03 Offeror Compliance Matrix BVTO Franklin County OH 36C10F25R0057.xlsx
XLSX spreadsheet 30 KB Posted
- Solicitation number
- 36C10F25R0057
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.
View the file
Other files
Show all 35
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 Section | Volume Location | RLP Section 1.06 | ||||||
| Exhibit | Yes | No | N/A | Evaluation Applicability | VA Comments | Offeror Comments | ||
| 3.01 A | Cover Page | Exhibit 02. Offeror Proposal Compliance Matrix | FALSE | FALSE | FALSE | Pass/Fail | Template provided by VA; tracks RLP submittal requirements | |
| Volume I. A - Technical Proposal - Factor 1 | ||||||||
| 3.01 B | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Map and Narrative | |
| 3.01 C | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Compliance with Local Zoning | |
| 3.01 D | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Map and Narrative | |
| 3.01 E | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Evidence of Amenities | |
| Volume I. A - Technical Proposal - Factor 2 | ||||||||
| 3.01 F | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Architectural Plans and Narratives | |
| 3.01 G | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Scaled Floorplans | |
| 3.01 H | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Vending Facilities Statement [when applicable] | |
| 3.01 I | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Parking Plan and Narrative | |
| 3.01 J | Volume I. A | Exhibit 15 - GSA Form 12000 - Prelease FPLS Evaluation (Part A or B) | FALSE | FALSE | FALSE | Technical Evaluation | FPLS and Building Code Compliance | |
| 3.01 K | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Compliance with Accessibility | |
| 3.01 L | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Asbestos Report and Abatement | |
| 3.01 M | Volume I. A | Energy Star or Other Efficiencyy Improvements | FALSE | FALSE | FALSE | Technical Evaluation | Evidence and/or Supporting Documentation | |
| 3.01 N | Volume I. A | Exhibit 16 - Certification of Bldg. Energy Performance & Green Globes | FALSE | FALSE | FALSE | Technical Evaluation | Certification and Commitment; EISA Statutory | |
| 3.01 O | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Hydrology maintenance and restoration [when applicable] | |
| NC 1.01 | Volume I. A | RLP Exhibit X - Net of Utilities - N/A | FALSE | FALSE | FALSE | Technical Evaluation | Utilities Separate from Rent Documentation [when applicable] | |
| NC 1.02 A | Volume I. A | RLP Exhibit X - New Construction [when applicable] | FALSE | FALSE | FALSE | Technical Evaluation | FPLS and Building Code Compliance for New Construction [when applicable] | |
| NC 1.02 B | Volume I. A | RLP Exhibit X - New Construction [when applicable] | FALSE | FALSE | FALSE | Technical Evaluation | Compliance with Green Globes [when applicable] | |
| RLP Section | Volume Location | RLP Section 1.06 | ||||||
| Exhibit | Yes | No | N/A | Evaluation Applicability | VA Comments | Offeror Comments [when applicable] | ||
| Volume I. A - Technical Proposal - Factor 3 | ||||||||
| 3.01 P | Volume I. A | RLP Exhibit X - New Construction [when applicable] | FALSE | FALSE | FALSE | Technical Evaluation | Construction Schedule, Plans and Narratives | |
| 3.01 Q | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | PMP & Organizational Chart | |
| Volume I. A - Technical Proposal - Factor 4 | ||||||||
| 3.01 R | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Affirmation of Past Performance | |
| 3.01 S | Volume I. A | Exhibit 10 - Past Performance List of References | FALSE | FALSE | FALSE | Technical Evaluation | List of 5 Relavant Contracts (Last 5 Years) | |
| 3.01 T | Volume I. A | Exhibit 11 - Past Performance Questionnaire | FALSE | FALSE | FALSE | Technical Evaluation | VA Form PPQ or CPARS | |
| 3.01 U | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | List of Projects and Case Studies | |
| 3.01 V | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | ID of Design (A/E), GC, and Key Personnel, Narratives, and Resumes | |
| 3.01 W | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | A/E and GC Licenses or Certifications | |
