EXHIBIT A PERFORMANCE RELEVANCY SURVEY.docx
DOCX document 55 KB Posted
- Solicitation number
- 36C25621R0093
About this file
This document contains a performance relevancy survey and description of a federal contract opportunity for construction services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 has a requirement to construct a new main entrance at the John L. McClellan Memorial Veterans Hospital in Little Rock, Arkansas. The estimated value of the contract is between $5,000,000 to $10,000,000. The North American Industry Classification System code applicable is 236220 for commercial and institutional building construction. The solicitation is projected to post on May 5th, 2021 on beta.SAM.gov. The opportunity is a total 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. The performance survey requests details on relevant past projects, points of contact, and additional information. The scope of work involves demolishing an existing canopy and constructing a new patient drop-off area and covered walkway at the south entrance of the facility.
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Other files
| File | Type | Posted |
|---|---|---|
| Attch C Wage Determination AR20210027.txt | TXT text file | |
| EXHIBIT D - EMR Form.pdf | ||
| EXHIBIT B Past and Present Performance Questionnaire.pdf | ||
| EXHIBIT C CONTRACTOR EVALUATION FORM CONSTRUCTION SAFETY.docx | DOCX document | |
| Attch B Construction Drawings.pdf | ||
| 36C25621R0093.docx | DOCX document | |
| Attch A Construction Specifications.pdf |
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 598-18-106 JLM Main Front Entrance 36C25621R0093
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:
File details come from the government source that posted it. Updated .