Attachment A - Past Performance Questionnaire.docx
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- Attached to
- C1DA--CORRECT MECHANICAL & PLUMBING DEFICIENCIES
- Solicitation number
- 36C24626R0022
About this file
This is a Past Performance Questionnaire template designed for customers to evaluate Architect-Engineer (A-E) firm performance on completed projects. Firms responding to the SF-330 solicitation for Project 637-25-152 (Correct Mechanical & Plumbing Deficiencies at Charles George VA Medical Center) must obtain completed questionnaires from at least three reference projects identified in their SF-330 Section F. Customers must submit completed questionnaires directly to Government Contract Specialist Chanel Johnson (chanel.johnson@va.gov) and Contracting Officer Keith Hunter (keith.hunter@va.gov) by 8:00 AM EST on February 10, 2026, not to the A-E firm itself.
The questionnaire evaluates A-E performance across 21 rated factors using a five-point scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or N/A). Rating categories cover design services including personnel competence, responsiveness, consultant coordination, cost estimation, and schedule compliance; follow-on construction support services such as submittal review and design issue resolution; and where applicable, LEED documentation and BIM coordination. Additional evaluation areas address overall cost control, management performance, and technical quality, with a yes/no question regarding future engagement. Evaluators must provide narrative explanations for any Marginal or Unsatisfactory ratings and report the number of design errors and omissions and associated cost increases. The questionnaire requires evaluator information including company name, title, telephone, and email address.
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SOLICITATION ATTACHMENT - PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER
Complete one set of letters and forms for at least three (3) 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 the Charles George VA Medical Center, regarding a request for SF 330, Architect- Engineer Qualifications for Project 637-25-152, Correct Mechanical & Plumbing Deficiencies
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. Please complete the questionnaire (Sections B and C) and return it by no later than 08:00am EST, February 10, 2026. Return the completed questionnaire directly to the Government Contract Specialist Chanel Johnson, via email at chanel.johnson@va.gov and the Contracting Officer, Keith Hunter, via email at keith.hunter@va.gov
*Do not return this form to the AE firm requesting the reference.*
A. GENERAL INFORMATION
A-E FIRM TO BE EVALUATED:
Firm Name: Address:
DUNS/UEID 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:
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) |
| Very Good (4) |
| Satisfactory (3) |
| Marginal (2) |
| Unsatisfactory (1) |
| N/A |
| -Performance meets |
| -Performance meets or |
| -Performance meets |
| -Performance does |
| -Performance does |
| -Not applicable |
| or met contractual |
| met contractual |
| or met contractual |
| or did not meet |
| or did not meet |
| or rater has not |
| requirements and |
| requirements and |
| requirements. The |
| some contractual |
| most contractual |
| observed |
| exceeds or |
| exceeds or exceeded |
| contractual |
| requirements. The |
| requirements and |
| performance in |
| exceeded many of |
| some of your |
| performance reflects |
| contractual |
| recovery is not |
| this area. |
| your company’s |
| company’s |
| or reflected some |
| performance reflects |
| likely or did not |
| expectations. The |
| expectations. The |
| minor problems. |
| or reflected serious |
| occur. The |
| contractual |
| contractual |
| Corrective actions |
| problems(s) for |
| contractual |
| performance |
| performance reflects or |
| being taken by the |
| which the contractor |
| performance |
| reflects or reflected |
| reflected some minor |
| contractor appear to |
| has not yet |
| contains or |
| few minor problems |
| problems and |
| be effective or |
| identified acceptable |
| contained serious |
| and corrective |
| corrective actions |
| Corrective actions |
| corrective actions or |
| problem (s) for |
| actions taken by the |
| being taken by the |
| taken were |
| did not provide |
| which the |
| contractor appear to |
| contractor appear to be |
| effective. |
| acceptable |
| contractor’s |
| be highly effective |
| effective or Corrective |
| corrective actions. |
| corrective actions |
| or corrective actions |
| actions taken were |
appear ineffective
| taken were |
| effective. |
or were ineffective.
effective.
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 |
Item
FACTORS TO BE RATED
| Exceptional (5) |
| Very Good (4) |
| Satisfactory (3) |
| Marginal (2) |
| Unsatisfactory (1) |
| N/A |
| 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/Build 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 |
C. SEND COMPLETED QUESTIONNAIRE, VIA EMAIL, TO:
Department of Veteran Affairs Chanel Johnson, Contract Specialist Email: Chanel.Johnson@va.gov Networking Contracting Office (NCO 6)
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