36C24118R0127-008.pdf

EXHIBIT A PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 1: Prepare six (6) Part 1 forms for general construction

Provide the following information requested in this format for each of the projects/contracts being described. Projects may be on going and cannot have been completed any later than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

1. Description of Effort as ___________Prime or _________Subcontractor

2. Contract Number _____________________

3. Original Contract $ Value _____________ Current/Final Contract $ Value ____________

4. If amounts in 3 above are different, provide a brief description of the reason:

5. Completion Date:

1. Original Date: ______________ 2. Current Schedule____________________

3. Estimate/Final Completion Date:________________________________

4. Primary cause for Contract Modifications__________________________________

D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. (Use as much space as necessary)

In addition, address the following

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on MATOC projects.

3. Address any technical areas about this project you consider uniquely relevant to this solicitation.

E. Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.

End of Part 1- Questionnaire Requirements – Prepare and send Exhibit C Package (Past Performance Questionnaire) to the reference(s) for each of the projects.

PART 2: Provide the following information one time.

Additional offeror information required, but not project specific. This information need only be provided once in your submission package.

2A. Name subcontractors and/or Teaming Partners to be utilized on this contract. Multiple subcontractors may be named for the same discipline, but are limited to a maximum of three (3) subcontractors per discipline. As a minimum, provide the name(s) of subcontractors to be utilized in the following areas:

Page 2 – Exhibit A – Performance Relevancy Questionnaire

Plumbing:

HVAC:

Electrical:

Roofing:

Painting:

Each major subcontractor and/or Teaming Partner must also complete an Exhibit B, “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify on the Exhibit B three references, owners (if they were the Prime) or other Prime contractors they have worked for. References for subcontractors from the proposing offeror are not acceptable. See Exhibit “B” format for information to be provided.

Written references for subcontractors may be included and are encouraged. However, subcontractors do not need to send out Exhibit C questionnaires.

2B. Discuss assessment of liquidated damages on any contracts within the last five years. (Frequency, circumstances, severity of problem, etc.)

2C: Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.

2D. (OPTIONAL) Other Past Performance Considerations. Information, if provided, shall be limited to the period starting 5 years prior to the solicitation release date.

-Effectiveness of value engineering (VEC) proposals you submitted on prior contracts. (Provide a brief description;

impact on cost, schedule, efficiency or quality; contract number; name and phone number of customer benefiting from the

VEC).

-Professional/Industry awards (Identify award type, date of award and copy of certificate if applicable), Letters of appreciation, recognition or commendations.

-Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and provide supporting information for verification).

EXHIBIT B SUBCONTRACTOR INFORMATION AND CONSENT FORM

Subcontractor and/or Teaming Partner Consent for the Release of Past Performance Information to the Prime Contractor and Reference Information

Past performance information concerning subcontractors and teaming partners cannot be disclosed to a private party without the subcontractor’s or teaming partner’s consent. Because a prime contractor is a private party, the Government will need that consent before disclosing subcontractor/teaming partner past and present performance information to the prime during exchanges. In an effort to assist the Government in assessing your past performance relevancy we request that the following consent form be completed by the major subcontractors/teaming partners identified in your proposal.

The completed consent forms should be submitted to the offering contractor for submission with past performance volume.

___________________(Name of Firm) is currently planning on participating as a (subcontractor and or a teaming partner) with ___________________(prime contractor or name of entity providing proposal) in responding to the Request for Proposal No36C24118R0127 for IDIQ Multiple Award Task Order Contract (MATOC) for construction projects issued by the Department of Veterans Affairs, VISN 1.

