Past Performance Questionnaire.docx
DOCX document 39 KB Posted
- Attached to
- C1DA--Replace Fire Pump AE 565-25-152
- Solicitation number
- 36C24625R0027
About this file
This document is a Past Performance Questionnaire for a VA medical center project to replace a fire pump. The solicitation is a 100% set-aside for Service-Disabled Veteran Owned Small Business (SDVOSB) firms, seeking an Architect-Engineering (A-E) firm to provide comprehensive design services for Project #565-25-152 at the Fayetteville VA Medical Center in North Carolina. The project involves replacing the existing main building fire pump, relocating it to a more accessible area, and requires full design development including schematics, construction documents, technical specifications, site visits, cost estimates, and construction period services.
The total contract period is 720 calendar days, with a projected A-E contract award date of August 29, 2025, and an anticipated construction budget between $1-2 million. Interested firms must submit a Standard Form 330 (SF 330) electronically to the Contract Specialist by 11:00 AM EDT on April 17, 2025. Evaluation criteria include specialized experience, professional qualifications, past performance, capacity to accomplish work, and commitment to using veteran-owned small businesses. Firms must be registered in SAM, certified in the SBA database, and comply with specific submission requirements including detailed project experience, key personnel qualifications, and performance capabilities.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24625R0027 0001.docx | DOCX document | |
| SF 330.pdf | ||
| 36C24625R0027_1.docx | DOCX document | |
| Mechanical Room B78 Floor Plan.png | PNG image | |
| Facility Site Plan.pdf |
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PAST PERFORMANCE QUESTIONAIRE 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.
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 VHA Network Contracting Office 6 and the Fayetteville VA Medical Center located in Fayetteville, North Carolina, regarding a request for SF 330, Architect-Engineer Qualifications for Project 565-25-152, Replace Fire Pump. This Request for SF 330s 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 respondent provide customers with the attached questionnaire. The questionnaire is specific to this requirement, past questionnaires for other announcements will not meet the submission requirement.
Please complete the questionnaire (Sections B and C) and return it by no later than 11:00 AM EDT, Thursday, April 17, 2025. Return the completed questionnaire directly to the Government Contract Specialist, Elaine Belber, via email at Elaine.Belber@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: _____________________________________________________ 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 5 under Narrative Summary Regarding Performance.
| Exceptional (5) |
| -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. |
| Very Good (4) |
| -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. |
| Satisfactory (3) |
| -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. |
| Marginal (2) |
| -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. |
| Unsatisfactory (1) |
| -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. |
| N/A |
| -Not applicable or rater has not observed performance in this area. |
Page 1 of Place an “X” in the appropriate column using the above definitions matrix.
| 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 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:
Elaine Belber, Contract Specialist Email: Elaine.Belber@va.gov VISN 6 Network Contracting Office (NCO 6) Hampton VA Medical Center 100 Emancipation Drive, Building 27 Hampton, VA 23667 Page 1 of
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