36C25718R0346-004.docx
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- Design-Build Visitor Parking Garage (674-280)
- Solicitation number
- 36C25718R0346
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This document contains a past performance evaluation questionnaire and information on a related federal contract opportunity for design-build services. The past performance questionnaire is intended to collect feedback from references on a contractor's performance on previous similar projects. It asks evaluators to rate the contractor's compliance, management, personnel use, timeliness, schedule adherence, safety responsiveness, customer relations, problem-solving abilities, financial management, responsiveness to notices, and overall satisfaction on a previous job on a scale of exceptional to unsatisfactory. The related federal contract opportunity is a solicitation for design and construction services for a parking garage at the Temple VA Medical Center in Temple, Texas. Services required include design, construction, site work, demolition, and project completion within 365 calendar days of the notice to proceed. The estimated cost range for the construction is between $5-10 million. The opportunity is set aside for Service-Disabled Veteran-Owned Small Businesses. Responses are due June 29, 2018 with an anticipated award date in April 2018. The sponsor is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17.
36C25718R0346 PAST PERFORMANCE EVALUATION QUESTIONNAIRE.docx
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CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE
PARKING GARAGE PHASE II DESIGN/BUILD PROJECT SOLICITIATION
PAST PERFORMANCE EVALUATION QUESTIONNAIRE
Your Company Letterhead
| Date: | _________________ |
| To: | ______________________________________ |
We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Department of Veterans Affairs- Central Texas Health Care System, Olin E. Teague Veterans Medical Center, Temple, Texas.
In accordance with Federal Acquisition Regulations (FAR), they will evaluate our firm's past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e) (4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.
Please send your completed questionnaire to the following address to arrive NOT LATER THAN March 20, 2018. DO NOT return them to our company.
Network Contracting Office (NCO) 17 Attn.: Camille Dye, Contract Specialist 2002 Scott Blvd Temple, TX 76504 Or email to: Camille.dye@va.gov If you have questions regarding the attached questionnaire, or require assistance, please contact the Contracting Officer at (254) 899-6042 Thank you for your assistance.
Signature and Title
RATING DEFINITION
E- Exceptional Indicates the contractor’s performance record within the area of evaluation exceeded that required by the contract.
VG-Very Good Indicates the contractor’s performance record within the area of evaluation met all contractual requirements.
S-Satisfactory Indicates the contractor’s performance record within the area of evaluation met essentially all contractual requirements.
M-Marginal Indicates the contractor’s performance record within the area of evaluation met some of the contractual requirements. However, changes to the contractor’s existing processes may be necessary in order to achieve contract requirements.
U-Unsatisfactory Indicates the contractor’s performance record within the area of evaluation failed to meet the minimum government requirements.
N-Neutral Past performance for a contractor who has no identifiable past performance record will be evaluated as Neutral.
1. How would you rate the Offeror’s compliance with the contract requirements?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the effectiveness of the Offeror’s on-site management?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s use of appropriate personnel for contract requirements?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
| 1. How would you rate the Offeror’s timeliness in submission of schedule? | Reports? Submittals? | ||||
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s adherence to the construction schedule?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s responsiveness towards safety issues?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s ability to effectively deal with the customer and other Government personnel?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s cooperativeness in solving problems and negotiating changes?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s abilities to address any financial difficulties (i.e., payment of subcontractors and/or vendors, labor disputes, etc.)?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
| 1. How would you rate the Offeror’s responsiveness to cure notices, show | cause letters, suspension of payment, or termination notices? | ||||
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. As the end user/customer, how would you rate your satisfaction with the end product?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. How would you rate the Offeror’s overall performance on this project?
| E | VG | S | M | U | N (circle one) |
| REMARKS: |
1. Would you recommend or use this contractor again?
| E | VG | S | M | U | (circle one) |
| REMARKS: |
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