Financial Information), energy performance certification, accessibility compliance documentation, asbestos reports, operations and maintenance plans, and past performance references from the last five years. The matrix is designed for offerors to indicate compliance status (Yes, No, or N/A) for each requirement and provides space for both VA comments and offeror comments throughout the proposal submission.

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Other files

File Type Posted
05 Appendix A.2.1 Attachment A Addendum to LDN Franklin County OH 36C10F25R0057.pdf PDF
L100 Franklin County OH OPC Global Lease VA Version MAY 2026.pdf PDF
05 Agency Specific Requirements Cover Page Franklin County OH 36C10F25R0057.pdf PDF
R100 Franklln County OH OPC Global RLP VA Version MAY 2026.pdf PDF
05 Appendix A.2 LDN Franklin County OH OPC.pdf PDF
07 GSA Form 1364 Franklin County OH 36C10F25R0057 Proposal to Lease Space.pdf PDF
21 RLP Exhibit Broker Project Franklin County OH 36C10F25R0057.pdf PDF
19 GSA 3517B General Clauses Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.6 Block Diagram Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.3 RDM Franklin County OH OPC 36C10F25R0057.xlsx XLSX spreadsheet
04.B Lease Exhibit New Construction Franklin County OH 36C10F25R0057.pdf PDF
18 Representation Telecomm FAR 52.204-24 Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A PFD Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix B LSN Franklin County OH 36C10F25R0057.pdf PDF
16 Certification of Building Energy Performance and Green Globes Franklin County OH 36C10F25R0057.pdf PDF
02 Pre-Bid Conference Registration Form Franklin County OH 36C10F25R0057.pdf PDF
01 GSA 3516 Solicitation Provisions Franklin County OH 36C10F25R0057.pdf PDF
12 GSA Standard Form 330 Franklin County OH 36C10F25R0057 Architect Engineer Qualifications.pdf PDF
08 GSA Form 1364 Franklin County OH 36C10F25R0057 Attachment No. 1.xlsx XLSX spreadsheet
04.A Lease Exhibit Broker Project Franklin County OH 36C10F25R0057.pdf PDF
09 VA Form 10091 Franklin County OH 36C10F25R0057 FSC Vendor File Request.pdf PDF
05 Appendix A.5 FSL II Franklin County OH 36C10F25R0057.pdf PDF
17 Offering Entity Acknowledgement Form Franklin County OH 36C10F25R0057.pdf PDF
11 Past Performance Questionnaire PPQ Franklin County OH 36C10F25R0057.pdf PDF
15 GSA Form 12000 Prelease FPLS Evaluation Part A or Part B Franklin County OH 36C10F25R0057.pdf PDF
22 RLP Exhibit New Construction Franklin County OH 36C10F25R0057.pdf PDF
20 VA Handbook 6500.6 Contract Security Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.1 Project Room Contents Franklin County OH 36C10F25R0057.xlsx XLSX spreadsheet
13 GSA Form 527 Franklin County OH 36C10F25R0057 Contractors Qualifications and Financial Information.pdf PDF
00 No Proposal Market Response Form Franklin County OH 36C10F25R0057.pdf PDF
14 Operations and Maintenance Plan Acknowledgement Franklin County OH 36C10F25R0057.pdf PDF
06 GSA Form 1217 Franklin County OH 36C10F25R0057 Lessors Annual Cost Statement.pdf PDF
10 Past Performance List of References Franklin County OH 36C10F25R0057.pdf PDF
05 Appendix A.4 Franklin County OH RLP 36C10F25R0057 Information Transport Systems.pdf PDF
23 Door Hardware Standards Alert VA Franklin County OH 36C10F25R0057.pdf PDF
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Submittal Index

