EXHIBIT A- Performance Relevancy Survey.pdf

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Z1DA | 586-25-101 | SITE PREP IR UPGRADE | DESIGN-BUILD | JACKSON, MS | AMEND 0002
Solicitation number
36C25626R0018
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This is a Performance Relevancy Survey form for the federal contract opportunity "Site Prep IR Upgrade" (Project No. 586-25-101, Contract No. 36C25626R0018). The survey is used to evaluate offerors' past performance and relevant experience for the procurement.

Part 1 requires offerors to submit up to five completed projects or contracts from the past five years, with detailed information for each reference including: project/contract title and number, location, original and current contract value, prime or subcontractor role, completion status and dates, any delays or liquidated damages, CPARS availability, and a detailed description explaining the relevance level (Very Relevant, Relevant, or Somewhat Relevant). Offerors must also provide point of contact information for each reference project, including the contact's name, title, agency, email, and phone number, with responsibility for ensuring questionnaires are submitted to references prior to the solicitation close date.

Part 2 requests company-level information provided only once in the submission package, including: assessment of any liquidated damages assessed within the past five years; explanation of problems encountered on relevant projects and corrective actions taken, including explanations of any marginal CPARS ratings; other past performance considerations from the past five years such as professional/industry awards, letters of appreciation, recognition, and unique skills and accomplishments; and technical information identifying specific work elements performed by the offeror's firm and by major subcontractors, including confirmation of subcontractor continuation on the proposed project.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Project No.586-25-101; SITE PREP IR UPGRADE 36C25626R0018

EXHIBIT A

PERFORMANCE RELEVANCY SURVEY

Offeror Name/Company

PART 1. CONTRACT REFERENCES: Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects shall have been completed no more than 5 years prior to the solicitation issue date. Provide all information requested regarding YOUR PERFORMANCE on the contracts you elect to reference.

Project Submittal #___________________

(NOTE: Offerors allowed NO MORE than 5 projects- offerors to make appropriate copies)

Project/Contract Title: ________________________________

Contract Number/Task Order Number:_______________________

Location of Project:__________________________________

Description of Effort as Prime ( ) or Subcontractor ( )

Original Contract Value: $________________________

Current/completed Contract Value: $_________________________

Was project completed on time: Yes ( ) No ( )

Start date: ___________________ End date:_________________

Reason for delay if applicable:__________________________________________________

Any liquidated damages: Yes ( ) No ( )

CPARS available: Yes ( ) No ( )

(NOTE: Offeror can provide CPARS with proposal; however, the questionnaire has more detailed questions.)

Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, or SEMI-RELEVANT. (Circle one)

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.

Relevance detailed description of project to include work by subcontractors:

Project No.586-25-101; SITE PREP IR UPGRADE 36C25626R0018

Point of Contact of Reference on project (who you are sending questionnaire/survey to):

Name: ________________________

Title: ________________________

Agency: ________________________

Email: ________________________

Phone: ________________________

POTENTIAL OFFERORS: IT IS YOUR RESPONSIBILITY TO FOLLOW-UP WITH

YOUR REFERENCES IN SUBMITTING QUESTIONNAIRES PRIOR TO THE CLOSE

OF THE SOLICITATION.

Project No.586-25-101; SITE PREP IR UPGRADE 36C25626R0018

PART 2. NOT RELATED TO PART 1: Additional offeror information required, but not project specific. THIS INFORMATION NEED ONLY BE PROVIDED ONCE IN YOUR SUBMISSION

PACKAGE.

Offeror representative providing the below information:_______________________

1. Provide information regarding the assessment of liquidated damages on any contracts within the last five years. (Frequency, circumstances, severity of problem, etc.)

2. Offerors are strongly encouraged to include with their proposals information on problems encountered on any relevant projects and the specific corrective actions taken to remedy the problems. Furthermore, please provide explanation of any marginal ratings in CPARS if applicable:

3. Other Past Performance Considerations. Information provided shall be limited to the period starting five years prior to the solicitation release date and may include the following:

a. Professional/Industry awards (Identify award type, date of award and copy of certificate if applicable), Letters of appreciation, recognition or commendations

b. Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and provide supporting information for verification).

4. Address any technical areas about this project you consider uniquely relevant to this solicitation.

• Descriptions must address the following:

o Describe the specific elements of the work performed by your firm.

o Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on this project.

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