| 3.01 X | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Teaming Arrangements | |
| 3.01 Y | Volume I. A | Exhibit 12 - GSA SF 330 – Architect-Engineer Qualifications | FALSE | FALSE | FALSE | Technical Evaluation | Required for A/E firm and all Key Design Personnel | |
| 3.01 Z | Volume I. A | Exhibit 13 - GSA Form 527 – Contractor’s Qual. & Financial Info. | FALSE | FALSE | FALSE | Technical Evaluation | Required for Offeror (if contractor) and GC; Section V & VII | |
| Volume I. A - Technical Proposal - Factor 5 | ||||||||
| 3.01 AA | Volume I. A | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | O&M Plan | |
| 3.01 BB | Volume I. A | Exhibit 14 - O&M Acknowledgement & Deviations Statement | FALSE | FALSE | FALSE | Technical Evaluation | O&M Plan Acknowledgement and Deviations Statement | |
| Volume I. B - Technical Proposal - Factor 6 | ||||||||
| 3.01 CC | Volume I. B | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | SAM.gov - Active Registration, Reps & Certs, and Exclusion Status | |
| 3.01 DD | Volume I. B | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | SBA VetCert Certification Status [when applicable] | |
| 3.01 EE | Volume I. B | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | SBA Joint Venture Certification Status [when applicable] | |
| 3.01 FF | Volume I. B | [see VA Comments] | FALSE | FALSE | FALSE | Technical Evaluation | Small Business Subcontracting Plan [when applicable] | |
| RLP Section | Volume Location | RLP Section 1.06 | ||||||
| Exhibit | Yes | No | N/A | Evaluation Applicability | VA Comments | Offeror Comments [when applicable] | ||
| Volume II - Price Proposal & Financial Capabilities | ||||||||
| 3.03 A | Volume II | Exhibit 06 - GSA Form 1217 - Lessor's Annual Cost Statement | FALSE | FALSE | FALSE | Price | ||
| Evaluation | Operating Cost Details [incorporated by reference in Lease] | |||||||
| 3.03 B | Volume II | Exhibit 07 - GSA Form 1364 - Proposal to Lease Space | FALSE | FALSE | FALSE | Price | ||
| Evaluation | Primary Pricing Form; All Rent Components | |||||||
| 3.03 C | Volume II | Exhibit 08 - GSA Form 1364 - Attachment No. 1 | FALSE | FALSE | FALSE | Price | ||
| Evaluation | Detailed Cost Breakdown of 1364 | |||||||
| 3.03 D | Volume II | Exhibit 09 - VA Form 10091 - FSC Vendor File Request | FALSE | FALSE | FALSE | Price | ||
| Evaluation | Vendor Setup in VA Financial Systems | |||||||
| 3.03 E | Volume II | RLP Exhibit X - Broker Project [when applicable] | FALSE | FALSE | FALSE | Price | ||
| Evaluation | Broker Fee Structure | |||||||
| 3.03 F | Volume II | [see VA Comments] | FALSE | FALSE | FALSE | Price | ||
| Evaluation | Financial Plan and Evidence of Funding | |||||||
| Volume III - NEPA & NHPA Submittals | ||||||||
| 3.01 GG | Volume III | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Floodplain Compliance | |
| 3.01 HH | Volume III | Exhibit X - Seismic Offer Forms - N/A | FALSE | FALSE | FALSE | Pass/Fail | Seismic Offer Forms per Moderate/High Seismicity | |
| 3.01 II | Volume III | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Hazardous Conditions or Environmental Releases Disclosure | |
| 3.01 JJ | Volume III | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Phase 1 ESA Report [at initial offers] and NEPA Documentation | |
| 3.01 KK | Volume III | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | NHPA Documentation [when applicable] | |
| 3.01 LL | Volume III | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Cultural Resources Study Report | |
| RLP Section | Volume Location | RLP Section 1.06 | ||||||
| Exhibit | Yes | No | N/A | Evaluation Applicability | VA Comments | Offeror Comments [when applicable] | ||
| Volume IV - Additional Submittals | ||||||||
| 3.01 MM | Volume IV | Exhibit 17 - Offering Entity Acknowledgement Form | FALSE | FALSE | FALSE | Pass/Fail | Required for all Entity Types | |
| 3.01 NN | Volume IV | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Authorization to Represent Ownership | |
| 3.01 OO | Volume IV | [see VA Comments] | TRUE | FALSE | FALSE | Pass/Fail | Ownership Evidence | |