Solicitation Information
RLP No.:36C10F25R0057
City, ST - Facility:Franklin County, OH
Offer Due Date/Time:[Offeror Input]
Offering Entity Name:[Offeror Input]
RLP SectionVolume LocationRLP Section 1.06
ExhibitYesNoN/AEvaluation ApplicabilityVA CommentsOfferor Comments
3.01 ACover PageExhibit 02. Offeror Proposal Compliance MatrixFALSEFALSEFALSEPass/FailTemplate provided by VA; tracks RLP submittal requirements
Volume I. A - Technical Proposal - Factor 1
3.01 BVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationMap and Narrative
3.01 CVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationCompliance with Local Zoning
3.01 DVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationMap and Narrative
3.01 EVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationEvidence of Amenities
Volume I. A - Technical Proposal - Factor 2
3.01 FVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationArchitectural Plans and Narratives
3.01 GVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationScaled Floorplans
3.01 HVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationVending Facilities Statement [when applicable]
3.01 IVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationParking Plan and Narrative
3.01 JVolume I. AExhibit 15 - GSA Form 12000 - Prelease FPLS Evaluation (Part A or B)FALSEFALSEFALSETechnical EvaluationFPLS and Building Code Compliance
3.01 KVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationCompliance with Accessibility
3.01 LVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationAsbestos Report and Abatement
3.01 MVolume I. AEnergy Star or Other Efficiencyy ImprovementsFALSEFALSEFALSETechnical EvaluationEvidence and/or Supporting Documentation
3.01 NVolume I. AExhibit 16 - Certification of Bldg. Energy Performance & Green GlobesFALSEFALSEFALSETechnical EvaluationCertification and Commitment; EISA Statutory
3.01 OVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationHydrology maintenance and restoration [when applicable]
NC 1.01Volume I. ARLP Exhibit X - Net of Utilities - N/AFALSEFALSEFALSETechnical EvaluationUtilities Separate from Rent Documentation [when applicable]
NC 1.02 AVolume I. ARLP Exhibit X - New Construction [when applicable]FALSEFALSEFALSETechnical EvaluationFPLS and Building Code Compliance for New Construction [when applicable]
NC 1.02 BVolume I. ARLP Exhibit X - New Construction [when applicable]FALSEFALSEFALSETechnical EvaluationCompliance with Green Globes [when applicable]
RLP SectionVolume LocationRLP Section 1.06
ExhibitYesNoN/AEvaluation ApplicabilityVA CommentsOfferor Comments [when applicable]
Volume I. A - Technical Proposal - Factor 3
3.01 PVolume I. ARLP Exhibit X - New Construction [when applicable]FALSEFALSEFALSETechnical EvaluationConstruction Schedule, Plans and Narratives
3.01 QVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationPMP & Organizational Chart
Volume I. A - Technical Proposal - Factor 4
3.01 RVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationAffirmation of Past Performance
3.01 SVolume I. AExhibit 10 - Past Performance List of ReferencesFALSEFALSEFALSETechnical EvaluationList of 5 Relavant Contracts (Last 5 Years)
3.01 TVolume I. AExhibit 11 - Past Performance QuestionnaireFALSEFALSEFALSETechnical EvaluationVA Form PPQ or CPARS
3.01 UVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationList of Projects and Case Studies
3.01 VVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationID of Design (A/E), GC, and Key Personnel, Narratives, and Resumes
3.01 WVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationA/E and GC Licenses or Certifications
3.01 XVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationTeaming Arrangements
3.01 YVolume I. AExhibit 12 - GSA SF 330 – Architect-Engineer QualificationsFALSEFALSEFALSETechnical EvaluationRequired for A/E firm and all Key Design Personnel
3.01 ZVolume I. AExhibit 13 - GSA Form 527 – Contractor’s Qual. & Financial Info.FALSEFALSEFALSETechnical EvaluationRequired for Offeror (if contractor) and GC; Section V & VII
Volume I. A - Technical Proposal - Factor 5
3.01 AAVolume I. A[see VA Comments]FALSEFALSEFALSETechnical EvaluationO&M Plan
3.01 BBVolume I. AExhibit 14 - O&M Acknowledgement & Deviations StatementFALSEFALSEFALSETechnical EvaluationO&M Plan Acknowledgement and Deviations Statement
Volume I. B - Technical Proposal - Factor 6
3.01 CCVolume I. B[see VA Comments]FALSEFALSEFALSETechnical EvaluationSAM.gov - Active Registration, Reps & Certs, and Exclusion Status
3.01 DDVolume I. B[see VA Comments]FALSEFALSEFALSETechnical EvaluationSBA VetCert Certification Status [when applicable]
3.01 EEVolume I. B[see VA Comments]FALSEFALSEFALSETechnical EvaluationSBA Joint Venture Certification Status [when applicable]
3.01 FFVolume I. B[see VA Comments]FALSEFALSEFALSETechnical EvaluationSmall Business Subcontracting Plan [when applicable]
RLP SectionVolume LocationRLP Section 1.06
ExhibitYesNoN/AEvaluation ApplicabilityVA CommentsOfferor Comments [when applicable]
Volume II - Price Proposal & Financial Capabilities
3.03 AVolume IIExhibit 06 - GSA Form 1217 - Lessor's Annual Cost StatementFALSEFALSEFALSEPrice
EvaluationOperating Cost Details [incorporated by reference in Lease]
3.03 BVolume IIExhibit 07 - GSA Form 1364 - Proposal to Lease SpaceFALSEFALSEFALSEPrice
EvaluationPrimary Pricing Form; All Rent Components
