EXHIBIT A - Past Performance Relevancy Questionnaire.docx
DOCX document 28 KB Posted
- Solicitation number
- 36C24421R0001
About this file
This document contains a past performance questionnaire template and details for a federal construction contract opportunity. The contract opportunity is for renovation construction services for Building 22 at the Lebanon VA Medical Center in Lebanon, Pennsylvania. The scope of work includes demolition, construction, and installation of floors, lighting, ceilings, alarm systems, fire suppression, vertical transportation, plumbing, audio/video and IT cabling, HVAC, and other structural components. The period of performance is approximately 545 calendar days with a contract value between $2-5 million. The solicitation will be issued as a request for proposal according to FAR Part 15. This is a total small business set-aside for Service-Disabled Veteran-Owned Small Businesses. The NAICS code is 236220 and size standard is $39.5 million. The solicitation will be posted on July 6, 2020 on SAM.gov and pre-bid site visits will be held approximately one week later. Respondents must be registered in SAM and verified through the VA's Center for Veterans Enterprise.
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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 detailed list of all contract modifications, including the dollar amount, description, primary cause and change to the contract completion date:
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.
(Specialty Trades will address their specific trade for any major subcontractor or Teaming partner)
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