Attachment 8 - 663A4-23-203 - 663A4-24-203 - Past Performance Questionnaire.docx

DOCX document 111 KB Posted

Attached to
Y1DA--Construction Project 663A4-24-203 Replace HVAC HP3, Bldg. 19 Federal contract opportunity
Solicitation number
36C26024R0082
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20

About this file

This document is a Past Performance Questionnaire (PPQ) related to a federal contract opportunity for a construction project to replace the HVAC system in Building 19 at the American Lake campus of the Veterans Health Administration (VHA).

The key details are: The contract opportunity is solicitation number 36C26024R0082 for Project # 663A4-24-203 Replace HVAC HP3, Bldg. 19. It is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside. The contract will be Firm-Fixed-Price construction awarded using best value tradeoff source selection. Proposals are due by September 10, 2024. The government is requesting past performance information on similar projects completed within the last 7 years. Relevant projects should demonstrate experience in scope, complexity, size, and price similar to the current requirement. The past performance will be evaluated for quality, schedule, communication, management, cost control, and subcontract management. An overall performance confidence assessment will be assigned, and only "Neutral", "Satisfactory", or "Substantial" confidence ratings will be considered eligible for award.

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Text version

VHA NETWORK CONTRACTING OFFICE 20 ● 1601 E. FOURTH PLAIN BLVD BLDG. 17, SUITE B428 ● VANCOUVER, WA

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

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 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

SCOPE 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 Health Administration (VHA) Regional Procurement Office-West (RPOW) Network Contracting Office 20 (NCO 20) is considering the Offeror identified above for award of Project # 663A4-23-203 American Lake Bldg 19 HVAC Replacement at American Lake Campus located 9600 Veterans Drive Southwest, Lakewood, WA 98439.

Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to determine the company’s ability to responsibly perform the work as described in the solicitation. Please verify the accuracy of the information in Section 1 and complete the questionnaire as thoroughly as possible. NCO 20 may contact you in order to obtain any additional information regarding a contract award.

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.

*Please see Page 4 for Adjectival Ratings for the following:

1. QUALITY

Ability to meet quality design and/or construction standards specified for technical performance
Choose an item.
Comments:

2. SCHEDULE/ TIMELINESS OF PERFORMANCE

Compliance with contract delivery/completion schedules including timely submission of data deliverables (If liquidated damages were assessed or the schedule was not met, please address below.)
Choose an item.
Comments:

3. COMMUNICATION

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

Effectiveness of management, including suppliers, materials, and/or labor force (including the ability to effectively lead, manage, and control the project)
Choose an item.
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

Ability to meet the terms and conditions within the contractually agreed price
Choose an item.
Comments:

6. SUBCONTRACT MANAGEMENT

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:

7. SUMMARY

Would you hire or work with this firm again? If no, please explain below.
Choose an item.
Provide an overall rating for the work performed by this contractor.
Choose an item.

ADDITIONAL COMMENTS:

EVALUATOR SIGNATURE:
DATE:

ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

*THIS PAGE WILL BE REMOVED FOR EVALUATION PURPOSES – IT IS FOR PPQ COMPLETION PURPOSES ONLY*

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.

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