Special Notice Attachment C - Past Performance Questionnaire.docx

DOCX document 45 KB Posted Oct 12, 2023

Attached to: C1DA--Refurbish D-wing Elevators Federal contract opportunity
Solicitation number: 36C24623R0108
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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Written by GovTribe AI · Dec 21, 2023

This document contains a past performance questionnaire template and cover letter for reference checks on federal architecture and engineering contracts. It requests completion of references and ratings for up to three example projects covering design services, construction support, LEED/BIM experience, and overall performance. Specific areas addressed include technical competence, responsiveness, cost estimating, scheduling, and management. References are due by August 14, 2023 and should be emailed to the Department of Veterans Affairs contracting officer. The related federal opportunity is for pre-solicitation of architecture and engineering services to refurbish elevators at the Fayetteville VA Medical Center under solicitation number 36C24623R0108.

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Special Notice Attachment B - Criterion 2 Format.xlsx	XLSX spreadsheet	Oct 12, 2023
36C24623R0108.docx	DOCX document	Oct 12, 2023

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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 SF 330 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.Transmittal Letter to Accompany Past Performance Questionnaire

FROM: [Insert Company Official Name, Title, and Company Name] SUBJECT: Past Performance Questionnaire for Contract(s):

[Insert Company Name] is currently responding to VHA Network Contracting Office 6 and the Fayetteville VA Medical Center, regarding a request for SF 330, Architect- Engineer Qualifications for Project 565-24-105, Refurbish D-wing Elevators.

This Request for SF 330’s requires respondents to identify customers and solicit their response regarding [Insert Company Name] performance.

[Insert Company Name] is providing past performance data to VHA Network Contracting Office 6 relating to our performance on contract [Insert contract name/number] and have identified [Insert name of reference] as the point of contact for this contract.

The request for SF 330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire (Sections B and C) and return it by no later than 10:00am EST, August 14, 2023. Return the completed questionnaire directly to the Government Contracting Officer, Angelo Harris, via email at angelo.harris@va.gov.

*Do not return this form to the AE firm requesting the reference.

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name: Address:

Unique Entity ID:

Project Title:

Description of Project:

Description of A-E Firms’ Responsibilities:

Contract Number: Dollar Amount:

Contract Period of Performance:

The A-E Firm performed as the Prime Contractor Sub-Contractor/Consultant/Team Member Percent of work performed by A-E Firm:

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 A/E’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

-Performance meets or

-Performance meets

-Performance does

-Not applicable

or met contractual

met contractual

or met contractual

or did not meet

or rater has not

requirements and

requirements. The

some contractual

most contractual

observed

exceeds or

exceeds or exceeded

contractual

requirements. The

requirements and

performance in

exceeded many of

some of your

performance reflects

contractual

recovery is not

this area.

your company’s

company’s

or reflected some

performance reflects

likely or did not

expectations. The

minor problems.

or reflected serious

occur. The

contractual

Corrective actions

problems(s) for

contractual

performance

performance reflects or

being taken by the

which the contractor

performance

reflects or reflected

reflected some minor

contractor appear to

has not yet

contains or

few minor problems

problems and

be effective or

identified acceptable

contained serious

and corrective

corrective actions

Corrective actions

corrective actions or

problem (s) for

actions taken by the

being taken by the

taken were

did not provide

which the

contractor appear to

contractor appear to be

effective.

acceptable

contractor’s

be highly effective

effective or Corrective

corrective actions.

corrective actions

or corrective actions

actions taken were

appear ineffective

taken were

effective.

or were ineffective.

effective.

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

Item

FACTORS TO BE RATED

Exceptional (5)

Very Good (4)

Satisfactory (3)

Marginal (2)

Unsatisfactory (1)

N/A

Design Services:

Overall skill level and technical competence of A/E’s personnel.

A/E’s ability to identify and resolve design issues expeditiously.

A/E’s responsiveness to design review questions.

A/E’s ability to effectively coordinate, integrate and manage their consultants/subcontractors/team

A/E’s effectiveness and responsiveness in interfacing with the Client’s staff

Item

FACTORS TO BE RATED

Exceptional (5)

Very Good (4)

Satisfactory (3)

Marginal (2)

Unsatisfactory (1)

N/A

Overall accuracy, completeness and coordination of final design documents. (Quality)

A/E’s ability to provide detailed, accurate cost estimates.

A/E’s ability to meet contract schedule.

Follow-On Construction Support Services:

Thoroughness and timely review of construction submittals.

10.

Timely resolution of construction design issues.

11.

Overall quality, responsiveness and timeliness of A/E follow- on construction support services.

LEED (If Applicable):

12.

Overall accuracy, completeness, timeliness and coordination of LEED documentation.

13.

A/E’s ability and understanding of the overall LEED process.

BIM (If Applicable):

14.

Overall accuracy, completeness, timeliness and coordination of BIM documentation.

15.

A/E’s ability and understanding of the overall BIM process.

Owner’s Representative on Design/Build Projects (If applicable):

16.

Overall accuracy, completeness, timeliness and coordination of requirements documents and bridging documents.

17.

A/E’s ability, thoroughness, timeliness and support as Owner’s Representative throughout the project.

Overall:

18.

How would you rate the A/E’s ability to control cost?

19.

How would you rate the A/E’s overall management performance on this contract?

20.

How would you rate the A/E’s overall technical/quality performance on this contract?

21.

Would you use this A/E again? (If “No”, please comment in the Narrative Summary)

YES

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

NARRATIVE SUMMARY REGARDING PERFORMANCE:

Item

COMMENTS

C. SEND COMPLETED QUESTIONNAIRE, VIA EMAIL, TO:

Department of Veteran Affairs Angelo Harris, Contract Specialists Email: angelo.harris@va.gov Networking Contracting Office (NCO 6)

File details come from the government source that posted it. Updated Oct 12, 2023.