Ex K Past Performance Questionnaire.pdf

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Attached to
Request for Lease Proposal - Laughlin Community-Based Outpatient Clinic
Solicitation number
36C24W25R0107
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About this file

This document is a Past Performance Questionnaire for a Department of Veterans Affairs (VA) Real Property Lease Solicitation (RLP # 36C24W25R0107). The questionnaire is designed to collect performance information from previous tenants about potential lessors (landlords) competing for a lease award. It includes three sections: Offeror Information, Evaluator Information, and eight detailed performance assessment questions covering areas such as tenant improvement build-out, change order pricing, schedule adherence, budget management, maintenance responsiveness, safety and security issue handling, building cleanliness, and overall lease performance. Evaluators can rate the lessor's performance on a scale from Excellent to Unsatisfactory across these categories, with space to provide additional comments on potential improvements.

The questionnaire is to be completed by the offeror and then forwarded to current or former tenants to provide detailed feedback, with responses treated as confidential and procurement sensitive. The point of contact is John Paul Niega, Lease Contracting Officer, who can be reached at johnpaul.niega@va.gov or 775.389.6616. Handwritten responses are acceptable, and offerors with no relevant past performance can simply check a box indicating such and submit the form as part of their proposal package.

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Attachment K – PAST PERFORMANCE QUESTIONNAIRE

Introduction:

This questionnaire is designed to collect past performance information on Offerors (Landlord/ Lessors) competing for award of this lease. Please note this questionnaire is not based on the past performance of brokers facilitating the deal, but rather for the prospective awardees that will be responsible for the lease under consideration.

Instructions to the Offeror:

Please complete Section 1 on the following page. If Offeror checks the “no relevant past performance” box, then do not proceed any further in filling out the form and submit the form as part of the offering package. Otherwise, Offeror must forward a copy to current or former tenants of the Offeror instructing them to complete sections 2 and 3 Once the respondents complete the remainder of the form, it must be returned to the Offeror and submitted as part of the Offeror’s proposal contents.

Attn: John Paul Niega, Lease Contracting Officer Department of Veteran Affairs, RPOW Subject: Past Performance Questionnaire RLP # 36C24W25R0107 Email: johnpaul.niega@va.gov Office: 775.389.6616

For assistance with this questionnaire please contact the Contract Specialist listed above. Handwritten responses will be accepted. Responses will be treated as confidential and procurement sensitive.

Explanation of Codes:

EXCELLENT – Lessor significantly exceeded expectations

GOOD – Lessor met and to some extent exceeded expectations

SATISFACTORY – Lessor met expectations

MARGINAL – Lessor did not fully meet expectations

UNSATSIFACTORY – Lessor failed to meet expectations

NOT APPLICABLE – Unable to provide a score mailto:johnpaul.niega@va.gov

VA RLP # 36C24W25R0107

SECTION 1 – Offeror (Lessor to be evaluated) Information:

Name or Company:

Phone Number:

Email:

Only check this box if the Offeror has no relevant past performance

NOTE: If above statement is checked, do not proceed any further

SECTION 2 - Evaluator Information:

Name: Title:

Phone Number: Email:

Lease Square Footage: Organization/ Company:

Use of Space (Check One): Office Medical Office Other

SECTION 3 - Past Performance Questions:

1. During the tenant improvement build out, how was the Lessor’s ability to handle the pricing of change orders?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

2. During the tenant improvement build out, how was the Lessor’s ability to stay on schedule?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

3. During the tenant improvement build out, how was the Lessor’s ability to stay within budget?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

4. In accordance with your lease, how has the Lessor responded to any maintenance issues?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

5. In accordance with your lease, how has the Lessor responded to any safety issues?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

6. In accordance with your lease, how has the Lessor responded to any security issues?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

7. In accordance with your lease, how was the Lessor’s ability to keep the building premises and common areas clean?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

8. During your lease term, how was the Lessor’s overall performance?

Excellent Good Satisfactory Marginal Unsatisfactory Not applicable

What could have improved your score:

VA Contract # 36C24W24R0041
SECTION 1 – Offeror (Lessor to be evaluated) Information:
SECTION 2 - Evaluator Information:
SECTION 3 - Past Performance Questions:

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