We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature) (Title of Individual with authority to sign for and

Legally bind the company)

Company Name: ________________________ Telephone #____________________

Address: ______________________________

City/State/Zip Code:______________________ Date:_____________________

Reference List (required):

1. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub) and work Performed ___________________________________ Reference POC Name____________________________ Phone___________ Fax____________ Email address: _________________________________________________________________

2. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub) and work Performed ___________________________________ Reference POC Name____________________________ Phone___________ Fax____________ Email address: _________________________________________________________________

3. Contract No. And Title___________________________________________________________ Describe your role (Prime/Sub) and work Performed ___________________________________

Reference POC Name____________________________ Phone___________ Fax____________ Email address: _________________________________________________________________

EXHIBIT C PACKAGE INFORMATION AND FORMS

Instructions to Offeror for sending Reference Questionnaire Forms: Prepare and send a reference questionnaire package for each project listed on your Exhibit A, Performance Relevancy Questionnaires. You are encouraged to send a questionnaire to other clients of contracts. For Government contracts, send to Contracting Officer or Technical Representative. For commercial references send to personnel with duties similar to those for Government contracts. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. If you have multiple references at one location, send one cover letter and questionnaire for each contract you want a reference for. Your questionnaire package should contain the following.

Cover Letter (See SAMPLE) (Exhibit C1) Respondent Info Rating Sheets (Exhibit C2)(the next 4 pages) Offeror should put name in spaces indicated and ensure it is on every page for identification purposes Suggested - Pre Addressed stamped envelope to return to Contracting Officer.

OFFEROR SHOULD PLACE THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE!!!

OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES

EXHIBIT C

SAMPLE TRANSMITTAL LETTER

AND

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Your Company Letterhead

Date: _________________ To: ______________________________________

We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Department of Veterans Affairs- Network Contracting Office 1. In accordance with Federal Acquisition Regulations (FAR), they will evaluate our firm's past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.

Please send your completed questionnaire to the following address to arrive NOT LATER THAN June 19, 2018. Do not return them to our company. NOTE: EMAIL IS THE PREFERRED METHOD.

Department of Veterans Affairs Contracting Office, Eagle 3(90C) 830 Chalkstone Avenue Providence, RI 02908 or email to: Karla.Rotondo@va.gov

If you have questions regarding the attached questionnaire, or require assistance, please contact Karla Rotondo at 401- 459-4760, ext. 1558. Thank you for your assistance.

Signature and Title mailto:Karla.Rotondo@va.gov

SOURCE SELECTION SENSITIVE WHEN COMPLETED*****NOT TO BE RELEASED OUTSIDE

GOVERNMENT CHANNELS***** RETURN THIS PAGE WITH QUESTIONAIRE

RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.

(Exhibit C2) RESPONDENT IDENTIFICATION AND RATINGS

(Part 1 Contractor submitting Proposal fill-in) Reference is provided for: ____________________________________

Contract Number or Project Title______________________________________________________ Date of Award/Completion Date______________________________________________________ Location_________________________________________________________________________ Dollar Amount____________________________________________________________________ Brief Description of work and your role in the referenced contract:___________________________

(Part 2 Person providing Reference) Reference is provided by: ____________________________

Company/Agency:_________________________________________________________________ Business Address;________________________________________________________________ Telephone Number: _______________________________________________________________ E-Mail Address: __________________________________________________________________ Relationship to Contract: ___________________________________________________________ If information in Part 1 is not accurate please indicate.

To obtain an electronic version of the form please contact: Karla.Rotondo@va.gov.

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS: Via email to the email address shown above. Forms may be mailed to Department of Veterans Affairs, Contracting Office, Eagle 3 (90C), 830 Chalkstone Avenue, Providence, RI 02908

Mark cover sheet: (Attention: RFP 36C24118R0127 “Source Selection Sensitive Information”

RATING DEFINITION

Exceptional (E) Indicates the contractor’s performance record within the area of evaluation

Exceeded that required by the contract.

Very Good (VG) Indicates the contractor’s performance record within the area of evaluation Met All contractual requirements.

Satisfactory (S) Indicates the contractor’s performance record within the area of evaluation Met Essentially All contractual requirements.

Marginal (M) Indicates the contractor’s performance record within the area of evaluation Met Some of the contractual requirements. However, changes to the contractor’s existing processes may be necessary in order to achieve contract requirements.

Unsatisfactory (U) Indicates the contractor’s performance record within the area of evaluation Failed to Meet the minimum Government requirements.

