EXHIBIT A PERFORMANCE RELEVANCY SURVEY.docx
DOCX document 58 KB Posted
- Solicitation number
- 36C25622R0076
About this file
This document contains an exhibit for a past performance survey related to a solicitation to replace fan coil units at a Department of Veterans Affairs facility. The survey requests information on relevant past performance projects to be considered for evaluation, including contract details, descriptions of work performed, and points of contact. Respondents are asked to identify whether prior projects were very relevant, relevant, or somewhat relevant based on the scope, magnitude, and complexities involved. Additional questions cover liquidated damages on previous contracts, problems encountered and corrective actions taken, as well as awards, recognition, and unique skills. The related solicitation is for project 564-22-107 to replace B4 fan coil units at a Veterans Health Administration facility under Veterans Integrated Service Network 16.
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Other files
| File | Type | Posted |
|---|---|---|
| SITE VISIT SIGN IN SHEET.pdf | ||
| 564-22-107 FCU Schedule R1-FCU Schedule R1.pdf | ||
| PRE-BID RFIs - COMPLETE.docx | DOCX document | |
| 36C25622R0076 0001.docx | DOCX document | |
| _564-22-107_B4 Replace FCU_Combined Specifications 3 17 22 (1).pdf | ||
| 36C25622R0076 - SOLICITATION.docx | DOCX document | |
| WAGE DETERMINATION AR20220035 02-25-2022.docx | DOCX document | |
| VHA Supplemental Contract Requirements for Combatting COVID-19 Updated 12-14-2021.docx | DOCX document | |
| 564-22-107 Brand name justification SIGNED 14JUN2022 - redacted.pdf | ||
| 564-22-107_ B4 Replace FCU_Combined DWGS 3 17.pdf | ||
| 564-22-107 SOW B-4 FCUs 3 17.pdf | ||
| EXHIBIT B CONTRACTOR EVALUATION FORM.docx | DOCX document |
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 564-22-107 Replace B4 Fan Coil Units 36C25622R0076
EXHIBIT A
PERFORMANCE RELEVANCY SURVEY
PART 1: Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects may be on-going and cannot have been completed more than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.
A. Offeror 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(s): | |
| a. Original Date: |
b. Current Schedule:
| c. Estimated/Final Completion Date: |
| d. 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 REVELANT, RELEVANT, or SEMI-RELEVANT.
Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.
Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.
Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.
Descriptions must 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 this project.
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, email address and facsimile number for each.
Company/Agency Name:
Point of Contact: Title:
Office Phone: Fax: E-mail:
Address of Record:
PART 2: Additional offeror information required, but not project specific. This information need only be provided once in your submission package.
A. Provide information regarding the assessment of liquidated damages on any contracts within the last three years. (Frequency, circumstances, severity of problem, etc.)
B. Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.
C. Other Past Performance Considerations. Information provided shall be limited to the period starting three years prior to the solicitation release date and may include the following:
| 1. | Professional/Industry awards (Identify award type, date of award and copy of certificate if | applicable), Letters of appreciation, recognition or commendations |
| 3. | Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and | provide supporting information for verification). |
Company Name:
Point of Contact: Title:
Office Phone: Fax: E-mail:
Address of Record:
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