PPQ- 657-23-101JB.docx
DOCX document 35 KB Posted
- Attached to
- Z1DA--657-23-101JB FCA Replace Various Air Handling Units/Chillers Buildings 1, 24 and 51
- Solicitation number
- 36C25525R0097
About this file
This document is a Past Performance Client Questionnaire for a federal contract opportunity involving the replacement of air handling units and chillers at the Department of Veterans Affairs. The solicitation (36C25525R0097) is for Project No. 657-23-101JB, specifically targeting Buildings 1, 24, and 51 within Veterans Integrated Service Network 15. The questionnaire is a comprehensive evaluation form designed to assess a contractor's performance across seven key areas: quality, schedule/timeliness, customer satisfaction, management/personnel, cost/financial management, safety/security, and general performance. The form allows clients to rate contractor performance using an adjectival scale ranging from Exceptional (E) to Unsatisfactory (U), with detailed subcategories that cover aspects such as technical proficiency, resource management, workforce effectiveness, and compliance with contractual requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25525R0097 0005.docx | DOCX document | |
| 36C25525R0097 0004.docx | DOCX document | |
| 36C25525R0097 0003.docx | DOCX document | |
| 230711 - HVAC AND BOILER PLANT INSULATION.pdf | ||
| TEMP-PRC001A-EN_06162024.pdf | ||
| 36C25525R0097 0002.docx | DOCX document | |
| ssc-cat_spirax-sarco-ft-traps.pdf | ||
| PreProposal Conference Site Visit Agenda 657-23-101JB.pdf | ||
| MO20250089 06-13-2025.pdf | ||
| VA_St_Louis_MO_AHU_Updated_Selections.pdf | ||
| 657-23-101JB Pre-proposal sign-in.jpg | JPG image | |
| 36C25525R0097 0001.docx | DOCX document | |
| 657-23-101JB_-Final Drawings Part-2.pdf | ||
| 657-23-101JB_-Final Drawings Part-1.pdf | ||
| 657-23-101JB_Final Specifications.pdf | ||
| 36C25525R0097_1.docx | DOCX document | |
| 852.219-75 VA Notice of Limitations on Subcontracting - Certificate of Compliance for Services and Construction.docx | DOCX document | |
| 657-23-101JB_-Final Drawings Part-6.pdf | ||
| 657-23-101JB_-Final Drawings Part-5.pdf | ||
| 657-23-101JB_-Final Drawings Part-4.pdf | ||
| 657-23-101JB_-Final Drawings Part-3.pdf |
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Text version
657-23-101JB FCA Replace Various Air Handling Units/Chillers 36C25525R0097 Solicitation Attachment 6 Past Performance Client Questionnaire
PAST PERFOMANCE QUESTIONNAIRE
1.) GENERAL INFORMATION on Contractor being evaluated
Name of Contractor:
Point of Contact: Title:
E-mail:
Address of Record: Office Phone:
Contract#: Dollar Amount:
Dates of Performance:
Contractor Performed as: |_|Prime Contractor |_|Sub-Contractor |_|Key Personnel
Project Title and Brief Description of Work:
*Note: If Contractor holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.
2.) RESPONDENT CLIENT INFORMATION
(Person providing comments on Contractor Performance)
Respondent Name: Title:
E-mail: Office phone:
Address of Record:
3.) TRANSMITTAL INSTRUCTIONS: E-mail completed survey to Jennifer Hill (Jennifer.Hill@va.gov) and Tonesha King (Tonesha.King@va.gov) , Network Contracting Office 15 (NCO 15).
