PPQ - Northport CPS.docx
DOCX document 105 KB Posted
- Attached to
- C1BG--EHRM Infrastructure Upgrades Construction Period Services - Northport, NY 632-22-700
- Solicitation number
- 36C77625R0065
About this file
This document is a Past Performance Questionnaire (PPQ) for a Veterans Health Administration (VHA) Program Contracting Activity Central project involving EHRM Infrastructure Upgrades Construction Period Services at the Northport, NY VA Medical Center. The solicitation (36C77625R0065) is a pre-solicitation request for Standard Form (SF) 330 Architect-Engineer Qualifications packages, specifically set aside for Service-Disabled Veteran-Owned Small Business (SDVOSB) concerns in the Engineering Services NAICS code with a $25.5M small business size standard.
The procurement seeks A-E services for design review, pre-bid revisions, solicitation support, construction period services, and commissioning, with an anticipated contract award by August 2025. The evaluation will consider six primary selection criteria: construction period services experience, specialized technical competence, past performance, professional qualifications, local project knowledge, and team capacity. Submissions are due by 1:00 PM ET on June 17, 2025, as a searchable PDF not exceeding 30 pages, with responses to be emailed to the contract specialist Kara Evert. Offerors must be SBA-certified SDVOSB firms visible in the VetCert database and meet specific professional and technical qualifications.
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Other files
| File | Type | Posted |
|---|---|---|
| Mod to Presol 36C77625R0065.docx | DOCX document | |
| Request for SF 330s 36C77625R0065.docx | DOCX document | |
| AE Design SOW - EHRM Infra CPS - 5-13-25.pdf |
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Text version
VHA PROGRAM CONTRACTING ACTIVITY CENTRAL ● 6100 OAK TREE BLVD SUITE 490 ● INDEPENDENCE, OH 44131
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
*PPQs are NOT included in the page count for SF 330 submissions.
SECTION 1
CONTRACT INFORMATION – Contractor to complete
1. CONTRACTOR INFORMATION
NAME OF OFFEROR BEING EVALUATED: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
POINT OF CONTACT: Click or tap here to enter text.
CONTACT PHONE NUMBER: Click or tap here to enter text.
CONTACT EMAIL ADDRESS: Click or tap here to enter text.
WORK PERFOMED AS: Click or tap here to enter text.
PERCENT OF PROJECT WORK PERFORMED: Click or tap here to enter text.
IF SUBCONTRACTOR, WHO WAS THE PRIME? Click or tap here to enter text.
2. CONTRACT INFORMATION
CONTRACT TITLE: Click or tap here to enter text.
CONTRACT NUMBER AND DO/TO NUMBER: Click or tap here to enter text.
CONTRACT TYPE: Choose an item.
if other:
CONTRACT LOCATION: Click or tap here to enter text.
AWARD DATE: Click or tap to enter a date.
ORIGINAL CONTRACT ACCEPTANCE (construction accepted) DATE: Click or tap to enter a date.
ACTUAL CONTRACT ACCEPTANCE: Click or tap to enter a date.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
ORIGINAL IMPLEMENTATION PRICE: Click or tap here to enter text.
ORIGINAL CONTRACT PRICE (all costs - design/installation/financing): Click or tap here to enter text.
FINAL CONTRACT PRICE (including modifications, if applicable): Click or tap here to enter text.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
3. PROJECT DESCRIPTION
SCOPE INCLUDED IN PROJECT: Click or tap here to enter text.
HOW IS THIS PROJECT RELEVANT TO PROJECT OF SUBMISSION? Click or tap here to enter text.
SECTION 2
EVALUATOR INFORMATION – Client to complete
Veterans Health Administration (VHA) Program Contracting Activity Central (PCAC) is considering the offeror identified above for award of the EHRM Infrastructure Upgrades Construction Period Services project at the Northport, NY VA Medical Center - 36C77625R0065.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please verify the accuracy of the information in Section 1 and complete the questionnaire as thoroughly as possible. VHA PCAC may contact you in order to obtain any additional information regarding a contract award.
Please return your completed questionnaire to the offeror to be incorporated into the SF 330 submission. PPQs should NOT be submitted directly to VHA PCAC by the client. Refer to the presolicitation for SF 330 submission due date.
EVALUATOR INFORMATION
NAME OF EVALUATOR: Click or tap here to enter text.
POSITION: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
PHONE: Click or tap here to enter text.
EMAIL: Click or tap here to enter text.
DESCRIBE YOUR ROLE IN THE PROJECT: Click or tap here to enter text.
*Please see the last page for Adjectival Ratings for the following:
1. QUALITY
| Ability to meet quality design and/or construction standards specified for technical performance |
| Choose an item. |
| Comments: |
2. SCHEDULE/TIMELINESS OF PERFORMANCE
| Compliance with contract delivery/completion schedules including timely submission of data deliverables (If liquidated damages were assessed or the schedule was not met, please address below.) |
| Choose an item. |
| Comments: |
3. COMMUNICATION
| Contractor was reasonable and cooperative in dealing with client staff (including the ability to successfully resolve disagreements/disputes and responsiveness to client requests) |
| Choose an item. |
| Comments: |
4. MANAGEMENT/PERSONNEL/LABOR
| Effectiveness of management, including suppliers, materials, and/or labor force (including the ability to effectively lead, manage, and control the project) |
| Choose an item. |
| Continuity in the contractor’s personnel during execution of the contract (e.g., one person or team that stayed with the project throughout the contract) |
| Choose an item. |
| Comments: |
5. COST/FINANCIAL MANGEMENT
| Ability to meet the terms and conditions within the contractually agreed price |
| Choose an item. |
| Comments: |
6. SUBCONTRACT MANAGEMENT
| Ability to manage subcontracting effort, including any subcontracting issues, and the contractor’s ability to resolve the problems without extensive customer guidance |
| Choose an item. |
Comments:
7. SUMMARY
| Would you hire or work with this firm again? If no, please explain below. |
| Choose an item. |
| Provide an overall rating for the work performed by this contractor. |
| Choose an item. |
ADDITIONAL COMMENTS:
| EVALUATOR SIGNATURE: |
| DATE: |
ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
| Rating |
| Definition |
| Outstanding |
| The offeror’s performance met contractual requirements and exceeded many requirements to the client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the offeror were highly effective. |
| Above Average |
| The offeror’s performance met contractual requirements and exceeded some requirements to the client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the offeror were effective. |
| Satisfactory |
| The offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory. |
| Unacceptable |
| The offeror’s performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the offeror has yet to identify corrective actions or the offeror’s proposed actions appear only marginally effective or were not fully implemented. |
| Not Applicable |
| No information or did not apply to your contract. |
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