36C24123R0179 SF330 PPQ.pdf

ATTACHMENT 1 - PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

Complete one set of letters and forms for at least three projects identified in your firm’s Section F of the SF 330, which will best illustrate proposed team’s qualifications for this contract. Additional space or blank sheets may be added to answer any question.

Transmittal letter to accompany Past Performance Questionnaire

FROM: [Insert Company Official Name, Title, and Company Name]

SUBJECT: Past Performance Questionnaire for Contract(s):

[Insert Company Name] is currently responding to the Department of Veterans Affairs (NCO 1) request for SF 330 request for SF 330, Architect-Engineer Qualifications for the “650-24-104 Renovate 6A Medical Surgical Inpatient Nursing Unit”. This Request for SF 330’s requires respondents to identify customers and solicit their response regarding [Insert Company Name] performance.

[Insert Company Name] is providing past performance data to NCO 1 relating to our performance on contract [Insert contract name/number] and have identified [Insert name of reference] as the point of contact for this contract.

The request for SF 330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire and email it by 3:00pm EST on November 22, 2023, directly to the NCO 1 Contracting Office Contract Specialist.

E-mail: Kimberly.gomez@va.gov

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to [Insert Company Name]. Please direct any questions about the acquisition or the attached questionnaire to the VISN 1 NCO point of contact identified above.

Thank you, [Insert Company Official Name and Title]

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name: ________________________ Telephone: __________________________

Address: __________________________ Email address: ________________________

__________________________ Point of Contact: ______________________

Firm Cage Code: ____________________

Firm Tax ID Number: ________________

Firm DUNS Number: ________________

Project Title: _____________________________________

Description of Project: __________________________________________________________

Description of A-E Firms’

Responsibilities:_________________________________________________________________________

Contract Number: ______________________ Dollar Amount: ______________________

Contract Period of Performance: _______________________

The A-E Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member

Percent of work performed by A-E Firm: Other (Please describe) __________________

B. EVALUATOR INFORMATION:

Evaluator’s Company or Agency

Name: ____________________________ Evaluator’s Name: _____________________

Address: __________________________ Title of Evaluator: _____________________

__________________________ Telephone: __________________________

__________________________ E-mail: ______________________________

C. SEND COMPLETED QUESTIONAIRE (SECTIONS B through D) TO:

E-mail: Kimberly.gomez@va.gov

D. PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the A/E’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS OF Marginal or Unsatisfactory on page 7 under Narrative Summary.

Exceptional (5) Very Good (4) Satisfactory (3) Marginal (2) Unsatisfactory (1)

N/A

-Performance meets or met contractual requirements and exceeds or exceeded many of your company’s expectations.

The contractual performance reflects or reflected few minor problems and corrective actions taken by the contractor appear to be highly effective or corrective actions taken were effective.

-Performance meets or met contractual requirements and exceeds or exceeded some of your company’s expectations.

The contractual performance reflects or reflected some minor problems and corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective.

-Performance meets or met contractual requirements.

The contractual performance reflects or reflected some minor problems.

Corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective.

-Performance does or did not meet some contractual requirements.

The contractual performance reflects or reflected serious problems(s) for which the contractor has not yet identified acceptable corrective actions or did not provide acceptable corrective actions.

-Performance does or did not meet most contractual requirements and recovery is not likely or did not occur.

The contractual performance contains or contained serious problem (s) for which the contractor’s corrective actions appear ineffective or were ineffective.

-Not applicable or rater has not observed performance in this area.

A-E FIRM’S NAME: _______________ PROJECT NAME: _______________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix on page 4.

Ite m

FACTORS TO BE RATED

Ex ce pt io na l (

5)

Ve ry

G oo d (4

Sa tis fa ct or y

(3

M ar gi na

2)

U ns at isf ac to

N

/A

Design Services:

1. Overall skill level and technical competence of A/E’s personnel.

2. A/E’s ability to identify and resolve design issues expeditiously.

3. A/E’s responsiveness to design review questions.

4. A/E’s ability to effectively coordinate, integrate and manage their consultants/subcontractors/team

5. A/E’s effectiveness and responsiveness in interfacing with the Client’s staff

6. Overall accuracy, completeness and coordination of final design documents. (Quality)

7. A/E’s ability to provide detailed, accurate cost estimates.

8. A/E’s ability to meet contract schedule.

Follow-On Construction Support Services:

9. Thoroughness and timely review of construction submittals.

10. Timely resolution of construction design issues.

ce pt io na

G oo d (4

Sa tis fa ct or y

(3

M ar gi na at isf ac

11. Overall quality, responsiveness and timeliness of A/E follow-on construction support services.

LEED (If Applicable):

12. Overall accuracy, completeness, timeliness and coordination of LEED documentation.

13. A/E’s ability and understanding of the overall LEED process.

BIM (If Applicable):

14. Overall accuracy, completeness, timeliness and coordination of BIM documentation.

15. A/E’s ability and understanding of the overall BIM process.

Owner’s Representative on Design/Build Projects (If Applicable):

16. Overall accuracy, completeness, timeliness and coordination of requirements documents and bridging documents.

17. A/E’s ability, thoroughness, timeliness and support as Owner’s Representative throughout the project.

Overall:

18. How would you rate the A/E’s ability to control cost?

19. How would you rate the A/E’s overall management performance on this contract?

20. How would you rate the A/E’s overall technical/quality performance on this contract?

ce pt io na

G oo d (4

Sa tis fa ct or y

(3

M ar gi na at isf ac

21. Would you use this A/E again? (If “No”, please comment in the Narrative Summary)

YES

NO

Number of A/E Design Errors & Omissions on Project: _______________

Increased Project Cost Due to A/E Design Errors & Omissions: _______________

CONTRACTOR’S NAME: ___________________ PROJECT NAME __________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

NARRATIVE SUMMARY (Use this section to explain any rating from the previous page)

Item COMMENTS

Item COMMENTS