Attachment 7- (Exhibit A) Performance Relevancy Survey v2.docx
DOCX document 58 KB Posted
- Solicitation number
- 36C24821R0139
About this file
This document contains a performance relevancy survey and related federal contract opportunity notice for construction services. The performance relevancy survey requests information on relevant past projects over the last five years for a firm seeking to provide expansion and renovation services for the Cardiothoracic Intensive Contractor Care Unit at the Malcom Randall VA Medical Center in Gainesville, Florida. The federal contract opportunity details a planned solicitation for a firm fixed price construction contract with an estimated value between $1 million to $5 million and a 365-day performance period. Interested offerors should register in SAM.gov to receive the solicitation scheduled for release on or around July 28, 2021, with responses due on a date specified in the solicitation. The work includes expanding capacity, eliminating deficiencies, and improving functionality, patient access, and privacy at the facility.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 - LOS Certification Solicitation Version.doc | DOC document | |
| Attachment 9 - Q_A RFIs.xlsx | XLSX spreadsheet | |
| Attachment 5- DB Wage Rates FL20210194 05.07.2021.pdf | ||
| Attachment 4 - Price Matrix.xlsx | XLSX spreadsheet | |
| 36C24821R0139.docx | DOCX document | |
| Attachment 8 (Exhibit B) Past and Present Performance Questionnaire.docx | DOCX document | |
| Attachment 1- Specifications.zip | ZIP file | |
| Attachment 6 -(Exhibit C) EMR.docx | DOCX document | |
| 36C24821R0139_3.docx | DOCX document | |
| Attachment 2- Drawings.zip | ZIP file |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 573-18-605, Correct Patient Privacy Deficiencies, at Malcom Randall VAMC 36C22481R0139 Attachment 9
PERFORMANCE RELEVANCY SURVEY
PART 1: Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects may be on-going and cannot have been completed more than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.
A. Offeror Name (Company/Division):
B. Project/Contract Title:
C. Contract Specifics:
| 1. Description of Effort as ( ) Prime Or ( ) Subcontractor | |
| 2. Contract Number: | |
| 3. Original Contract $ Value $ | Current/Final Contract $ Value $ |
| 4. If amounts in 3 above are different, provide a brief description of the reason: |
| 5. Completion Date(s): | |
| a. Original Date: |
b. Current Schedule:
| c. Estimated/Final Completion Date: |
| d. Primary cause for Contract Modifications: |
D. Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, or SEMI-RELEVANT.
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.
Descriptions must address the following:
1. Describe the specific elements of the work performed by your firm.
2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on this project.
3. Address any technical areas about this project you consider uniquely relevant to this solicitation.
E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR / COTR); include a current phone number, email address and facsimile number for each.
Company/Agency Name:
Point of Contact: Title:
Office Phone: Fax: E-mail:
Address of Record:
PART 2: Additional offeror information required, but not project specific. This information need only be provided once in your submission package.
A. Provide information regarding the assessment of liquidated damages on any contracts within the last three years. (Frequency, circumstances, severity of problem, etc.)
B. Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.
C. Other Past Performance Considerations. Information provided shall be limited to the period starting three years prior to the solicitation release date and may include the following:
| 1. | Professional/Industry awards (Identify award type, date of award and copy of certificate if | applicable), Letters of appreciation, recognition or commendations |
| 3. | Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and | provide supporting information for verification). |
Company Name:
Point of Contact: Title:
Office Phone: Fax: E-mail:
Address of Record:
File details come from the government source that posted it. Updated .