Sources Sought Past Performance Project Data Form.docx

This is a Past Performance Project Data Form template designed for contractors to document relevant project experience in response to a Sources Sought announcement for the renovation of the Community Living Center (CLC) East Wing and Courtyard at Mann-Grandstaff VA Medical Center in Spokane, Washington. The form requires contractors to provide comprehensive project information including firm details (name, CAGE code, UEI, contact information), work role (prime contractor, subcontractor, joint venture, or other), and percentage of project work performed. Contractors must document the specific project description, including contract number, government agency or private entity involved, contract type (Firm Fixed Price, Cost Reimbursement, or other), contract title, location, award date, original contract price, and final contract price with all modifications.

The form requires contractors to explain any differences between original and final contract prices and actual completion dates, assess work complexity (High, Medium, or Routine), and most importantly, demonstrate relevance to the CLC renovation project by providing detailed information such as square footage, similar equipment, requirements, and conditions. This template is used for market research purposes only to evaluate contractor capabilities and qualifications for the estimated $5,000,000 to $10,000,000 renovation project involving 7,730 square feet of space in Building 12, which includes HVAC system upgrades, building infrastructure connections, and courtyard renovation to modernize the Community Living Center to current VA standards. The Sources Sought is being conducted by the Veterans Health Administration, Regional Procurement Office West, Network Contracting Office 20, under Solicitation Number 36C26026Q0609, with NAICS code 236220 (Commercial and Institutional Building Construction).