S02 - 36C24622R0025 0002.docx
DOCX document 102 KB Posted
- Attached to
- Y1DA--Upgrade IT Systems Infrastructure (VA-22-00040622) Federal contract opportunity
- Solicitation number
- 36C24622R0025
About this file
This document includes a federal contract opportunity notice and past performance questionnaire. The notice is for upgrade work to IT systems infrastructure at the Hampton VA Medical Center, with a project magnitude between $2 million to $3 million under NAICS code 238210. Interested offerors should monitor the website for a forthcoming solicitation on or around March 1st, with proposals due approximately 38 days later. The work includes installing new underground duct banks, outdoor cabinets, fiber optic and electrical cabling and components. The opportunity is anticipated as a service-disabled veteran-owned small business set-aside. The past performance questionnaire is a template for references to evaluate a contractor's performance on criteria such as quality, timeliness, management effectiveness, and safety compliance for a prior contract. It includes sections for the contractor to provide project details and the reference to characterize performance.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amend 2 Attachment C - Past Performance Questionnaire.docx | DOCX document | |
| 36C24622R0025 0001.docx | DOCX document | |
| Attachment B - Corp Experience Form.docx | DOCX document | |
| Attachment A - Base Proposal Item Price Breakdown.xlsx | XLSX spreadsheet | |
| S02 - 36C24622R0025_1.docx | DOCX document | |
| Upgrade IT Systems Infrastructure - Revised Specifications.pdf | ||
| Construction Safety Handbook.pdf | ||
| Drawings Upgrade IT Systems Infrastructure.pdf | ||
| 36C24622R0025.docx | DOCX document |
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Text version
5. PROJECT NUMBER (if applicable)
CODE
7. ADMINISTERED BY
2. AMENDMENT/MODIFICATION NUMBER
CODE
6. ISSUED BY
8. NAME AND ADDRESS OF CONTRACTOR
4. REQUISITION/PURCHASE REQ. NUMBER
3. EFFECTIVE DATE
9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED
PAGE OF PAGES
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
10B. DATED
BPA NO.
1. CONTRACT ID CODE
FACILITY CODE
CODE
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
E. IMPORTANT:
is extended,
(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.
12. ACCOUNTING AND APPROPRIATION DATA
(REV. 11/2016)
is required to sign this document and return ___________ copies to the issuing office.
is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
15C. DATE SIGNED
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
Contractor
16C. DATE SIGNED
14. DESCRIPTION OF AMENDMENT/MODIFICATION
16B. UNITED STATES OF AMERICA
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER
16A. NAME AND TITLE OF CONTRACTING OFFICER
15B. CONTRACTOR/OFFEROR
STANDARD FORM 30
PREVIOUS EDITION NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)
(If required)
(SEE ITEM 11)
(SEE ITEM 13)
(X)
CHECK
ONE
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
(Signature of person authorized to sign) (Signature of Contracting Officer)
590-19-115
Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667
Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders
36C24622R0025 05-06-2022
X
X
Deadline for proposals are due no later than Monday, May 23, 2022at 5:00 PM Eastern Time.
Reply to questions coming soon
Keith Norman Contracting Officer
Q. Several drawings give direction to refer to sheet T-102. T-102 is not listed in the drawing index, and not in the drawing set. Can T-102 be issued?
A.The note needs to be updated so that it indicates to refer to sheet T-101. The original T-101 became a general sheet and thus T-102 became T-101. There is not a T-102 that needs to be issued.
EXHIBIT A : PAST PERFORMANCE QUESTIONAIRRE REQUEST LETTER
FROM:
[Insert Company Official Name, Title, and Company Name]
SUBJECT: Request for Past/Present Performance Information
[Insert Company Name] is currently responding to VHA Network Contracting Office 6 and Hampton VA Medical Center, regarding a request for proposal for Project 590-19-115, Upgrade IT Systems Infrastructure. This Request for proposal 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 proposal instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire (Sections B and C) and return it by no later than 5:00PM EST, May 23, 2022. Return the completed questionnaire directly to the Government Contracting Officer, Keith Norman, via email at keith.norman2@va.gov.
*Do not return this form to the Contractor requesting the reference. *
Past Performance Questionnaire
SECTION A.1: Contractor and Project Information (to be completed by the contractor (offeror) prior to sending to references.
