Attachment A - Past Performance Questionnaire AE STEAM revised 03-28-22.docx
DOCX document 29 KB Posted
- Attached to
- C1NB - Correct FCA Deficiencies Steam Distribution System SF330 Request Federal contract opportunity
- Solicitation number
- 36C24622R0023
About this file
This announcement requests Standard Form 330 qualifications from architectural and engineering firms for a design services contract. The Department of Veterans Affairs Hampton Veterans Medical Center seeks proposals for project 590-20-903 to correct deficiencies in the steam distribution system at its Hampton, Virginia facility. Design services include replacing steam piping in buildings 110 and 110A and equipment in the boiler. The estimated construction cost is between $5 million and $10 million. Responses are due by April 4, 2022 and award is projected for June 10, 2022. The contract will be a firm-fixed-price not exceeding 6% of construction costs. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses. Respondents must indicate the percentage of work and disciplines performed by their own employees and any subcontractors or other entities to be used.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24622R0023_1.pdf | ||
| 36C24622R0023.pdf | ||
| Attachment A - Past Performance Questionnaire AE STEAM.docx | DOCX document |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT - PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER
Complete one questionnaire packet for at least one (1) project identified in your firm’s SF 330 Section F, Example Projects Which 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 VHA Network Contracting Office 6 and Hampton VA Medical Center, regarding a request for SF 330, Architect-Engineer Qualifications for Project 590-20-903, Correct FCA Steam Deficiencies. 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 VHA Network Contracting Office 6 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. The questionnaire is specific to this requirement, past questionnaires for other announcements will not meet the submission requirement. Please complete the questionnaire (Sections B and C) and return it by no later than 2:00PM EST, Tuesday, April 4th, 2022. ***Do not return this form to the AE firm requesting the reference. *** Return the completed questionnaire directly to the Government Contract Specialist Madeline Lucena-Pulst, via email at madeline.lucena-pulst@va.gov
A. GENERAL INFORMATION
A-E FIRM TO BE EVALUATED:
Firm Name:
Address:
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:
B. EVALUATOR INFORMATION:
Evaluator’s Company or Agency Name:
Company or Agency Address:
Evaluator’s Name:
Title of Evaluator:
Telephone:
E-mail:
C. 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) |
| -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. |
| Very Good (4) |
| -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. |
| Satisfactory (3) |
| -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. |
| Marginal (2) |
| -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. |
| Unsatisfactory (1) |
| -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. |
| N/A |
| -Not applicable or rater has not observed performance in this area. |
Place an “X” in the appropriate column using the above definitions matrix.
| Item |
| FACTORS TO BE RATED |
| Exceptional (5) |
| Very Good (4) |
| Satisfactory (3) |
| Marginal (2) |
| Unsatisfactory (1) |
| 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. |
| 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 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? |
| 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: _______________
NARRATIVE SUMMARY REGARDING PERFORMANCE:
| Item |
| Comments |
D. SEND COMPLETED QUESTIONAIRE, VIA EMAIL, TO:
Madeline Lucena-Pulst, Contract Specialist Email: madeline.lucena-pulst@va.gov
VISN 6 Networking Contracting Office (NCO 6) Hampton VA Medical Center 100 Emancipation Dr., Bldg. 27 Hampton, Virginia 23667
File details come from the government source that posted it. Updated .