Volume_I_Proposal_Submission_Package_OSTB.pdf

Experience Questionnaire READ CAREFULLY: The purpose of this form is for the offeror to list projects performed during the past five (5) years that are similar to the work described in this solicitation. Provide a maximum of five projects. Use this form to address your familiarity with the Statement of Work and with the evaluation criteria described in the solicitation.

Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their experience may be considered by others to be less than fully satisfactory. The offeror should disclose pertinent events and describe remedial corrective action that has or will be taken to correct deficiencies. Failure to do so may result in a determination that an offeror has been less than candid with the Government, and could be rated unfavorably.

NAME OF CONTRACTOR/OFFEROR:

# PROJECT NAME:

Project Location:

Name of Owner:

Address of Owner:

Telephone Number:

Project Value:

Dates of Construction:

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK

PERFORMANCE REMARKS

Key Personnel Qualifications READ CAREFULLY: The purpose of this form is for the Offeror to list the qualifications of all key personnel as described in the Instructions, Conditions, and Notices to Offerors (Section L). Use additional sheets as needed.

Experience and qualifications include those job-related training courses; certificates and licenses; honors;

performance awards; and specialty skills that are relevant to the proposed project. Provide dates, but do not send documents.

Provide the state in which registration or license is held and the registration or license number. Fill in the information by typing or printing legibly.

NAME OF CONTRACTOR/OFFEROR:

PERSONNEL INFORMATION:

Name:

Job Title:

Years of Experience With This Firm: Years of Experience With Other Firms:

EDUCATION AND PROFESSIONAL REGISTRATION:

Top Educational Level Obtained: Year:

Area of Specialization:

Professional Registrations:

Area of Specialization:

EXPERIENCE AND QUALIFICATIONS

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

A. CONTRACTOR INFORMATION

Company Name Company Street Address Address City City State State Zip Code XXXXX DUNS Number XXXXXXX Point of Contact Name, Email, Phone

B. CONTRACT INFORMATION

Project Title Title Contract Number XXXXXXXXXX Contract Type Firm Fixed Price / Time & Materials / Cost Reimbursable / Other Awarded Contract Price $X,XXX,XXX Current / Final Price $X,XXX,XXX Contract Award Date XX/XX/XXXX Contract Completion Date XX/XX/XXXX Period of Performance XX/XX/XXX – XX/XX/XXX Project Location Park or Street address, City, State Client / Owner Company Brief description of the contract & work effort:

Scope of work description

C. REFERENCE:

Name First, Last Position / Title Title Organization Agency or Company Phone Number XXX-XXX-XXXX Email Address Email Signature Signature Date XX/XX/XXXX

D. EVALUATION

Rating Definition

Exceptional Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Evaluation Area Rating Quality Quality of workmanship (including subcontractors)?

Quality of and adherence to quality control plan?

Quality of informational and technical submittals?

Overall Quality Rating

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Schedule (& Time Management) Met project schedule milestones?

Responded to owner requests in a timely manner?

Informational and technical submittals submitted timely?

Promptly addressed scheduling issues?

Overall Schedule (& Time Management) Rating

Cost Control Addressed differing & unforeseen site conditions so as to minimize additional costs?

Provided fair and reasonable pricing for contract modifications?

Submitted accurate and complete invoices?

Promptly paid subcontractors and suppliers?

Overall Cost Control Rating

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Management General oversight by project manager and superintendent?

Coordination with and control of subcontractors?

Avoidance of accidents & safety violations?

Addressed location factors (especially remote locations)?

Maintained good working relationship with owner representatives?

Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?

Overall Management Rating

Small Business Subcontracting (& Labor Standards) Met regulatory and contractual labor standards?

Successfully contracted with small and socio-economically disadvantaged businesses?

Quality and adherence to applicable subcontracting plans?

Overall Small Business Subcontracting (& Labor Standards) Rating

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Regulatory Compliance Met building and life safety codes?

Overall Regulatory Compliance Rating

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:

Overall Comments:

E. RETURN:

Return by Time / Date Name CO or CS name Title Contracting Officer / Contract Specialist Organization National Park Service – Denver Service Center Email First_Last@nps.gov

Subcontractor Reference READ CAREFULLY: The purpose of this form is for the offeror to list certain subcontractors identified in the Instructions, Conditions, and Notices to Offerors (Section L) who are considered critical to the successful accomplishment of the project. Use as many sheets as necessary. These subcontractor references should include additional relevant projects similar to the work described in the plans and specifications. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

SUB CONTRACTOR (PROPOSED):

ADDRESS:

TELEPHONE NUMBER: ( )

# PROJECT NAME:

Name of Owner:

Location:

Prime Contractor Telephone Number:

Subcontract $ Value:

Dates of Construction:

Reference Name and Telephone Number: ( ) .

Dates of Construction:

DESCRIPTION & SCOPE OF WORK

SPECIFIC AREAS OF EXPERIENCE (SEE INSTRUCTIONS FOR THE SUBMISSION OF OFFERS AND OTHER

INFORMATION – CAPABILITY CRITERIA):