S02. Attachment A - Past Performance Questionnaire.pdf

SOLICITATION ATTACHMENT

PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

Complete one set of letters and forms for at least three (3) projects identified in your firm’s SF330 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(s).

Transmittal Letter to Accompany Past Performance Questionnaire

FROM:

SUBJECT: Past Performance Questionnaire for Contract(s):

is currently responding to VHA Network Contracting Office 6, regarding a request for SF330 Architect-Engineer (A/E) Qualifications for VISN 6 Master Planning.

This request for SF330s requires respondents to identify customers and solicit their response regarding performance.

is providing past performance data to VHA Network Contracting Office 6 relating to our performance on contract and have identified as the point of contact for this contract.

The request for SF330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire (Sections B and C) and return it no later than 10:00 AM EDT, 17 July 2023. Return the completed questionnaire directly to the Contract Specialist, Sam Cahill, via email at samantha.cahill@va.gov.

*Do not return this form to the A/E firm requesting the reference.*

A. GENERAL INFORMATION

A/E FIRM TO BE EVALUATED:

Firm Name:

Address:

DUNS Number:

Project Title:

Description of Project:

Description of A/E Firm's Responsibilities:

The A/E Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member

Percent of work performed by A/E Firm:

Contract Number: Dollar Amount:

Contract Period of Performance:

B. EVALUATOR INFORMATION:

Evaluator’s Company or Agency Name:

Company or Agency Address:

Evaluator’s Name:

Title of Evaluator:

Telephone:

E-mail:

PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the AE’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.

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

Number of A/E Design Errors & Omissions on Project: ___________________________ Increased Project Cost Due to A/E Design Errors and Omissions: ___________________

NARRATIVE SUMMARY REGARDING PERFORMANCE:

C. SEND COMPLETED QUESTIONNAIRE, VIA EMAIL, TO:

Department of Veteran Affairs Sam Cahill, Contract Specialist Email: samantha.cahill@va.gov Networking Contracting Office (NCO 6)

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