Past Performance Questionnair.pdf

Transmittal Letter to Accompany Past Performance Questionnaire

SOLICITATION ATTACHMENT - PAST PERFORMANCE QUESTIONNAIRE AND

COVER LETTER

Complete one set of letters and forms for at least three (3) projects identified in your firm’s SF 330 Section F, Example Projects Which Best Illustrate Proposed Team’s Qualifications for This Contract. Additional space or blank sheets may be added to answer any question.

FROM: [Insert Company Official Name, Title, and Company Name]

SUBJECT: Past Performance Questionnaire for Contract(s):

[Insert Company Name] is currently responding to VHA Network Contracting Office 6 and the Salem VA Medical Center, regarding a request for SF 330, Architect- Engineer Qualifications for Project 658-22-106, A/E Upgrade Building 8 Elevators.

This Request for SF 330’s requires respondents to identify customers and solicit their response regarding [Insert Company Name] performance.

[Insert Company Name] is providing past performance data to VHA Network Contracting Office 6 relating to our performance on contract [Insert contract name/number] and have identified [Insert name of reference] as the point of contact for this contract.

The request for SF 330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire (Sections B and C) and return it by no later than 10:00am EST, February 17, 2023. Return the completed questionnaire directly to the Government Contract Specialist, Shannon Brown, via email at Shannonmarie.brown@va.gov.

*Do not return this form to the AE firm requesting the reference. **

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name:

Address:

DUNS Number:

mailto:Shannonmarie.brown@va.gov.

Project Title:

Description of Project:

Description of A-E Firms’ Responsibilities:

Contract Number: Dollar Amount:

Contract Period of Performance:

The A-E Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member

Percent of work performed by A-E Firm:

B. EVALUATOR INFORMATION:

Evaluator’s Company or Agency Name:

Company or Agency Address:

Evaluator’s Name:

Title of Evaluator:

Telephone:

E-mail:

C. PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the A/E’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS OF Marginal or Unsatisfactory on page 7 under Narrative Summary.

Exceptional (5) Very Good (4) Satisfactory (3) Marginal (2) Unsatisfactory (1) N/A

-Performance meets -Performance meets or -Performance meets -Performance does -Performance does -Not applicable or met contractual met contractual or met contractual or did not meet or did not meet or rater has not requirements and requirements and requirements. The some contractual most contractual observed exceeds or exceeds or exceeded contractual requirements. The requirements and performance in exceeded many of some of your performance reflects contractual recovery is not this area.

your company’s company’s or reflected some performance reflects likely or did not expectations. The expectations. The minor problems. or reflected serious occur. The contractual contractual Corrective actions problems(s) for contractual performance performance reflects or being taken by the which the contractor performance reflects or reflected reflected some minor contractor appear to has not yet contains or few minor problems problems and be effective or identified acceptable contained serious and corrective corrective actions Corrective actions corrective actions or problem (s) for actions taken by the being taken by the taken were did not provide which the contractor appear to contractor appear to be effective. acceptable contractor’s be highly effective effective or Corrective corrective actions. corrective actions or corrective actions actions taken were appear ineffective taken were effective. or were ineffective.

effective.

Place an “X” in the appropriate column using the above definitions matrix.

It em

FACTORS TO BE RATED

Ex ce pt io na l (

5)

V er y G oo d

(4

Sa tis fa ct or y

(3

M ar gi na

2)

U ns at isf ac to ry (1

N /A

Design Services:

1. Overall skill level and technical competence of A/E’s personnel.

2. A/E’s ability to identify and resolve design issues expeditiously.

3. A/E’s responsiveness to design review questions.

4. A/E’s ability to effectively coordinate, integrate and manage their consultants/subcontractors/team

5. A/E’s effectiveness and responsiveness in interfacing with the Client’s staff

It em

FACTORS TO BE RATED

Ex ce pt io na

5)

V er y G oo d

(4

Sa tis fa ct or y

(3

M ar gi na

2)

U ns at isf ac to ry (1

N /A

6. Overall accuracy, completeness and coordination of final design documents. (Quality)

7. A/E’s ability to provide detailed, accurate cost estimates.

8. A/E’s ability to meet contract schedule.

Follow-On Construction Support Services:

9. Thoroughness and timely review of construction submittals.

10. Timely resolution of construction design issues.

11. Overall quality, responsiveness and timeliness of A/E follow-on construction support services.

LEED (If Applicable):

12. Overall accuracy, completeness, timeliness and coordination of LEED documentation.

13. A/E’s ability and understanding of the overall LEED process.

BIM (If Applicable):

14. Overall accuracy, completeness, timeliness and coordination of BIM documentation.

15. A/E’s ability and understanding of the overall BIM process.

Owner’s Representative on Design/Build Projects (If applicable):

16. Overall accuracy, completeness, timeliness and coordination of requirements documents and bridging documents.

17. A/E’s ability, thoroughness, timeliness and support as Owner’s Representative throughout the project.

Overall:

18. How would you rate the A/E’s ability to control cost?

19. How would you rate the A/E’s overall management performance on this contract?

20. How would you rate the A/E’s overall technical/quality performance on this contract?

21. Would you use this A/E again? (If “No”, please comment in the Narrative Summary)

YES

NO

Number of A/E Design Errors & Omissions on Project:

Increased Project Cost Due to A/E Design Errors & Omissions:

NARRATIVE SUMMARY REGARDING PERFORMANCE:

Item COMMENTS

D. SEND COMPLETED QUESTIONNAIRE, VIA EMAIL, TO:

Shannon Brown, Contract Specialist Email: Shannonmarie.brown@va.gov VISN 6 Networking Contracting Office (NCO 6) mailto:Shannonmarie.brown@va.gov