4.) PERFORMANCE INFORMATION: Choose the appropriate adjectival rating that most accurately describes the contractor’s performance.
| Exceptional (E) |
| Based on the Offeror’s overall past performance subfactor ratings, essentially no doubt exists that the Offeror will successfully perform ABOVE AND BEYOND the required effort. |
| Good (G) |
| Based on the Offeror’s overall past performance subfactor ratings, little doubt exists that the Offeror will successfully perform ALL the required effort. |
| Satisfactory (S) |
| Based on the Offeror’s performance record, some doubt exists that the Offeror will successfully perform MOST of the required effort. |
| Marginal (M) |
| Based on the Offeror’s overall past performance subfactor ratings, substantial doubt exists that the Offeror will successfully perform MOST the required effort. Changes to the Offeror’s existing processes may be necessary in order to achieve contract requirements. |
| Unsatisfactory (U) |
| Based on the Offeror’s overall past performance subfactor ratings, extreme doubt exists that the Offeror will successfully perform the required effort. |
| Neutral / Not Applicable or Unknown (N) |
| No performance record identifiable within the area of evaluation. |
TO BE COMPLETED BY RESPONDENT CLIENT
PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY:
| Quality of technical data/report preparation efforts |
| E |
| G |
| S |
| M |
| U |
| N |
| Ability to meet quality standards specified for technical performance |
| E |
| G |
| S |
| M |
| U |
| N |
| Timeliness/effectiveness of contract problem resolution without extensive customer guidance |
| E |
| G |
| S |
| M |
| U |
| N |
| Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance) |
| E |
| G |
| S |
| M |
| U |
| N |
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
| Compliance with contract delivery/completion schedules including any significant intermediate milestones |
| E |
| G |
| S |
| M |
| U |
| N |
| Rate the contractor’s use of available resources to accomplish tasks identified in the contract |
| E |
| G |
| S |
| M |
| U |
| N |
3. CUSTOMER SATISFACTION:
| To what extent were the end users satisfied with the project? |
| E |
| G |
| S |
| M |
| U |
| N |
| Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, businesslike and communication) |
| E |
| G |
| S |
| M |
| U |
| N |
| To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? |
| E |
| G |
| S |
| M |
| U |
| N |
| Overall customer satisfaction |
| E |
| G |
| S |
| M |
| U |
| N |
4. MANAGEMENT/ PERSONNEL/LABOR
| Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? |
| E |
| G |
| S |
| M |
| U |
| N |
| Ability to hire, apply, and retain a qualified workforce to this effort |
| E |
| G |
| S |
| M |
| U |
| N |
| Government Property Control |
| E |
| G |
| S |
| M |
| U |
| N |
| Knowledge/expertise demonstrated by contractor personnel |
| E |
| G |
| S |
| M |
| U |
| N |
| Utilization of Small Business concerns |
| E |
| G |
| S |
| M |
| U |
| N |
| Ability to simultaneously manage multiple projects with multiple disciplines |
| E |
| G |
| S |
| M |
| U |
| N |
Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes
| E |
| G |
| S |
| M |
| U |
| N |
| Effectiveness of overall management (including ability to effectively lead, manage and control the program) |
| E |
| G |
| S |
| M |
| U |
| N |
5. COST/FINANCIAL MANAGEMENT
| Ability to meet the terms and conditions within the contractually agreed price(s)? |
| E |
| G |
| S |
| M |
| U |
| N |
| Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client. |
| E |
| G |
| S |
| M |
| U |
| N |
| If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate backup documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns) |
| E |
| G |
| S |
| M |
| U |
| N |
Have there been any indications that the contractor has had any financial problems? If yes, please explain below.
Yes
No
6. SAFETY/SECURITY
| To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.) |
| E |
| G |
| S |
| M |
| U |
| N |
| Contractor complied with all security requirements for the project and personnel security requirements. |
| E |
| G |
| S |
| M |
| U |
| N |
7. GENERAL
| Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues). |
| E |
| G |
| S |
| M |
| U |
| N |
| Compliance with contractual terms/provisions (explain if specific issues) |
| E |
| G |
| S |
| M |
| U |
| N |
Would you hire or work with this firm again? (If no, please explain below)
Yes
No
| In summary, provide an overall rating for the work performed by this contractor. |
| E |
| G |
| S |
| M |
| U |
| N |
Please provide frank responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (attach additional pages if necessary):
SOURCE SELECTION SENSITIVE Page 1 of 5 Attachment 6 FAR 2.101 and 3.104.-4
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