EXHIBIT A PERFORMANCE RELEVANCY SURVEY v2.docx

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Z2NB--564-21-1-609-0001 Install Catwalks & Upgrade Piping System Boiler Plant B-10 (564-14-124)
Solicitation number
36C25621R0020
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This exhibit provides guidance for a past performance survey to be submitted for a solicitation to install catwalks and upgrade piping systems at a Veterans Health Administration boiler plant. Offerors are asked to provide details of up to three relevant past performance examples from the past three years on projects as a prime or subcontractor. For each, they should include the contract number and value, completion dates, and an assessment of relevance to the current solicitation. The solicitation number is 36C25621R0020 and will be set aside 100% for service-disabled veteran-owned small businesses. It involves installing catwalks and upgrading piping systems at the Veterans Health Care System of the Ozarks facility in Fayetteville, Arkansas, with an estimated budget between $2-5 million. Proposals are due around February 15, 2021 and award is expected within 30 days thereafter.

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EXHIBIT B Past and Present Performance Questionnaire.docx DOCX document
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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 564-14-124 Install Boiler Plant Catwalks & Piping 36C25621R0020

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 solicitation issue 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 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.

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 this project.

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 three 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 three 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 ifapplicable), Letters of appreciation, recognition or commendations
3.Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments andprovide 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 .