Exhibit E Performance Relevancy Survey v2.docx
DOCX document 48 KB Posted
- Solicitation number
- 36C24825R0127
About this file
The document is a Performance Relevancy Survey template for federal contract proposal submissions, specifically related to a Department of Veterans Affairs solicitation (36C24825R0127) for correcting patient privacy deficiencies at the Lake City, FL medical facility. The survey requires offerors to provide detailed information about their past performance, including project/contract specifics such as contract value, completion dates, work descriptions, and relevancy ratings (Very Relevant, Relevant, or Semi-Relevant).
The survey instructs contractors to document their performance on projects completed within the last 5 years, with a focus on demonstrating similar scope, magnitude, and complexity to the current solicitation. Offerors must provide contact information for previous project references, disclose any liquidated damages, describe problem resolutions, and highlight professional awards or unique accomplishments. This is a small business resolicitation (a reissue of a previous SDVOSB solicitation) for VA Veterans Health Administration, Veterans Integrated Service Network 8, with the project number 573A4-18-603 involving patient privacy infrastructure improvements.
View the file
Other files
Show all 29
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
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 .