VA250-17-R-0136-031.pdf

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Indefinite Delivery Indefinite Quantity – Job Order Contract (IDIQ-JOC)

VA250-17-R-0136

ATTACHMENT 4

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 3 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

Indefinite Delivery Indefinite Quantity – Job Order Contract (IDIQ-JOC)

VA250-17-R-0136

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: