Amendment 0001_EXHIBIT B PERFORMANCE RELEVANCY SURVEY.docx
DOCX document 54 KB Posted
- Attached to
- Y1DZ--"Renovate 1st Floor Community Living Center" at G. V. (Sonny) Montgomery VAMC in Jackson, MS.
- Solicitation number
- 36C25620R0055
About this file
This document contains a performance relevancy survey and statement of work for a federal solicitation to renovate the first floor community living center at the G.V. (Sonny) Montgomery VA Medical Center in Jackson, Mississippi. Offerors are required to provide details of up to three relevant past performance projects from the past three years, including contract values, completion dates, descriptions of work performed, and points of contact. The statement of work specifies furnishing all labor, materials, tools, transportation, and supervision to renovate the first floor community living center, including important dates and specifications. The solicitation number is 36C25620R0055, and responses are due by the dates specified in the attachments to the solicitation posted by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
| CLC Renovation 1st FL, Jackson, MS |
| Solicitation No. 36C25620R0055 |
EXHIBIT A
PERFORMANCE RELEVANCY SURVEY
PART 1: 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 more than 3 years prior to the proposal due date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.
A. Offeror 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. Estimated/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, or SEMI-RELEVANT.
Very Relevant Present/past performance effort involved essentially the same magnitude of effort and complexities this solicitation requires.
Relevant Present/past performance effort involved similar magnitude of effort and complexities this solicitation requires.
Somewhat Relevant Present/past performance effort involved some of the magnitude of effort and complexities this solicitation requires.
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 the project specified by the task order solicitation.
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 / COTR); include a current phone number, email address and facsimile number for each.
Company/Agency Name:
Point of Contact: Title:
Office Phone: Fax: E-mail:
Address of Record:
PART 2: Additional offeror information required, but not project specific. This information need only be provided once in your submission package.
A. Provide information regarding the assessment of liquidated damages on any contracts within the last five years. (Frequency, circumstances, severity of problem, etc.)
B. Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.
C. Other Past Performance Considerations. Information provided shall be limited to the period starting 5 years prior to the solicitation release date and may include the following:
| 1. | Professional/Industry awards (Identify award type, date of award and copy of certificate if | applicable), Letters of appreciation, recognition or commendations |
| 3. | Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and | provide supporting information for verification). |
Company Name:
Point of Contact: Title:
Office Phone: Fax: E-mail:
Address of Record:
File details come from the government source that posted it. Updated .