S02-657A4-21-800-ATTACHMENT 2-Performance Relevancy Survey.pdf
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- Attached to
- Z2DA--657A4-21-800, TF - FCA - Remove and Replace End-of-Life HVAC Infrastructure Building 1
- Solicitation number
- 36C25525R0009
About this file
This is a Performance Relevancy Survey template (Attachment 2) for solicitation 36C25525R0009, which is for removing and replacing end-of-life HVAC infrastructure in Building 1 for the Department of Veterans Affairs.
The survey requires offerors to provide detailed information about their past performance on similar contracts completed within the last 5 years or currently ongoing. Offerors must describe their role as prime or subcontractor, contract values, completion dates, and modifications. The form includes a relevancy rating system with four levels: Very Relevant (essentially same scope/magnitude), Relevant (similar scope/magnitude), Somewhat Relevant (some similar elements), and Not Relevant (little/no similarity). Offerors must detail specific work elements performed by their firm and subcontractors, identify if those subcontractors will be used for this project, and highlight any technically relevant aspects. The form requires point of contact information for the owner/government agency contracting officer and inspector, including current phone, email and address details.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
657A4-21-800 TF - FCA - Remove and Replace End-of-Life Heating, Ventilation and Air Conditioning Infrastructure Building 1
36C25525R0009
ATTACHMENT 2
PERFORMANCE RELEVANCY SURVEY
Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects may be on-going and cannot have been completed any later than 5 years prior to the issuance of this solicitation. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.
A. Offeror (Your) Name (Company/Division):
B. Project/Contract Title:
C. Contract Specifics:
1. Description of Effort as __________ Prime or ______Subcontractor
2. Contract Number __________________________
3. Original Contract $ Value _______ Current/Final Contract $ Value __________
4. If amounts in 3 above are different, provide a brief description of the reason:
5. Completion Date(s):
a. Original Date: ______________________
b. Current Schedule____________________
c. Estimate/Final Completion Date:____________________
d. Primary cause for Contract Modifications______________
D. Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, SOMEWHAT
RELEVANT, NOT RELEVANT.
Relevancy Rating Definition VERY RELEVANT Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.
RELEVANT Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.
SOMEWHAT
RELEVANT
Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.
NOT RELEVANT Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
589A5-22-106 Replace Building 4 HVAC 36C25524R0114
Descriptions must address the following:
1. Describe the specific elements of the work performed by your firm.
2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on projects awarded under this JOC.
Should you intend to use these same subcontractors, please list their company names and described their principal areas of work that they will perform.
3. Address any technical areas about this project you consider uniquely relevant to this solicitation.
E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR); include a current phone number, email address and facsimile number for each.
Company Name:
Point of Contact: Title: E-mail: __ Office Phone: _______________ Address of Record:
File details come from the government source that posted it. Updated .