Past Performance Questionnaire.docx
DOCX document 28 KB Posted
- Attached to
- C221--CHILLED WATER DISTRIBUTION LINE REPLACEMENT Federal contract opportunity
- Solicitation number
- 36C24220R0106
About this file
This document contains a federal contract opportunity notice and a past performance questionnaire for an architect-engineering services procurement. The Department of Veterans Affairs is seeking proposals from qualified firms to provide design and construction support services for a project to replace chilled water distribution lines at the Castle Point VA Medical Center in Wappingers Falls, New York. The estimated construction cost is between $2 million and $5 million. This is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. Proposals are due by July 9, 2020 and award is anticipated by September 30, 2020. Evaluation criteria include technical qualifications, past performance, capacity to complete the work on schedule, and commitment to use small business subcontractors. Firms must complete the past performance questionnaire for at least three relevant projects and submit with their proposal.
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| 36C24220R0106.docx | DOCX document |
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ATTACHMENT 2 - PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER
Complete one set of letters and forms for at least three 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.
Transmittal Letter to Accompany Past Performance Questionnaire
| FROM: | [Insert Company Official Name, Title, and Company Name] |
| SUBJECT: | Past Performance Questionnaire for Contract(s): |
[Insert Company Name] is currently responding to VA Hudson Valley Healthcare System, Castle Point Campus request for SF 330, Architect-Engineer Qualifications for the Replace Chilled Water Distribution Lines at Castle Point. 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 Network Contracting Office (NCO) 2 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 and submit it by 4:00 PM EST on Thursday, July 9, 2020 directly to the VISN 2/Network Contracting Office (NCO) Contract Specialist. The requested data may be submitted by mail or email to the government representative identified below. If the Past Performance Questionnaire is emailed, DO NOT send a hard copy via mail.
Mr. Daniel Barone Contract Specialist VISN 2 Networking Contracting Office (10N2/NCO) Franklin D. Roosevelt Medical Center 2094 Albany Post Road B. 29 Rm 310 Montrose, New York 10548 Email: daniel.barone@va.gov
The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to [Insert Company Name]. Please direct any questions about the acquisition or the attached questionnaire to the VISN 2 NCO point of contact identified above.
Thank you, [Insert Company Official Name and Title]
A. GENERAL INFORMATION
A-E FIRM TO BE EVALUATED:
| Firm Name: ________________________ | Telephone: __________________________ |
| Address: | __________________________ Email address: ________________________ |
| __________________________ Point of Contact: ______________________ | |
| __________________________ | |
| __________________________ |
Firm Cage Code: ____________________ Firm Tax ID Number: ________________ Firm DUNS Number: ________________
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: Other (Please describe) __________________
B. EVALUATOR INFORMATION:
Evaluator’s Company or Agency
| Name: ____________________________ | Evaluator’s Name: _____________________ | |
| Address: __________________________ | Title of Evaluator: _____________________ | |
| __________________________ | Telephone: __________________________ | |
| __________________________ | E-mail: ______________________________ |
C. SEND COMPLETED QUESTIONAIRE (SECTIONS B through D) TO:
Mr. Daniel Barone Contract Specialist VISN 2 Networking Contracting Office (10N2/NCO) Franklin D. Roosevelt Medical Center 2094 Albany Post Road B. 29 Rm 310 Montrose, New York 10548 Email: daniel.barone@va.gov
D. 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 or met contractual requirements and exceeds or exceeded many of your company’s expectations The contractual performance reflects or reflected few minor problems and corrective actions taken by the contractor appear to be highly effective or corrective actions taken were effective. |
| Performance meets or met contractual requirements and exceeds or exceeded some of your company’s expectations. The contractual performance reflects or reflected some minor problems and corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective. |
| Performance meets or met contractual requirements. The contractual performance reflects or reflected some minor problems. Corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective. |
| Performance does or did not meet some contractual requirements. The contractual performance reflects or reflected serious problems(s) for which the contractor has not yet identified acceptable corrective actions or did not provide acceptable corrective actions. |
| Performance does or did not meet most contractual requirements and recovery is not likely or did not occur. The contractual performance contains or contained serious problem (s) for which the contractor’s corrective actions appear ineffective or were ineffective. |
| Not applicable or rater has not observed performance in this area. |
A-E FIRM’S NAME: _______________
PROJECT NAME: _______________
Contract Period of Performance: _______________________ Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.
Place an “X” in the appropriate column using the definitions matrix on page 4.
Item
FACTORS TO BE RATED
| Exceptional (5) |
| Very Good (4) |
| Satisfactory (3) |
| Marginal (2) |
| Unsatisfactory (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 |
| 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: _______________ Contractor’s Name: ___________________ Project Name: ______________________ Contract Period of Performance: _______________________
Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.
NARRATIVE SUMMARY (Use this section to explain any rating from the previous page)
| Item |
| COMMENTS |
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