Unknown or Not Applicable (N/A) The question does not apply. No performance record identifiable within the area of evaluation.

Quality- Management and Workmanship

(1) How well did the Offeror utilize quality control process that ensured conformance to scope and quality requirements?

E VG S M U NA

REMARKS: _______________________________________________________________________________________

(2) Adequacy of Submittals. Were submittals well researched and did they clearly identify the proposed item?

E VG S M U NA

REMARKS: _______________________________________________________________________________________

(3) Did reports / records submitted completely and accurately satisfy requirements. ?

E VG S M U NA

REMARKS: _______________________________________________________________________________________

Timeliness and adherence to schedule: Rate how well the Offeror met the following:

(4) Timeliness in completing the project

E VG S M U NA

REMARKS: _______________________________________________________________________________________

(5) Did the contractor provide timely notices of delays/schedule revisions?

E VG S M U NA

REMARKS: _______________________________________________________________________________________

(6) Timeliness in submitting submittals and reports and responding to agency inquiries, RFP's, etc.

E VG S M U NA

REMARKS: _______________________________________________________________________________________

Offeror’s Specification Compliance, business practices/Customer Relationship and Ability to Perform

(7) Did the contractor provide adequate, competent and qualified management, key personnel and technical personnel capable of meeting contract requirements throughout the performance period of the contract and did contractor comply with specifications?

E VG S M U NA

REMARKS: _______________________________________________________________________________________

(8) How well did the contractor work independent of Government guidance, oversight and assistance?

E VG S M U NA

REMARKS: _______________________________________________________________________________________

(9) Did contractor maintain a good relationship with agency contracting and technical/project mgt. personnel?

REMARKS: ____________________________________________________________________________________

(10) How effective was the contractor in meeting Cost/Price performance targets and controlling costs (i.e. changes, etc.)? Did they demonstrate reasonableness in modifications scope and costs?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(11) Were Subcontractors / tradesmen adequately managed and coordinated? Explain any subcontracting issues (positive or negative) that impacted the performance of your contract(s).

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(12) How flexible, cooperative, and reasonable was the contractor in meeting mission requirements, particularly when faced with short-notice mission changes?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(13) How timely and effective were the contractor’s responses to and resolution of Technical problems? Did the Site Manager have sufficient authority to make decisions or take actions during project performance? ( ) yes ( ) no

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(14) How effective was the offeror’s environmental program, oversight, project management and QC staff?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(15) Was the Site Manager consistently present on site when work was performed?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(16) Did the contractor demonstrate the ability to execute multiple projects at the same time?

REMARKS: ____________________________________________________________________________________

(17) How effective was the contractor’s safety program to ensure compliance with federal, state and local regulations?

Did the contractor implement and follow their safety plan? Did they run a “safe jobsite”?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(18) Applicable to Federal Contracts – How well did the contractor comply with applicable Federal Laws and Regulations such as Davis Bacon Act – timely payrolls and compliance; Drug-Free Workplace; Environmental Regulations and Use of Recovered Materials; Executive Order 13101?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

Infection Control

(19) Did the contractor have an Infection Control Process in place and how well did the contractor comply with agency Infection Control Requirements?

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(20) How would you rate the Contractor’s overall performance? Given the opportunity, would you select this offeror again? (Y____N____)

E VG S M U NA

REMARKS: ____________________________________________________________________________________

(21) What were the contractor’s top documented strengths, if any, in performing the contract requirements?

REMARKS: ____________________________________________________________________________________

(22) What were the contractor’s top documented weaknesses, if any, in performing the contract requirements?

REMARKS: ____________________________________________________________________________________

(23) Please Provide Any Additional Information You Feel Is Import ant Not Covered Elsewhere:

REMARKS: ____________________________________________________________________________________

Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor you are providing a reference for.

