EXHIBIT A PERFORMANCE RELEVANCY SURVEY.pdf
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- Solicitation number
- 36C25625R0057
About this file
The document is an Exhibit A Performance Relevancy Survey form for a federal contract opportunity to install an aboveground storage fuel tank at the G.V. (Sonny) Montgomery VA Medical Center in Jackson, MS. The solicitation (36C25625R0057) is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside with a project value between $100,000 and $250,000, targeting contractors in the NAICS code 236220 with less than $45 million in average annual receipts.
The survey form requires offerors to provide detailed information about their past performance, including project descriptions, contract specifics, relevancy assessments, and points of contact. The project involves designing and constructing a new fuel storage tank with a 180-calendar day performance period. Contractors must be registered with VetCert and the System for Award Management (SAM), and must submit a bid bond with their proposal. The solicitation will be issued as a Request for Proposals (RFP) with a 120-day proposal acceptance period, and performance and payment bonds will be required from the awarded contractor.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
Project No. 586-25-100 Aboveground Storage Fuel Tank Installation 36C25625R0057
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.
Project No. 586-25-100 Aboveground Storage Fuel Tank Installation 36C25625R0057
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).
Project No. 586-25-100 Aboveground Storage Fuel Tank Installation 36C25625R0057
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 .