36C25626R0072 EXHIBIT A- Performance Relevancy Survey.pdf
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- Solicitation number
- 36C25626R0072
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This is a Performance Relevancy Survey form used to evaluate offeror past performance for a federal contract to renovate a radiation oncology department (Project No. 586-26-100, Solicitation No. 36C25626R0072).
Part 1 requires offerors to submit up to three project references completed within five years prior to the solicitation issue date. For each project, offerors must provide: project/contract title and number; project location; whether they served as prime contractor or subcontractor; original and current/completed contract values; actual start and end dates; on-time completion status; any liquidated damages assessed; CPARS availability; and a detailed description of work performed with a relevance rating (Very Relevant, Relevant, or Somewhat Relevant). Very Relevant projects involve essentially the same scope, magnitude, and complexity as the current solicitation; Relevant projects involve similar scope and magnitude; and Somewhat Relevant projects involve some of the required scope and complexity. Offerors must also identify a point of contact for each reference who will complete a detailed questionnaire/survey, and they are responsible for ensuring their references submit completed questionnaires prior to solicitation close.
Part 2, which need only be provided once in the submission package, requires additional company-level past performance information including: assessment of any liquidated damages on contracts within the past five years; discussion of problems encountered on relevant projects and corrective actions taken, including explanations of any marginal CPARS ratings; professional/industry awards and recognition received within five years of the solicitation release date; unique skills and accomplishments with supporting documentation; and technical areas uniquely relevant to the radiation oncology renovation project, specifying work performed by the prime firm versus major subcontractors and whether those subcontractors will be retained on this project.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See RFO FAR 2.101 & 3.104
Project No.586-26-100 RENOVATE RADIATION ONCOLOGY DEPARTMENT 36C25626R0072
EXHIBIT A
PERFORMANCE RELEVANCY SURVEY
Offeror Name/Company
PART 1. CONTRACT REFERENCES: Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects shall have been completed no more than 5 years prior to the solicitation issue date. Provide all information requested regarding YOUR PERFORMANCE on the contracts you elect to reference.
Project Submittal #___________________
(NOTE: Offerors allowed NO MORE than 3 projects- offerors to make appropriate copies)
Project/Contract Title: ________________________________
Contract Number/Task Order Number:_______________________
Location of Project:__________________________________
Description of Effort as Prime ( ) or Subcontractor ( )
Original Contract Value: $________________________
Current/completed Contract Value: $_________________________
Was project completed on time: Yes ( ) No ( )
Start date: ___________________ End date:_________________
Reason for delay if applicable:__________________________________________________
Any liquidated damages: Yes ( ) No ( )
CPARS available: Yes ( ) No ( )
(NOTE: Offeror can provide CPARS with proposal; however, the questionnaire has more detailed questions.)
Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, or SEMI-RELEVANT. (Circle one)
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.
Relevance detailed description of project to include work by subcontractors:
Project No.586-26-100 RENOVATE RADIATION ONCOLOGY DEPARTMENT 36C25626R0072
Point of Contact of Reference on project (who you are sending questionnaire/survey to):
Name: ________________________
Title: ________________________
Agency: ________________________
Email: ________________________
Phone: ________________________
POTENTIAL OFFERORS: IT IS YOUR RESPONSIBILITY TO FOLLOW-UP WITH
YOUR REFERENCES IN SUBMITTING QUESTIONNAIRES PRIOR TO THE CLOSE
OF THE SOLICITATION.
Project No.586-26-100 RENOVATE RADIATION ONCOLOGY DEPARTMENT 36C25626R0072
PART 2. NOT RELATED TO PART 1: Additional offeror information required, but not project specific. THIS INFORMATION NEED ONLY BE PROVIDED ONCE IN YOUR SUBMISSION
PACKAGE.
Offeror representative providing the below information:_______________________
1. Provide information regarding the assessment of liquidated damages on any contracts within the last five years. (Frequency, circumstances, severity of problem, etc.)
2. Offerors are strongly encouraged to include with their proposals information on problems encountered on any relevant projects and the specific corrective actions taken to remedy the problems. Furthermore, please provide explanation of any marginal ratings in CPARS if applicable:
3. Other Past Performance Considerations. Information provided shall be limited to the period starting five years prior to the solicitation release date and may include the following:
a. Professional/Industry awards (Identify award type, date of award and copy of certificate if applicable), Letters of appreciation, recognition or commendations
b. Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and provide supporting information for verification).
4. Address any technical areas about this project you consider uniquely relevant to this solicitation.
• Descriptions must address the following:
o Describe the specific elements of the work performed by your firm.
o Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on this project.
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