A. Contractor’s name and address: _________________________________________
B. Project Owner -POC: _________________________________________
| C. Phone: | _________________________________________ | |
| D. Email Address: | _________________________________________ |
D. Contract Number: _________________________________________ E. Project Title/Desc of Work: _________________________________________
| _________________________________________ | ||
| F. Contract Type: | _________________________________________ | |
| G. Project Award Date: ______________ | Scheduled Completion Date: ________________ |
Current/Final Completion Date: ________________
H. Project Award Amount: ____________ Current/Final Project Amount: ________________
I. Contractor being evaluated performed as the: Prime Contractor Subcontractor Supplier
A.2: EVALUATED BY: (to be completed by Project Owner)
(Signature) (Date)
_____________________________________ Address: _____________________________ (Typed or Printed Name) _____________________________________ (Title)
(Phone/Fax/Email)
| A |
| B |
| C |
| D |
NA
| Substantial Confidence |
| Satisfactory Confidence |
| Limited Confidence |
| No |
Confidence
Unknown Confidence
| Based on the offeror’s performance record, there is a high expectation that the offeror will successfully perform. |
| Based on the offeror’s performance record, there is an expectation that the offeror will successfully perform. |
| Based on the offeror’s performance record, there is low expectation that the offeror will successfully perform. |
| Based on the offeror’s performance record, there is no expectation that the offeror will successfully perform. |
No performance record is identifiable, or the offeror’s performance record is so sparse that no rating can be reasonably assigned.
EVALUATION AREAS
I. Quality A B C D NA
| 1. |
| Contractor provided effective quality control and inspection procedures that resulted in a quality-finished project. |
| □ |
| □ |
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| 2. |
| Contractor developed and submitted realistic progress schedules. |
| □ |
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| 3. |
| Contractor provided well researched and clearly identified submittals that matched contract requirements. |
| □ |
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| 4. |
| Contractor completed all work with good workmanship and in conformance with the specifications, resulting in minor, if any, punchlist items. |
| □ |
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| 5. |
| Contractor thoroughly reviewed drawings and specifications for accuracy, completeness, and compliance with contract requirements. |
| □ |
| □ |
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| □ |
II. Timely Performance A B C D NA
| 1. |
| Contractor met established project schedules to complete the project on time. |
| □ |
| □ |
| □ |
| □ |
| 2. |
| Contractor performed all work without the issuance of a cure notice or show cause letter. (If a notice was issued, please describe the circumstances on a separate sheet of paper and identify if liquidated damages were assessed.) |
| □ |
| □ |
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| 3. |
| Contractor provided timely cost/design proposals. |
| □ |
| □ |
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| 4. |
| Contractor submitted the progress schedule and interim progress reports as required in a timely manner and the schedule was approved prior to actual construction. |
| □ |
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| 5. |
| Contractor provided submittals on time as required. |
| □ |
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| 6. |
| Contractor provided payrolls for both their firm and their subcontractor’s employees as required and scheduled |
| □ |
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| □ |
| 7. |
| Contractor provided timely resolution of all punchlist items. |
| □ |
| □ |
| □ |
| □ |
III. Management Effectiveness A B C D NA
| 1. |
| Contractor provided experienced qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| □ |
| □ |
| □ |
| □ |
| 2. |
| Contractor hired quality subcontractors and effectively managed and coordinated their work. |
| □ |
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| 3. |
| Contractor hired, maintained, and replaces as necessary, qualified personnel and subcontractors/suppliers. |
| □ |
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| 4. |
| Contractor ensured the site manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule. |
| □ |
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| 5. |
| Contractor provided timely and satisfactory response to warranty issues after project completion. |
| □ |
| □ |
| □ |
| □ |
| 6. |
| Contractor paid employees/subcontractors/suppliers as required. |
| □ |
| □ |
| □ |
| □ |
| 7. |
| Contractor cooperated to resolve problems, attended meetings and maintained communication to assure satisfactory resolution. |
| □ |
| □ |
| □ |
| □ |
IV. Compliance with Safety Standards A B C D NA
| 1. |
| Adequacy of Safety Plan |
| □ |
| □ |
| □ |
| □ |
| 2. |
| Implementation of Safety Plan |
| □ |
| □ |
| □ |
| □ |
V. Overall Performance A B C D NA
| 1. |
| Please rate the contractor’s overall performance |
| □ |
| □ |
| □ |
| □ |
Additional Information:
(1) Identify the contractor's overall strengths and weaknesses.
(2) Given the choice, would you award to this contractor again?
(3) Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.
(4) Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.
(If more comment space is needed, please attach pages.)
Thank you for taking the time to complete this questionnaire.
See attached document: Amend 2 Attachment C - Past Performance Questionnaire 02.
File details come from the government source that posted it. Updated .