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This document provides details for an Indefinite-Delivery Indefinite-Quantity construction contract opportunity with the Department of Veterans Affairs. The solicitation will be set aside 100% for Service-Disabled Veteran-Owned Small Businesses and will result in multiple award IDIQ contracts for construction services at four locations within VISN 16. Work will include non-recurring maintenance, repair, and construction including new construction. Locations include facilities in Alexandria, Louisiana; Overton Brooks VA Medical Center in Shreveport, Louisiana; Southeast Louisiana Veterans Health Care System facilities in New Orleans and Hammond, Louisiana; and Gulf Coast Veterans Health Care System facilities in Biloxi, Mississippi and Panama City, Florida. The anticipated contract award date is approximately 45 days after receipt of bids. The acquisition will award a minimum of two firm-fixed-price IDIQ contracts per location with a five-year base period and minimum $500 guarantee and $25 million maximum per contract. Task orders will be issued with a minimum of $2,000 and maximum of $500,000. The NAICS code is 236220 and size standard is $36.5 million.

36C25618R0173 EXHIBIT B PAST AND PRESENT PERFORMANCE QUESTIONNAIRE.docx

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Indefinite-Delivery Indefinite-Quantity (IDIQ) Construction Contract 36C25618R0173

EXHIBIT B

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS TO CONTRACTOR

Complete the CONTRACTOR INFORMATION section, below (type answers into light blue shaded boxes). Save the document. Send an electronic or hard copy print of the form to each of your reference contacts, asking them to please complete the form and submit it according to the instructions, below.

INSTRUCTIONS TO REFERENCE CONTACT

The contractor named below is submitting an offer for a United States Department of Veterans Affairs contract requirement, and has sent this form to you, in your role as a past performance reference contact. Please complete this form in full (all areas shaded in light yellow, below). Once completed, please send the form to the Contract Specialist via postal mail or email, directly to:

Department of Veterans Affairs NCO 16 Contracting Office ATTN: Beth Cook, Contract Specialist REF: 36C25618R0173 400 Veterans Avenue (NCO 16) Biloxi, MS 39531 Email Address: beth.cook@va.gov

Please return the completed form no later than June 8, 2018. If you have any questions, please contact Ms. Cook via email, or call 228-523-4371. Thank you for your assistance in this matter.

GENERAL INFORMATION [completed by Contractor]

Contractor Company Name

Street Address

Contractor Point of Contact Name

City

Point of Contact Phone Number

State

Reference Project Title

Zip Code

Contract Period of Performance (start to finish):

Email

Contract Number

Contract Dollar Value

Description of Work

Role of Contractor on This Project (check appropriate box) ☐ Prime Contractor ☐ Sub-contractor ☐ Key Personnel

RESPONDENT INFORMATION [completed by Reference Contact]

Company Name

Street Address

POC Name

City

Phone Number

State

Fax Number

Zip Code

Email

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2 in the Remarks section, below (text box will expand to whatever extent is necessary).

1
2
3
4
5
6
UNSATISFACTORY
MARGINAL
SATISFACTORY
VERY GOOD
EXCEPTIONAL
NEUTRAL
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
Performance met contractual requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.
Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.
Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.
No record of past performance or the record is inconclusive.[endnoteRef:1] [1: Printed Name

Title

Signature]

The Contractor …
1
2
3
4
5
6
1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
☐☐☐☐☐☐
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
☐☐☐☐☐☐
3.
Delegated authority to project managers and supervisors commensurate with contract requirements.
☐☐☐☐☐☐
4.
Home office participated in solving significant local problems.
☐☐☐☐☐☐
5.
Followed approved quality control plan.
☐☐☐☐☐☐
6.
Provided effective quality control and/or inspection procedures to meet contract requirements.
☐☐☐☐☐☐
7.
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
☐☐☐☐☐☐
8.
Provided timely resolution of contract discrepancies
☐☐☐☐☐☐
9.
Identified problems as they occurred.
☐☐☐☐☐☐
10.
Suggested alternative approaches to problems.
☐☐☐☐☐☐
11.
Displayed initiative to solve problems.
☐☐☐☐☐☐
12.
Developed realistic progress schedules.
☐☐☐☐☐☐
13.
Met established project schedules.
☐☐☐☐☐☐
14.
Provided timely resolution of warranty defects.
☐☐☐☐☐☐
15.
Was responsive to contract changes.
☐☐☐☐☐☐
16.
Provided adequate project supervision.
☐☐☐☐☐☐
17.
Obtained consent of surety for increases in bonding as work-in-progress increased.
☐☐☐☐☐☐
18.
Paid subcontractors/suppliers in a timely manner.
☐☐☐☐☐☐
19.
Provided accurate and complete line item cost proposals including all aspects of work required for each task.
☐☐☐☐☐☐
20.
Cooperated with Government personnel after award.
☐☐☐☐☐☐
21.
How would you rate the contractor's overall performance?
☐☐☐☐☐☐
22.
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”
☐YES
☐NO
23
Would you award another contract to this contractor? If not, please explain in “remarks.”
☐YES
☐NO
24
To the best of your knowledge, is the contractor rated in CPARS?
☐YES
☐NO

REMARKS (Please use as much space as is needed – the box will expand as you type).

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