Past Performance Questionnaire - Elevator Upgrades.docx
DOCX document 41 KB Posted
- Attached to
- C1AZ--650-24-108 Elevator Upgrades Federal contract opportunity
- Solicitation number
- 36C24123R0143
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A0001 Elevator Inspection Report COR-CS.pdf | ||
| 36C24123R0143 0001_1.docx | DOCX document | |
| 36C24123R0143.docx | DOCX document | |
| Limitations on Subcontracting Certification.docx | DOCX document | |
| Drawings Elevator Upgrades.pdf | ||
| SOW Elevator Upgrades 6-2-23.pdf |
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PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER
Complete one set of letters and forms for each project 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:
SUBJECT: Past Performance Questionnaire for Contract(s):
_____________ is currently responding to Department of Veterans Affairs (NCO 1) request for SF 330, Architect-Engineer Qualifications for services for Elevator Upgrades and Modernization, to take place at the VA Providence Healthcare System (VAPHS) in Providence, RI. This Request for SF 330 Qualification requires respondents to identify customers and solicit their response regarding __________ performance.
_______________ is providing past performance data to NCO 1 relating to our performance on contract ______________________________ and have identified _____________ 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 directly to the NCO 1 Contracting Office Contract Specialist shown below. The requested data should be submitted by email to the Government representative identified below. If the Past Performance Questionnaire is emailed, DO NOT send a hard copy via mail.
Pearl Wray (Contract Specialist) Department of Veterans Affairs Network Contracting Office (NCO 1) E-mail: pearl.wray@va.gov
The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to ____________. Please direct any questions about the acquisition or the attached questionnaire to the VISN 1 NCO point of contact identified above.
Thank you, Signature
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: 100% design 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:
Pearl Wray (Contract Specialist) Department of Veterans Affairs Network Contracting Office (NCO 1) E-mail: pearl.wray@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? |
| x |
| 20. |
| How would you rate the A/E’s overall technical/quality performance on this contract? |
x
| 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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