| 3.01 PP | Volume IV | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Agreement to Acquire an Interest in Property [when applicable] | |
| 3.01 QQ | Volume IV | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Signing Authority Proof | |
| 3.01 RR | Volume IV | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Conflict of Interest [when applicable] | |
| 3.01 SS | Volume IV | [see VA Comments] | FALSE | FALSE | FALSE | Pass/Fail | Legal Property Description and Tax ID | |
| 3.01 TT | Volume IV | Exhibit 18 - Representation Regarding Certain Telecomm. FAR 52.204-24 | FALSE | FALSE | FALSE | Pass/Fail | Contingent on SAM.gov Representation 52.204-26 | |
| 3.01 UU | Volume IV | Reference RLP Exhibits [when applicable] | FALSE | FALSE | FALSE | N/A | As documented elsewhere | |
| 3.01 VV | Volume IV | Exhibit XX - Foreign Owner./Fin. Rep. for High-Security Leased Space - N/A | FALSE | FALSE | FALSE | Pass/Fail | Required for FSL III, IV, or V facilities | |
| Volume IV - Additional Submittals (Offeror Acknowledgement) | ||||||||
| 1.06 | Volume IV | Exhibit 04. - Lease No. XXXXXXXXXXXXX - GSA Template L100 for VA | FALSE | FALSE | FALSE | Offeror Initials Required | Completed by VA Upon Awardee Selection | |
| 1.06 | Volume IV | Exhibit 04. X - Lease Exhibit - Broker Project [when applicable] | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 04. X - Lease Exhibit - Net of Utilities - N/A | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 04. X - Lease Exhibit - New Construction [when applicable] | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 04. X - Lease Exhibit - Prospectus - N/A | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 04. X - Lease Exhibit - Swing Space N/A | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| RLP Section | Volume Location | RLP Section 1.06 | ||||||
| Exhibit | Yes | No | N/A | Evaluation Applicability | VA Comments | Offeror Comments [when applicable] | ||
| Volume IV - Additional Submittals (Offeror Acknowledgement) Continued | ||||||||
| 1.06 | Volume IV | Exhibit 05. - Agency Specific Requirements Package Cover Page | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A - Appendix A - Program for Design - PFD | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.1 - Appendix A.1 - Project Room Contents List - RCL | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.2 - Appendix A.2 - Lease Design Narrative - LDN | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.3 - Appendix A.3 - Room Data Matrix - RDM | FALSE | FALSE | TRUE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.4 - Appendix A.4 - VA CBOC Info. Transport Systems Specs | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.4.1 - Appendix A.4.1 - OIT Data Center Narrative - N/A | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.5 - Appendix A.5 - Facility Security Requirements for FSL II | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. A.6 - Appendix A.6 - Conceptual Floor Plans | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 05. B - Appendix B - VA Lease Service Narrative - LSN | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 19 - GSA Template 3517B - General Clauses | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | Exhibit 20 - VA Handbook 6500.6 - Contract Security | FALSE | FALSE | FALSE | Offeror Initials Required | [incorporated by reference in Lease] | |
| 1.06 | Volume IV | RLP Exhibit X - New Construction [when applicable] | FALSE | FALSE | FALSE | Offeror Initials Required | DOL County Wage Determination [when applicable] | |
| 1.06 | Volume IV | Exhibit X - RLP Exhibit - Prospectus - N/A | FALSE | FALSE | FALSE | Not Evaluated | Additional Congressional Requirements [when applicable] | |
| 1.06 | Volume IV | Exhibit X - RLP Exhibit - Swing Space - N/A | FALSE | TRUE | FALSE | Not Evaluated | Interim/Relocation Space Requirements During Construction [when applicable] | |
| N/A | Volume IV | [see VA Comments] | FALSE | FALSE | FALSE | Offeror Initials Required | RLP Amendments published on SAM.gov if Lease is modified [incorporated by reference in Lease] |
&"Arial,Bold"OFFEROR PROPOSAL COMPLIANCE MATRIX
File details come from the government source that posted it. Updated .