ATTACHMENT 2_PAST PERF QUEST 02.docx

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Y1PC--Dallas National Cemetery
Solicitation number
36C10F20R0056
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This document contains a past performance questionnaire for a federal construction contract opportunity. The Department of Veterans Affairs is soliciting proposals for the Phase 4 expansion of the Dallas Fort Worth National Cemetery in Dallas, Texas. The scope of work includes constructing additional gravesites, buildings, and cemetery improvements across 56 acres of land. Offerors must be a service-disabled veteran-owned small business with a general construction NAICS code and $39.5 million size standard. Proposals are due approximately 30 days after the request for proposal posts on SAM.gov on or around June 19, 2020. The pre-proposal conference date and response deadline are TBD in the solicitation. The contract value ranges from $20-50 million and work must be completed within 900 calendar days of the notice to proceed.

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ATTACHMENT 2 - PAST PERFORMANCE QUESTIONNAIRE

Past Performance Questionnaire

PACKAGE INFORMATION AND FORMS

Instructions to Offeror for sending Reference Questionnaire Forms: Prepare and send a reference questionnaire package for each project listed on your Exhibit A, Performance Relevancy Questionnaires. You are encouraged to send a questionnaire to other clients of contracts listed in your “List of 10 other projects”. For Government contracts, send to Contracting Officer or Technical Representative. For commercial references send to personnel with duties similar to those for Government contracts. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. If you have multiple references at one location, send one cover letter and questionnaire for each contract you want a reference for. Your questionnaire package should contain the following.

· Cover Letter (See attached Sample)

· Respondent Identification and Ratings. Offeror should put name in spaces indicated and ensure it is on every page for identification purposes

· Suggested – Pre-addressed stamped envelope to return to Contracting Officer.

OFFEROR SHOULD PLACE THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE!!!

OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES

SAMPLE COVER LETTER

AND

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, Office of Construction & Facilities Management. 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 July XX, 2020, at Noon EST. Do not return them to our company. NOTE: EMAIL IS THE PREFERRED METHOD.

Department of Veterans Affairs Office of Construction & Facilities Management 425 I. Street, NW 6th Floor Washington, DC 20001 or email to: Crystal.Cole2@va.gov (preferred method)

If you have questions regarding the attached questionnaire, or require assistance, please contact Crystal D. Cole, Contracting Officer at (202) 382-2708.

Thank you for your assistance.

Signature and Title

PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this Questionnaire and mail or send via email to: Crystal D. Cole (Crystal.Cole2@va.gov)

Office of Construction and Facilities Management 425 I. Street, NW 6th Floor Washington, DC 20001 Desired Response Date: NLT noon EST, 7/XX/2020

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

1a. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT AWARD DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options): $

1b. NAME OF PRIME CONTRACTOR (If this questionnaire is for a team member)

6. TYPE OF CONTRACT:

7. PROJECT TITLE, LOCATION, AND DESCRIPTION (AND TOTAL CONSTRUCTION VALUE AT PROJECT COMPLETION):

Please add a continuation page if additional space necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.

E = Exceptional
S = Satisfactory
U = Unacceptable
G = Very Good
M = Marginal
N/O = Not Observed

A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

E G S M U N/O

B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.

E G S M U N/O

C. Schedule – Assess the timeliness of contractor against the schedule of activities.

E G S M U N/O

D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.

E G S M U N/O

E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.

E G S M U N/O

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.

E G S M U N/O

G. Overall Assessment.

E G S M U N/O

Comments (please provide some brief comments about strengths & weaknesses you observed in this contractor while working with them):

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