S02-657A4-21-800-ATTACHMENT 2-Performance Relevancy Survey.pdf
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- Attached to
- Z2DA--657A4-21-800, TF - FCA - Remove and Replace End-of-Life HVAC Infrastructure Building 1
- Solicitation number
- 36C25525R0009
About this file
This is a Performance Relevancy Survey template (Attachment 2) for solicitation 36C25525R0009, which requires offerors to provide detailed information about their past performance on similar HVAC infrastructure projects. The survey asks contractors to document their relevant experience within the past 5 years, including contract values, completion dates, and performance details.
The form requires specific information about each referenced contract, including whether the offeror served as prime or subcontractor, original and final contract values, completion dates, and causes for any modifications. Offerors must rate and justify the relevancy of each past performance example as Very Relevant, Relevant, Somewhat Relevant, or Not Relevant based on defined criteria comparing scope and complexity to the current HVAC infrastructure project. The form also requires details about subcontractor work, technical areas uniquely relevant to the solicitation, and contact information for previous contract references. This is part of the evaluation package for a $10-20 million SDVOSB set-aside project at the John J. Pershing VA Medical Center in Poplar Bluff, Missouri.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
657A4-21-800 TF - FCA - Remove and Replace End-of-Life Heating, Ventilation and Air Conditioning Infrastructure Building 1
36C25525R0009
ATTACHMENT 2
PERFORMANCE RELEVANCY SURVEY
Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects may be on-going and cannot have been completed any later than 5 years prior to the issuance of this solicitation. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.
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(s):
a. Original Date: ______________________
b. Current Schedule____________________
c. Estimate/Final Completion Date:____________________
d. 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 REVELANT, RELEVANT, SOMEWHAT
RELEVANT, NOT RELEVANT.
Relevancy Rating Definition VERY RELEVANT Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.
RELEVANT Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.
SOMEWHAT
RELEVANT
Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.
NOT RELEVANT Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
589A5-22-106 Replace Building 4 HVAC 36C25524R0114
Descriptions must 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 JOC.
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.
E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR); include a current phone number, email address and facsimile number for each.
Company Name:
Point of Contact: Title: E-mail: __ Office Phone: _______________ Address of Record:
File details come from the government source that posted it. Updated .