RESPONDENT NAME ___________________________________________

Respondent Signature ______________________________________Date Completed: ________________

EXHIBIT D PRE-AWARD CONTRACTOR EVALUATION FORM CONSTRUCTION SAFETY

Company Name: ______________________________________________

Address: _____________________________________________________

Telephone: ______________________ Fax: ________________________

Email: _______________________________________________________

Contact: ______________________________________________________

1. Utilizing your OSHA 300 Forms, please complete the following information:

Category 2015 2016 2017 Number of man hours (jobsite and office).

Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).

Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).

Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful disqualifies the contractor.)

Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page: http://www.osha.gov/pls/publications/publication.html.

2. Provide your six-digit North American Industrial Classification System (NAICS) Code for this acquisition:

3. Who administers your company’s Safety and Health Program? __________________________________

4. Company’s Insurance Experience Modification Rate (EMR) for the past 3 years (an EMR of greater than 1.0 disqualifies the contractor): _____________ http://www.osha.gov/pls/publications/publication.html

EXHIBIT G PROPOSAL INQUIRY FORM

SOLICITATION 36C24118R0127

NOTE: ALL PRE-PROPOSAL INQUIRIES SHALL BE SUBMITTED VIA EMAIL ON THIS FORM!

Email Forms to: Karla.Rotondo@va.gov

Date of Proposal Inquiry: _______________

From: ______________________________ Company Name: ________________________________

Address:_____________________________________________________________________________

Phone Number: _____________________________ Fax Number:______________________________

Email address: ________________________________________________________________________

Check off which project this RFI applies to:

___ General Terms and Conditions ___ Project _____________________________________________

Proposal Inquiry: (Please type or print clearly) mailto:Karla.Rotondo@va.gov

EXHIBIT H PROPOSAL VOLUME CONTENTS AID

This listing is provided as an aid to offerors and in no way represents all information that is required in a proposal.

Offerors must comply with Sections 00100, 00110 and 00120 of the solicitation.

Binder # 1 - VOLUME 1, PRICE/COST INFORMATION

( ) Offer and Section 00010 – Complete in its entirety the “Offeror” portion of the Standard Form (SF) 1442. An official having the authority to contractually bind your company must sign the SF 1442 in accordance with FAR 4.102. Submit an original and the number of copies required by solicitation. An original signature is required on the original document.

( ) A completed Section 00010, Areas of Consideration, Seed project(s) Exhibit F’s

( ) Insert the price/cost associated with the seed project on the Seed Proposal Offer Schedule(s) ( ) Complete the Self-performance Exhibit F-1 for the Seed Project(s) ( ) Representations and Certifications- insert the required certifications and representations.

Binder # 2 - VOLUME 2, PAST PERFORMANCE INFORMATION- REMINDER- Send out Questionnaires to your former clients so responses reach Contracting Officer NLT Closing Date!!!

( ) Exhibit A, Part 1: Performance Relevancy Questionnaire format, for six (6) general construction projects and two

(2) design build projects, if applicable.

( ) Exhibit A, Part 2: Answer all questions.

( ) Exhibit B “Subcontractor Consent and Information Form” for each major subcontractor/ Teaming Partner listed in Exhibit A Part 2.

( ) Exhibit C reference questionnaires: Be sure to send a reference package to all Clients listed on Exhibit As, Part 1, in sufficient time so as to have questionnaires reach the Contracting Officer not later than the closing date for the solicitation. Follow-up with clients as necessary.

( ) Exhibit D “Pre-Award Contractor Evaluation Form – Construction Safety”.

Offerors lacking relevant Past Performance experience may submit three (3) references for each Predecessor Company, Subcontractor or Key Personnel on an Exhibit C, or resume for key personnel. Exhibit C Reference Packages should also be sent.

Binder # 2 VOLUME 3, TECHNICAL INFORMATION

( ) Exhibit E – Is format and instructions complied with?

( ) Did you review Section 00120, Technical Evaluation, to ensure answers to questions and submission provide information needed for the evaluation?

( ) Are answers to the questions clear and detailed?

( ) Is all required attachments provided?

General:

Did you submit an Original and 5 copies of Binder # 1 (Volume 1)?

Did you submit an Original and 5 copies of Binder # 2 (Volumes 2 and 3)?

Did you submit an electronic version of your proposal?