EXHIBIT A - Past Performance Relevancy Questionnaire 36C24420R0052.docx
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- Solicitation number
- 36C24420R0052
About this file
This document contains a past performance relevancy questionnaire and details of a federal contract opportunity for construction of a chiller plant at the Department of Veterans Affairs Medical Center in Erie, Pennsylvania. The opportunity is a 100% Service-Disabled Veteran Owned Small Business set aside with an estimated value between $5 million and $10 million. Offerors must complete the past performance questionnaire providing details of up to three relevant prior contracts as a prime contractor or subcontractor, including a description of the work performed, contract values, completion dates, and points of contact. The federal contract opportunity involves construction of the chiller plant in accordance with the plans and specifications, providing all necessary labor, materials, tools, permits, testing and reports to comply with federal, state and local codes and regulations. The period of performance is 365 calendar days from notice to proceed.
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PART 1: Prepare no more than three (3) Part 1 forms:
Provide the following information requested in this format for each of the projects/contracts being described. Projects may be on going and cannot have been completed any later than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use additional space as required.
A. Offeror (Your) Name (Company/Division):
B. Project/Contract Title:
C. Contract Specifics:
1. Description of Effort as Prime or _Subcontractor
2. Contract Number
3. Original Contract $ Value Current/Final Contract $ Value
4. If amounts in 3 above are different, provide a brief description of the reason:
5. Completion Date:
1. Original Date:
2. Current Schedule: _____________________
3. Estimate/Final Completion Date:
4. Primary cause for Contract Modifications
D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. (Use as much space as necessary)
In addition, address the following
1. Describe the specific elements of the work performed by your firm.
2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on projects awarded under this solicitation. Should you intend to use these same subcontractors, please list their company names and described their principal areas of work that they will perform.
3. Address any technical areas about this project you consider uniquely relevant to this solicitation.
E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR / COTR); include a current phone number and email address for each.
Part 2, Additional offeror information required.
A. Name subcontractors and/or Teaming Partners to be utilized on this contract. Multiple subcontractors may be named for the same discipline but are limited to a maximum of three (3) subcontractors per discipline. As a minimum, provide the name(s) of subcontractors to be utilized in the following areas:
(Specialty Trades will address their specific trade for any major subcontractor or Teaming partner)
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