36E77619R0009-018.docx
DOCX document Posted
- Attached to
- ESPC IDIQ (VA-19-00001743) Federal contract opportunity
- Solicitation number
- 36E77619R0009
About this file
This document contains a past performance questionnaire for an energy savings performance contract and a pre-solicitation notice for an indefinite delivery indefinite quantity energy savings performance contract from the Department of Veterans Affairs.
The past performance questionnaire is for a contractor to provide information and for an evaluator to assess performance on a previous energy savings performance contract. It requests details on the past contract and ratings on quality, schedule, communication, management, cost, safety, subcontracting, and an overall rating. The evaluator is asked to return the completed questionnaire by December 1, 2017.
The pre-solicitation notice indicates the Department of Veterans Affairs intends to solicit energy savings performance contracts through an indefinite delivery indefinite quantity contract with multiple awardees. The solicitation number will be 36E77619R0009 and is expected to post on January 15, 2019. Only Service Disabled Veteran Owned Small Businesses on the Department of Energy's qualified list of energy service companies may submit offers for these multi-year contracts to implement energy conservation measures at no upfront cost to the agency, with contractors paid back through guaranteed annual energy cost savings.
36E77619R0009 S02 ATTACHMENT J-14 - Past Performance Form.docx
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VA PROGRAM CONTRACTING ACTIVITY CENTRAL ● 6150 OAK TREE BLVD SUITE 300 ● INDEPENDENCE, OH 44131
ATTACHMENT J-14
VA ESPC/UESC PAST PERFORMANCE
QUESTIONNAIRE
SECTION 1
CONTRACT INFORMATION – Contractor to complete #1-3
1. CONTRACTOR INFORMATION
NAME OF OFFEROR BEING EVALUATED: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
POINT OF CONTACT: Click or tap here to enter text.
CONTACT PHONE NUMBER: Click or tap here to enter text.
CONTACT EMAIL ADDRESS: Click or tap here to enter text.
WORK PERFOMED AS: Click or tap here to enter text.
PERCENT OF PROJECT WORK PERFORMED: Click or tap here to enter text.
IF SUBCONTRACTOR, WHO WAS THE PRIME? Click or tap here to enter text.
2. CONTRACT INFORMATION
CONTRACT TITLE: Click or tap here to enter text.
CONTRACT NUMBER AND DO/TO NUMBER: Click or tap here to enter text.
CONTRACT TYPE: Choose an item.
if other:
CONTRACT LOCATION: Click or tap here to enter text.
AWARD DATE: Click or tap to enter a date.
ORIGINAL CONTRACT ACCCEPTANCE (construction accepted) Date: Click or tap to enter a date.
ACTUAL CONTRACT ACCEPTANCE: Click or tap to enter a date.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
ORIGINAL IMPLEMENTATION PRICE: Click or tap here to enter text.
ORIGINAL CONTRACT PRICE (all costs - design/installation/financing): Click or tap here to enter text.
FINAL CONTRACT PRICE (including modifications, if applicable): Click or tap here to enter text.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
3. PROJECT DESCRIPTION
ECMS INCLUDED IN PROJECT: Click or tap here to enter text.
HOW IS THIS PROJECT RELEVANT TO PROJECT OF SUBMISSION? Click or tap here to enter text.
SECTION 2
EVALUATOR INFORMATION – Client to complete
Veterans Affairs Program Contracting Activity Central (PCAC) is considering the Offeror identified above for award to implement an Energy Saving Performance Contract for the Veterans Integrated Service Network (VISN) 21 Las Vegas.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation.
Please verify the information in Section 1 is accurate and complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. In addition to submitting this questionnaire, the VA-PCAC may contact you in order to obtain any additional information regarding a contract award.
Please email your completed questionnaire to Janice.Shahan@va.gov and Kathleen.Klotzbach@va.gov by December 1, 2017 @ 4:00PM Eastern Local time.
EVALUATOR INFORMATION
NAME OF EVALUATOR: Click or tap here to enter text.
POSITION: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
PHONE: Click or tap here to enter text.
EMAIL: Click or tap here to enter text.
DESCRIBE YOUR ROLE IN THE PROJECT: Click or tap here to enter text.
ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
| Rating |
| Definition |
| Outstanding |
| The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Offeror were highly effective |
| Above Average |
| The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Offeror were effective. |
| Satisfactory |
| The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Offeror were satisfactory. |
| Unsatisfactory |
| Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the Offeror has yet to identify corrective actions or the Offeror’s proposed actions appear only marginally effective or were not fully implemented. |
| Not Applicable |
| No information or did not apply to your contract. |
PLEASE SELECT THE ADJECTIVAL RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY
| a) M&V Reports were timely and accurate and showed contracted savings were met. |
| Choose an item. |
| b) Ability to meet quality design and construction standards specified for technical performance |
| Choose an item. |
| c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance |
| Choose an item. |
| Comments: |
2. SCHEDULE/ TIMELINESS OF PERFORMANCE
| a) Compliance with contract delivery/completion schedules including any significant intermediate milestones (If liquidated damages were assessed or the schedule was not met, please address below.) |
| Choose an item. |
| Comments: |
3. COMMUNICATION
| a) Contractor was reasonable and cooperative in dealing with client staff (including the ability to successfully resolve disagreements/ disputes; and responsiveness to client requests) |
| Choose an item. |
| Comments: |
4. MANAGEMENT/ PERSONNEL/ LABOR
| a) Effectiveness of management, including suppliers, materials, and/or labor force (including the ability to effectively lead, manage and control the program) |
| Choose an item. |
| b) Continuity in the contractor’s personnel during execution of the contract (e.g., one person or team that stayed with the project throughout the contract) |
| Choose an item. |
| Comments: |
5. COST/ FINANCIAL MANGEMENT
| a) Ability to meet the terms and conditions within the contractually agreed price? |
| Choose an item. |
| b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefitted the client |
| Choose an item. |
| Comments: |
6. SAFETY/ SECURITY
| a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes following the user’s rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.) |
| Choose an item. |
| Comments: |
7. SUBCONTRACT MANAGEMENT
a) Ability to manage subcontracting effort including any subcontracting issues, and the contractor’s ability to resolve the problems without extensive customer guidance.
Choose an item.
Comments:
8. SUMMARY
| a) Would you hire or work with this firm again? If no, please explain below. |
| Choose an item. |
| b) Provide an overall rating for the work performed by this contractor. |
| Choose an item. |
ADDITIONAL COMMENTS:
| EVALUATOR SIGNATURE: |
| DATE: |
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