3.03 CVolume IIExhibit 08 - GSA Form 1364 - Attachment No. 1FALSEFALSEFALSEPrice
EvaluationDetailed Cost Breakdown of 1364
3.03 DVolume IIExhibit 09 - VA Form 10091 - FSC Vendor File RequestFALSEFALSEFALSEPrice
EvaluationVendor Setup in VA Financial Systems
3.03 EVolume IIRLP Exhibit X - Broker Project [when applicable]FALSEFALSEFALSEPrice
EvaluationBroker Fee Structure
3.03 FVolume II[see VA Comments]FALSEFALSEFALSEPrice
EvaluationFinancial Plan and Evidence of Funding
Volume III - NEPA & NHPA Submittals
3.01 GGVolume III[see VA Comments]FALSEFALSEFALSEPass/FailFloodplain Compliance
3.01 HHVolume IIIExhibit X - Seismic Offer Forms - N/AFALSEFALSEFALSEPass/FailSeismic Offer Forms per Moderate/High Seismicity
3.01 IIVolume III[see VA Comments]FALSEFALSEFALSEPass/FailHazardous Conditions or Environmental Releases Disclosure
3.01 JJVolume III[see VA Comments]FALSEFALSEFALSEPass/FailPhase 1 ESA Report [at initial offers] and NEPA Documentation
3.01 KKVolume III[see VA Comments]FALSEFALSEFALSEPass/FailNHPA Documentation [when applicable]
3.01 LLVolume III[see VA Comments]FALSEFALSEFALSEPass/FailCultural Resources Study Report
RLP SectionVolume LocationRLP Section 1.06
ExhibitYesNoN/AEvaluation ApplicabilityVA CommentsOfferor Comments [when applicable]
Volume IV - Additional Submittals
3.01 MMVolume IVExhibit 17 - Offering Entity Acknowledgement FormFALSEFALSEFALSEPass/FailRequired for all Entity Types
3.01 NNVolume IV[see VA Comments]FALSEFALSEFALSEPass/FailAuthorization to Represent Ownership
3.01 OOVolume IV[see VA Comments]TRUEFALSEFALSEPass/FailOwnership Evidence
3.01 PPVolume IV[see VA Comments]FALSEFALSEFALSEPass/FailAgreement to Acquire an Interest in Property [when applicable]
3.01 QQVolume IV[see VA Comments]FALSEFALSEFALSEPass/FailSigning Authority Proof
3.01 RRVolume IV[see VA Comments]FALSEFALSEFALSEPass/FailConflict of Interest [when applicable]
3.01 SSVolume IV[see VA Comments]FALSEFALSEFALSEPass/FailLegal Property Description and Tax ID
3.01 TTVolume IVExhibit 18 - Representation Regarding Certain Telecomm. FAR 52.204-24FALSEFALSEFALSEPass/FailContingent on SAM.gov Representation 52.204-26
3.01 UUVolume IVReference RLP Exhibits [when applicable]FALSEFALSEFALSEN/AAs documented elsewhere
3.01 VVVolume IVExhibit XX - Foreign Owner./Fin. Rep. for High-Security Leased Space - N/AFALSEFALSEFALSEPass/FailRequired for FSL III, IV, or V facilities
Volume IV - Additional Submittals (Offeror Acknowledgement)
1.06Volume IVExhibit 04. - Lease No. XXXXXXXXXXXXX - GSA Template L100 for VAFALSEFALSEFALSEOfferor Initials RequiredCompleted by VA Upon Awardee Selection
1.06Volume IVExhibit 04. X - Lease Exhibit - Broker Project [when applicable]FALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 04. X - Lease Exhibit - Net of Utilities - N/AFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 04. X - Lease Exhibit - New Construction [when applicable]FALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 04. X - Lease Exhibit - Prospectus - N/AFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 04. X - Lease Exhibit - Swing Space N/AFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
RLP SectionVolume LocationRLP Section 1.06
ExhibitYesNoN/AEvaluation ApplicabilityVA CommentsOfferor Comments [when applicable]
Volume IV - Additional Submittals (Offeror Acknowledgement) Continued
1.06Volume IVExhibit 05. - Agency Specific Requirements Package Cover PageFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A - Appendix A - Program for Design - PFDFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.1 - Appendix A.1 - Project Room Contents List - RCLFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.2 - Appendix A.2 - Lease Design Narrative - LDNFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.3 - Appendix A.3 - Room Data Matrix - RDMFALSEFALSETRUEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.4 - Appendix A.4 - VA CBOC Info. Transport Systems SpecsFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.4.1 - Appendix A.4.1 - OIT Data Center Narrative - N/AFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.5 - Appendix A.5 - Facility Security Requirements for FSL IIFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. A.6 - Appendix A.6 - Conceptual Floor PlansFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 05. B - Appendix B - VA Lease Service Narrative - LSNFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 19 - GSA Template 3517B - General ClausesFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVExhibit 20 - VA Handbook 6500.6 - Contract SecurityFALSEFALSEFALSEOfferor Initials Required[incorporated by reference in Lease]
1.06Volume IVRLP Exhibit X - New Construction [when applicable]FALSEFALSEFALSEOfferor Initials RequiredDOL County Wage Determination [when applicable]
1.06Volume IVExhibit X - RLP Exhibit - Prospectus - N/AFALSEFALSEFALSENot EvaluatedAdditional Congressional Requirements [when applicable]
1.06Volume IVExhibit X - RLP Exhibit - Swing Space - N/AFALSETRUEFALSENot EvaluatedInterim/Relocation Space Requirements During Construction [when applicable]
N/AVolume IV[see VA Comments]FALSEFALSEFALSEOfferor Initials RequiredRLP Amendments published on SAM.gov if Lease is modified [incorporated by reference in Lease]

&"Arial,Bold"OFFEROR PROPOSAL COMPLIANCE MATRIX

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