Attachment A - Past Performance Questionnaire.pdf

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C219--Renovate Prosthetics (Design) (VA-23-00025240)
Solicitation number
36C24623R0036
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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.

FROM:

SUBJECT: Past Performance Questionnaire for Contract(s):

is currently responding to VHA Network Contracting Office 6 and the

Charles George VA Medical Center, regarding a request for SF330, Architect-Engineer

(AE) Qualifications for Project 637-23-105 Renovate Prosthetics.

This request for SF330’s requires respondents to identify customers and solicit their response regarding performance.

is providing past performance data to VHA Network

Contracting Office 6 relating to our performance on contract and have identified as the point of contact for this contract.

The request for SF330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire (Sections B and C) and return it no later than 8:00 AM EDT, 06 February 2023. Return the completed questionnaire directly to the Contract Specialist, Samantha Cahill, via email at samantha.cahill@va.gov and CC: Keith Hunter, via email at keith.hunter@va.gov.

*Do not return this form to the AE firm requesting the reference.*

Transmittal Letter to Accompany Past Performance Questionnaire

A. GENERAL INFORMATION

AE FIRM TO BE EVALUATED:

Firm Name:

Address:

DUNS Number:

Project Title:

Description of Project:

Description of AE Firm's Responsibilities:

Contract Number: Dollar Amount:

Contract Period of Performance:

The AE Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member

Percent of work performed by AE 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 AE’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 does -Performance does -Not applicable or met contractual met contractual or did not meet or did not meet or rater has not requirements and requirements and some contractual most contractual observed exceeds or exceeds or exceeded requirements. The requirements and performance in exceeded many of some of your contractual recovery is not this area.

your company’s company’s performance reflects likely or did not expectations. The expectations. The or reflected serious occur. The contractual contractual problems(s) for contractual performance performance reflects or which the contractor performance reflects or reflected reflected some minor has not yet contains or few minor problems problems and identified acceptable contained serious and corrective corrective actions corrective actions or problem (s) for actions taken by the being taken by the did not provide which the contractor appear to contractor appear to be

-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. 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.

It em

FACTORS TO BE RATED

E x ce p ti o n al

V er y G o o d

S at is fa ct o ry

M ar g in al

U n sa ti sf ac to ry

N /A

Design Services:

1. Overall skill level and technical competence of AE’s personnel.

2. AE’s ability to identify and resolve design issues expeditiously.

3. AE’s responsiveness to design review questions.

4. AE’s ability to effectively coordinate, integrate and manage their consultants/subcontractors/team

5. AE’s effectiveness and responsiveness in interfacing with the

Client’s staff

It em

FACTORS TO BE RATED

E x ce p ti o n al

V er y G o o d

S at is fa ct o ry

M ar g in al

U n sa ti sf ac to ry

N /A

6. Overall accuracy, completeness and coordination of final design documents. (Quality)

7. AE’s ability to provide detailed, accurate cost estimates.

8. AE’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 AE follow-on construction support services.

LEED (If Applicable):

12. Overall accuracy, completeness, timeliness and coordination of LEED documentation.

13. AE’s ability and understanding of the overall LEED process.

BIM (If Applicable):

14. Overall accuracy, completeness, timeliness and coordination of BIM documentation.

15. AE’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. AE’s ability, thoroughness, timeliness and support as

Owner’s Representative throughout the project.

Overall:

18. How would you rate the AE’s ability to control cost?

19. How would you rate the AE’s overall management performance on this contract?

20. How would you rate the AE’s overall technical/quality performance on this contract?

21. Would you use this AE again? (If “No”, please comment in the Narrative Summary) YES NO

Number of AE Design Errors & Omissions on Project: _

Increased Project Cost Due to AE Design Errors & Omissions:

NARRATIVE SUMMARY REGARDING PERFORMANCE:

Item COMMENTS

C. SEND COMPLETED QUESTIONNAIRE, VIA EMAIL, TO:

Department of Veteran Affairs

Samantha Cahill, Contract Specialist Email: samantha.cahill@va.gov CC: Keith Hunter, Contracting Officer Email: keith.hunter@va.gov Networking Contracting Office (NCO 6)

Project Title:
Description of Project 1:
Description of Project 2:
Description of Project 3:
Description of Project 4:
Description of Project 5:
Description of AE Firms Responsibilities 1:
Description of AE Firms Responsibilities 2:
Description of AE Firms Responsibilities 3:
Description of AE Firms Responsibilities 4:
Description of AE Firms Responsibilities 5:
Contract Number:
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Dollar Amount:
Prime Contractor: Off
SubContractorConsultantTeam Member: Off
Percent of work performed by AE Firm:
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Insert Company Official Name, Title, and Company Name:
Insert Company Name:
Insert Contract Name/Number:
Insert Name of Reference:
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