QUALITY OF PAST PERFORMANCE SURVEY FORM FOR DESIGN FIRMS.docx

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AMENDMENT 001: Architect-Engineer (AE) Services for design services for the James A. Haley Veterans’ Hospital in Tampa, Florida
Solicitation number
W9127821R0019
Issued by

About this file

This federal solicitation seeks proposals for architect-engineer services to support the James A. Haley Veterans' Hospital campus in Tampa, Florida. Firms must demonstrate experience in areas such as medical campus master planning, facility design, and construction support. Key requirements include experience expanding and renovating medical rehabilitation centers and designing parking garages. Proposals are due by April 22, 2021 and will be evaluated based on qualifications of key personnel, specialized experience with similar medical projects, proven work management capabilities, past performance references, capacity to support multiple simultaneous projects, and knowledge of the locality. The selected firm will be eligible for task orders under a single award contract with a total capacity of $30 million over five years to provide design and engineering services for projects at the Tampa VA medical campus.

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Advertised with Solicitation W9127821R0019

QUALITY OF PAST PERFORMANCE SURVEY FORM FOR DESIGN FIRMS (PPQ)

A. GENERAL INFORMATION:

Company Name & DUNS: _________________________________________________________ Address: _______________________________ Telephone Number: ________________________ ________________________________________ Point of Contact: _________________________ Name and Location of Project/Contract Number/Start and Completion Date:__________________ Contractor Performed as the Design Firm (Prime), the Design Sub-consultant

B. CLIENT INFORMATION:

Name of Client: ________________________ Title: ____________________________________ Address: _______________________________ Telephone Number: _______________________ Client’s Signature: _______________________________________________________________

C. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation.

Unsatisfactory
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Marginal Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

3
None
No record of past performance or the record is inconclusive.
Satisfactory
Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.
Very Good
Performance met all contract requirements and exceeded some to the owner’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner.
Exceptional
Performance met all contract requirements and exceeded many to the owner’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

PAST PERFORMANCE SURVEY FORM

The Design Firm:

1.
Provided experienced design managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
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NA
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified design personnel during the contract period.
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NA
3.
Delegated authority to project design managers and supervisors commensurate with contract requirements.
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NA
4.
Provided technically correct designs, code compliant, and complying with the contract requirements.
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NA
5.
Followed approved quality control plan for design.
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NA
6.
Provided effective quality control and/or technical review procedures to meet contract requirements. Responsive the customer review comments.
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NA
7.
Corrected design errors or conflicting design information in timely manner and pursuant to their quality control procedures.
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NA
8.
Provided timely responses to review comments.
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NA
9.
Identified risks/problems as they occurred.
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NA
10.
Suggested alternative approaches to problems.
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NA
11.
Displayed initiative to solve problems.
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NA
12.
Developed realistic progress schedules.
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NA
13.
Met established project schedules.
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NA
14.
Provided quality shop drawing reviews during the construction phase of the project.
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NA
15.
Was responsive to contract changes.
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NA
16.
Design Firms interaction with the Owner when developing project requirements.
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NA
17.
Provided accurate and complete cost proposals including all aspects of work required.
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NA
18.
Would you award another contract to this design firm? If not, explain in “remarks.”
YES
NO
19.
OVERALL EVALUATION OF DESIGN FIRM’S PERFORMANCE.
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Remarks:________________________________________________________________________________________________________________________________________________________

Client’s Signature & Date: ___________________________________________________

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