Past Performance Questionnaire PPQ.pdf

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Attached to
C1DA--Replace And Upgrade Emergency Power Systems, Equipment, And Components
Solicitation number
36C24625R0036
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This Past Performance Questionnaire (PPQ) is a detailed evaluation form for an Architect-Engineer (A/E) firm seeking to perform design and construction period services for the VA Medical Center in Durham, North Carolina. The project involves replacing and upgrading emergency power systems, equipment, and components for Building 1, with a focus on improving power distribution to critical hospital departments and HVAC systems. The document requires the A/E firm to provide reference information about past projects, with evaluations covering specialized areas such as design services, construction support, LEED documentation, BIM processes, and overall project management.

The questionnaire is part of a solicitation (36C24625R0036) for Project 558-25-151, which is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB). The project has a design completion timeline of 285 calendar days, with a total contract period of 1,195 calendar days. Key submission requirements include an electronic SF 330 form due by 10:00 a.m. EDT on May 30, 2025, with responses to be evaluated across six primary criteria: specialized experience, professional qualifications, capacity, past performance, local knowledge, and construction period services experience. The estimated construction magnitude is between $2-5 million, with an anticipated award date on or before September 30, 2025.

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36C24625R0036 0001.pdf PDF
36C24625R0036_1.docx DOCX document
SF 330.pdf PDF

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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 Durham VA Medical Center located in Durham, North Carolina, regarding a request for SF 330, Architect-Engineer Qualifications for Project 558-25-151, Replace and Upgrade Emergency Power Systems, Equipment, And Components. 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, Friday, May 23, 2025. Return the completed questionnaire directly to the Contracting Team:

Branch Chief: Vangie.Miller@va.gov Contract Specialist: Erica.Manglona@va.gov Contracting Officer: Alice.Custis@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: _____________________________________________________ mailto:Vangie.Miller@va.gov mailto:Erica.Manglona@va.gov mailto:Alice.Custis@va.gov

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.

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

Item FACTORS TO BE RATED

E xc ep tio na l (

5)

V er y G oo d

(4

Sa tis fa ct or y

(3

M ar gi na l ( 2)

U ns at is fa ct or y

(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:

Branch Chief: Vangie.Miller@va.gov Contract Specialist: Erica.Manglona@va.gov Contracting Officer: Alice.Custis@va.gov

VISN 6 Network Contracting Office (NCO 6) Hampton VA Medical Center 100 Emancipation Drive, Building 27 Hampton, VA 23667 mailto:Vangie.Miller@va.gov mailto:Erica.Manglona@va.gov mailto:Alice.Custis@va.gov

ATTACHMENT - PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER
A. GENERAL INFORMATION
B. EVALUATOR INFORMATION:
Place an “X” in the appropriate column using the above definitions matrix.

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