Past Performance Questionnaire.docx
DOCX document 39 KB Posted
- Attached to
- C1DA--Prevent Legionella and Scalding Federal contract opportunity
- Solicitation number
- 36C24625R0033
About this file
This document is a Past Performance Questionnaire for a Department of Veterans Affairs (VA) Architect-Engineer (A-E) contract opportunity to prevent Legionella and scalding at the Fayetteville VA Medical Center. The solicitation (36C24625R0033) is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) seeking comprehensive design and construction period services for water system mitigation, with a projected construction budget between $2-5 million. The project requires creating a Revit model of existing domestic water systems, developing design alternatives, performing system evaluations, and producing complete construction documents, with a total contract period of 758 calendar days.
The solicitation calls for detailed professional engineering services including site surveys, investigations, reports, design work, contract drawings, specifications, cost estimates, and construction period services. Key deliverables include concept drawings, Revit BIM models at LOD 300, comprehensive design submissions at 35%, 65%, 95%, and 100% completion stages, and ongoing construction support. The project aims to correct water system issues, investigate potential Legionella risks, and implement comprehensive mitigation strategies for the facility's domestic hot and cold water systems, with strict compliance requirements to VA standards, ASHRAE, CDC, and OSHA guidelines.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 36C24625R0033 0001.pdf | ||
| 36C24625R0033_1.docx | DOCX document | |
| 36C24625R0033_1.docx | DOCX document | |
| SF 330.pdf |
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Text version
ATTACHMENT - 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 565-25-151, Prevent Legionella and Scalding. 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 1:00 PM EDT, Thursday, April 17, 2025. Return the completed questionnaire directly to the Government Contract Specialist, Michael Proctor, via email at Michael.proctor2@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:
Michael Proctor, Contract Specialist Email: Michael.proctor2@va.gov VISN 6 Network Contracting Office (NCO 6) Hunter Holmes McGuire VA Medical Center 1201 Broad Rock Blvd, Building 507 Richmond, VA 23249 Page 1 of
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