EXHIBIT A - Past Performance Relevancy Questionnaire.docx

DOCX document 27 KB Posted

Attached to
P400--Project 529-22-100 Building #3 Demo D/B
Solicitation number
36C24421R0024
Issued by

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This document contains a past performance relevancy questionnaire and details of a federal contract opportunity for demolition and construction services. The past performance questionnaire requests information on up to three relevant prior contracts, including contract details, performance descriptions, points of contact, and a requirement to send the questionnaire to references for validation. The federal contract opportunity is a two-phase design-build solicitation for demolition of Building 3 at the Butler VA Health Care System, with an estimated value between $250,000 and $500,000. The project must be completed within 200 calendar days of the notice to proceed. Only Service-Disabled Veteran Owned Small Businesses will be considered in Phase I, with evaluation factors to determine firms invited to Phase II. The applicable NAICS code is 238910 for site preparation contracting, with a size standard of $16.5 million.

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Text version

PART 1: Prepare no more than three (3) Exhibit A forms:

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 additional 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. Provide a detailed list of all contract modifications, including the dollar amount, description, primary cause and change to the contract completion date.

5. Completion Date:

5.1 Original Date:

5.2 Current Schedule: _____________________

5.3 Estimate/Final Completion Date:

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)

E. 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 projects awarded under this solicitation. Should you intend to use these same subcontractors, please list their company names and described their principal areas of work that they will perform.

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

F. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR / COTR); include a current phone number and email address for each.

End of Part 1- Questionnaire Requirements – Prepare and send Exhibit E Package to the reference(s) for each of the no more than three (3) Exhibit A forms.

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