AE Past Performance Questionnaire and Cover Letter.docx

ATTACHMENT 1 - PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

Complete one set of letters and forms for each project identified in your firm’s SF 330 Section F, Example Projects Which Best Illustrate Proposed Team’s Qualifications for This Contract. Additional space or blank sheets may be added to answer any question.

Transmittal Letter to Accompany Past Performance Questionnaire

FROM: [Insert Company Official Name, Title, and Company Name]

SUBJECT: Past Performance Questionnaire for Contract(s):

[Insert Company Name] is currently responding to Department of Veterans Affairs (NCO 7) request for SF 330, Architect-Engineer Qualifications for a complete design to renovate the Cardiac Catheterization Laboratory Room 1 including all support spaces. This Request for SF 330’s requires respondents to identify customers and solicit their response regarding [Insert Company Name] performance.

[Insert Company Name] is providing past performance data to NCO 7 relating to our performance on contract [Insert contract name/number] and have identified [Insert name of reference] as the point of contact for this contract.

The request for SF 330 instructs that the respondents will provide customers with the attached questionnaire. Please complete the questionnaire and submit it by____ directly to the NCO 7 Contracting Office Contracting Officer. The requested data may be submitted by mail, but the preferred method is email to the Government representative identified below. If the Past Performance Questionnaire is emailed, DO NOT send a hard copy via mail.

Regina Lawrence, Contract Specialist VISN 7 Network Contracting Office (NCO7) 6439 Garners Ferry Road Columbia, SC 29209 E-mail: regina.lawrence@va.gov

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to [Insert Company Name]. Please direct any questions about the acquisition or the attached questionnaire to the VISN 7 NCO point of contact identified above.

Thank you, [Insert Company Official Name and Title]

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name:

Phone:

Address:

Email:

Point of Contact:

Firm Cage Code: ______________________________ Firm Tax ID Number: __________________________ Firm DUNS Number: _________________________________ Project Title: _______________________________________

Description of Project:

Description of A-E Firms’ Responsibilities:

Contract Number: ________________________________________________________ Dollar Amount: _____________________ _____________________________________ Contract Period of Performance: _____________________________________________ A-E Firm performed as: Prime Contractor/Sub-Contractor/Consultant/Team Member ______ Percent of work performed by A-E Firm:___________________________________________ Other (Please describe) ________________________________________________________

B. EVALUATION INFORMATION:

Evaluator’s Company or Agency Firm Name:

Evaluator’s Name:

Address:

Title:

Phone:

Email:

A. SEND COMPLETED QUESTIONAIRE (SECTIONS B through D) TO: (Email Only)

Regina Lawrence, Contract Specialist VISN 7 Network Contracting Office (NCO7) 3469 Garners Ferry Road Columbia, SC 29209 E-mail: regina.lawrence@va.gov

B. PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the A/E’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS OF Marginal or Unsatisfactory on page 7 under Narrative Summary.

Corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective.

A-E FIRM’S NAME: PROJECT NAME:

Contract Period of Performance:

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix on page 4.

Item

FACTORS TO BE RATED

Design Services:

Follow-On Construction Support Services:

LEED (If Applicable):

BIM (If Applicable):

Owner’s Representative on Design/Build Projects (If Applicable):

Overall:

CONTRACTOR’S NAME:

PROJECT NAME:

CONTRACT PERIOD OF PERFORMANCE

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

NARRATIVE SUMMARY (Use this section to explain any rating from the previous page)