SSQ_Fillable_Medical Div AE_31Oct19.pdf

Architectural & Engineering Services for the U.S. Army Engineering & Support Center, Huntsville Medical Division Capabilities Requirements

ATTACHMENT 1

CAPABILITIES QUESTIONNAIRE

MEDICAL DIVISION ARCHITECT-ENGNINEER (AE) INDEFINITE-DELIVERY

CONTRACT

Use this form to provide general information for your firm. The box at the bottom of the form may be used to clarify any requested information. Please respond to all questions as completely as possible and neatly print or type the requested information.

SECTION 1: GENERAL

DUNS: _______________ CAGE Code: ______________

1. Business Name: ________________________________________________

2. Business Address: _______________________________________________

3. Responsible Point of Contact:

Name: _____________________________________

Telephone: _____________________________________

Email: _____________________________________

4. Please indicate the business category under which your firm is qualified: (check all that apply)

8(a) small business Service-disabled veteran-owned small bus.

Veteran-owned small business HUB Zone small business

Women-owned small business Small Disadvantaged business

Small business Large Business

Architectural & Engineering Services for the U.S. Army Engineering & Support Center, Huntsville Medical Division

SECTION 2: DEMONSTRATED CAPABILITIES

1. Does your firm currently possess the 541330 (Engineering Services) NAICS Code?:

Yes No

2. In the last five years, what percentage of your firm’s overall workload (by fee amount) has been in support of medical facilities (hospitals, medical clinics, dental clinics, medical laboratories, and veterinary facilities which primarily involve the design of clinical, operatory, and patient care spaces). (DO NOT include projects that involved facilities that were primarily administrative/business occupancy, facility planning studies, or construction projects that only involved site/civil construction or exterior features or systems.):

3. For the workload identified from question (2) above, please indicate the approximate number of projects (broken out by AE fee amount category below) that your firm (and subcontractors directly managed by your firm) performed in providing significant architectural/engineering support for medical facility projects.

$0 - $49K ________ projects

$50K - $99K ________ projects

$100K - $249K ________ projects

$250K - $499K ________ projects

$500K - $999K ________ projects

$1M - $4.99M ________ projects

$5M - $9.9M ________ projects

$10M - $24.9M ________ projects

$25M+ ________ projects

4. For the workload identified from question (2) above, indicate what percentage of this work (by number of projects) was performed in the following categories: (total must equal 100%)

a. Design work using registered architecture/engineering professionals in the development of drawings, calculations, and specifications using applicable codes and criteria supporting the construction of new medical facilities or additions to existing healthcare facilities:

Architectural & Engineering Services for the U.S. Army Engineering & Support Center, Huntsville Medical Division

b. Design work using registered architecture/engineering professionals in the development of drawings, calculations, and specifications using applicable codes and criteria supporting the repair, renovation, alteration, or maintenance of existing and active healthcare facilities:

c. Other work requiring the use of registered architecture/engineering professionals. Examples could include engineering studies, commissioning support, construction phase support, etc.:

d. Other work of a technical nature (requiring little to no professional engineering or architecture support):

5. For the majority of the workload identified from question (2) above, please identify the following disciplines/competencies that were performed by your firm (or subcontractors directly managed by your firm) and for which you consider a signicant compentacy of your team: (check all that apply)

Project Management Architecture

Civil Engineering Mechanical Engineering

Electrical Engineering Fire Protection Eng.

Healthcare Codes/Criteria Medical Facility Planning

Interior Design Cost Estimating

Facility Condition Assessments Facility Commissioning

Hazardous Materials Surveys Surveying and Mapping

Communication Unified Facilities Criteria

Interim Life Safety Measures Infection Control Risk Assessment

Construction Phase Services As-built Development

Joint Commission of Accreditation of Health Care Organization (JCAHO) Ennironment of Care Standards

Design of Construction Phasing for Active Healthcare Facilities

Architectural & Engineering Services for the U.S. Army Engineering & Support Center, Huntsville Medical Division

6. For the workload identified from question (2) above, indicate what percentage of this work (by number of projects) was performed by your firm (and subcontractors managed by your firm) in the following categories: (total must equal 100%)

a. Projects that your firm supported with few (1-2) specialty architect/engineering disciplines relative to the overall design effort:

b. Projects that your firm supported with a significant number (3-5) architect/engineering disciplines relative to the overall design effort:

c. Projects where your firm was fully responsible for the design effort of the project.

7. For the workload identified from question (2) above, indicate what percentage this work (by number of projects) was performed in the following categories: (total must equal 100%)

a. Municipal/Private Healtcare Providers __________%

b. Department of Veterans Affairs (DVA) __________%

c. Department of Defense (Army, Navy, etc.) __________%

d. Other Federal Health Systems (NIH, etc.) __________%

8. Is there any reason why your firm could not support medical facility projects that may require travel outside the contiguious United States?:

9. Does your firm have any professional conflict of interest that would prevent you from submitting a proposal for this acquisition?:

10. Indicate the approximate number of professional architects and engineers that are currently employed by your firm:

Architectural & Engineering Services for the U.S. Army Engineering & Support Center, Huntsville Medical Division

SECTION 3: CONTRACTOR ARRANGEMENT

1. If your firm proposed on this solicitation, would you propose as a:

(Refer to FAR subpart 9.6 for Government policy on teaming arrangements, as well as 8(a)Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403(c) and 13 CFR 125.15(b).)

Joint Venture Partner with a Small Business Lead

Joint Venture Partner with a Large Business Lead

Mentor-Protégé Agreement with a Large Business

Prime Contractor, performing > 50% of the work with personnel employed directly with your firm (Reference FAR 52.219-14)

Prime Contractor, performing 50% or less of the work with personnel employed directly with your firm

Subcontractor, in a subcontract partnership with the Prime Contractor or Joint Venture

Other – explain_______________________________________________________________

SECTION 4. CAPABILITY

The following questions are related to the additional workload that your firm would perform if awarded the subject contract (considering other projected commitments) and based on the contractual arrangement you selected in Section 3 above:

1. How many medical design projects valued at $250K (in AE fees) is your firm capable of performing per 12-month period? (check one)

0 1-2 3-5

6-10 11-20 20+

2. How many medical design projects valued at $250K (in AE fees) is your firm capable of performing simultaneously? (check one)

0 1-2 3-5

6-10 11-20 20+

Architectural & Engineering Services for the U.S. Army Engineering & Support Center, Huntsville Medical Division

3. What is the maximum capacity your firm can adequately perform for any single task order (project) is: (dollars are in AE fee, not construction project value) (check one)

$0 - $49K $50K - $99K $100K - $249K

$250K - $499K $500K - $999K $1M - $4.99M

$5M - $9.9M $10M - $24.9M $25M+

4. What is the maximum aggregate contract capacity your firm can adequately perform in a five-year period?: (dollars are in AE fee, not construction project value) (check one)

$0 - $999K $1M - $4.99M $5M – $9.9M

$10M - $24.9M $25M - $49M $50M+

5. What is the total AE fee value of the largest medical design project your firm has performed in the last five years?: (dollars are in AE fee, not construction project value) (check one)

$0 - $49K $50K - $99K $100K - $249K

$250K - $499K $500K - $999K $1M - $4.99M

$5M - $9.9M $10M - $24.9M $25M+

SECTION 5. POINT OF CONTACT

Contracting Office Address:

USACE, Huntsville Center ATTN: Barbara Rich P. O. Box 1600 Huntsville, AL 35807-4301