Attachment A - Past Performance Questionnaire AE Reno B110.docx
DOCX document 28 KB Posted
- Attached to
- C1DA--590-21-121 Renovate Bldg. 110 Ground Floor A-E Services Public Announcement SF330 Request
- Solicitation number
- 36C24622R0024
About this file
This document package includes a past performance questionnaire and cover letter template for Architect-Engineer (A-E) services, as well as information about a related federal contract opportunity.
The past performance questionnaire is to be completed by references for A-E firms responding to Solicitation Number 36C24622R0024, a special notice from the Department of Veterans Affairs for design services on Project 590-21-121 to renovate approximately 7,400 square feet in Building 110 at the Hampton VA Medical Center. Responses are due by March 29, 2022 to Madeline Lucena-Pulst, Contract Specialist. The opportunity is 100% set aside for Service-Disabled Veteran-Owned Small Businesses. The projected award date is August 31, 2021 for a 370-day period of performance.
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| File | Type | Posted |
|---|---|---|
| Attachment B - Criterion 2 Format.xlsx | XLSX spreadsheet | |
| 36C24622R0024.docx | DOCX document |
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ATTACHMENT - PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER
Complete one set of letters and forms for at least three (3) and no more than five (5) projects 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 VHA Network Contracting Office 6 and Hampton VA Medical Center, regarding a request for SF 330, Architect-Engineer Qualifications for Project 590-20-903, Renovate Bldg. 110 Ground Floor. 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 VHA Network Contracting Office 6 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 respondents provide customers with the attached questionnaire. The questionnaire is specific to this requirement, past questionnaires for other announcements will not meet the submission requirement. Please complete the questionnaire (Sections B and C) and return it by no later than 2:00PM EST, Tuesday, March 29th, 2022. ***Do not return this form to the AE firm requesting the reference. *** Return the completed questionnaire directly to the Government Contract Specialist via email at madeline.lucena-pulst@va.gov .
A. GENERAL INFORMATION
A-E FIRM TO BE EVALUATED:
Firm Name:
Address:
DUNS Number:
Project Title: _____________________________________
Description of Project:
Description of A-E Firms’ Responsibilities:
Contract Number: ______________________ Dollar Amount: ______________________
Contract Period of Performance: _______________________
The A-E Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member
Percent of work performed by A-E Firm:
B. EVALUATOR INFORMATION:
Evaluator’s Company or Agency Name:
Company or Agency Address:
Evaluator’s Name:
Title of Evaluator:
Telephone:
E-mail:
C. 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.
| Exceptional (5) |
| -Performance meets or met contractual requirements and exceeds or exceeded many of your company’s expectations. The contractual performance reflects or reflected few minor problems and corrective actions taken by the contractor appear to be highly effective or corrective actions taken were effective. |
| Very Good (4) |
| -Performance meets or met contractual requirements and exceeds or exceeded some of your company’s expectations. The contractual performance reflects or reflected some minor problems and corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective. |
| Satisfactory (3) |
| -Performance meets or met contractual requirements. The contractual performance reflects or reflected some minor problems. Corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective. |
| Marginal (2) |
| -Performance does or did not meet some contractual requirements. The contractual performance reflects or reflected serious problems(s) for which the contractor has not yet identified acceptable corrective actions or did not provide acceptable corrective actions. |
| Unsatisfactory (1) |
| -Performance does or did not meet most contractual requirements and recovery is not likely or did not occur. The contractual performance contains or contained serious problem (s) for which the contractor’s corrective actions appear ineffective or were ineffective. |
| N/A |
| -Not applicable or rater has not observed performance in this area. |
Place an “X” in the appropriate column using the above definitions matrix.
| Item |
| FACTORS TO BE RATED |
| Exceptional (5) |
| Very Good (4) |
| Satisfactory (3) |
| Marginal (2) |
| Unsatisfactory (1) |
| N/A |
Design Services:
| 1. |
| Overall skill level and technical competence of A/E’s personnel. |
| 2. |
| A/E’s ability to identify and resolve design issues expeditiously. |
| 3. |
| A/E’s responsiveness to design review questions. |
| 4. |
| A/E’s ability to effectively coordinate, integrate and manage their consultants/subcontractors/team |
| 5. |
| A/E’s effectiveness and responsiveness in interfacing with the Client’s staff |
| 6. |
| Overall accuracy, completeness and coordination of final design documents. (Quality) |
| 7. |
| A/E’s ability to provide detailed, accurate cost estimates. |
| 8. |
| A/E’s ability to meet contract schedule. |
Follow-On Construction Support Services:
| 9. |
| Thoroughness and timely review of construction submittals. |
| 10. |
| Timely resolution of construction design issues. |
| 11. |
| Overall quality, responsiveness and timeliness of A/E follow-on construction support services. |
LEED (If Applicable):
| 12. |
| Overall accuracy, completeness, timeliness and coordination of LEED documentation. |
| 13. |
| A/E’s ability and understanding of the overall LEED process. |
BIM (If Applicable):
| 14. |
| Overall accuracy, completeness, timeliness and coordination of BIM documentation. |
| 15. |
| A/E’s ability and understanding of the overall BIM process. |
Owner’s Representative on Design Projects (If applicable):
| 16. |
| Overall accuracy, completeness, timeliness and coordination of requirements documents and bridging documents. |
| 17. |
| A/E’s ability, thoroughness, timeliness and support as Owner’s Representative throughout the project. |
Overall:
| 18. |
| How would you rate the A/E’s ability to control cost? |
| 19. |
| How would you rate the A/E’s overall management performance on this contract? |
| 20. |
| How would you rate the A/E’s overall technical/quality performance on this contract? |
| 21. |
| Would you use this A/E again? (If “No”, please comment in the Narrative Summary) |
YES
NO
Number of A/E Design Errors & Omissions on Project: _______________ Increased Project Cost Due to A/E Design Errors & Omissions: _______________
NARRATIVE SUMMARY REGARDING PERFORMANCE:
| Item |
| Comments |
D. SEND COMPLETED QUESTIONAIRE, VIA EMAIL, TO:
Madeline Lucena-Pulst, Contract Specialist Email: madeline.lucena-pulst@va.gov
VISN 6 Networking Contracting Office (NCO 6) Hampton VA Medical Center 100 Emancipation Dr., Bldg. 27 Hampton, Virginia 23667
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