3-1.0a - Exhibits Section 3-27-25.pdf

Exhibit 1

ITN 25-017 EX 1-1 OF 2

EVALUATION CRITERIA

The criteria below will be used to evaluate each Reply. There are 5 criteria, with percentage weighting assigned to each according to their relative importance to the overall evaluation process for this ITN.

1. COMPLIANCE WITH FUNCTIONAL REQUIREMENTS: (Maximum 30 percent)

a. Ability to Meet SFRTA’s Functional Requirements:

i. Compliance with Finance, Procurement, and Human Resources functional requirements as specified in Attachment C – Functional and Technical Requirements.xlsx.

ii. Software direction and innovation

2. EXPERIENCE AND QUALIFICATIONS (Maximum 15 percent)

a. Offeror’s qualifications and experience on projects of similar nature, scope, and duration

b. Evidence of satisfactory completion of projects on time and within budget

c. Qualifications and experience of projected project manager and key team members who will be assigned to the project

d. Qualifications and experience of subcontractors and key staff who will be assigned to the project

3. IMPLEMENTATION APPROACH (Maximum 20 percent)

a. Overall implementation approach including project management and change management

b. Projected project timeline

c. Work plan details

d. Offeror’s projected staffing

e. Projected SFRTA staffing needs

f. Training approach

g. Documentation development

4. COMPLIANCE WITH TECHNICAL REQUIREMENTS: (Maximum 15 percent)

a. Ability to meet SFRTA’s Technical Requirements:

i.Compliance with technical requirements as specified in Attachment C – Functional and Technical Requirements.xlsx.

ii.Technical infrastructure

iii. Hosting approach (if applicable)

b. Technical support options

Exhibit 1

ITN 25-017 EX 1-2 OF 2

5. COST (Maximum 20 percent)

Offerors shall be assigned a Preliminary Score using the formula provided below:

Preliminary Score = Technical Proposal Score + Price Proposal Score

The Price Reply Score = a x 20= S b

Where: a = dollar amount of lowest Price Proposal b = dollar amount of Price Proposal to be rated s = Price Proposal score

Price of Lowest Price Proposal x Maximum Percentage Available = Awarded Price Score Price of Proposal Being Rated

Example: The total percentage weighting for price in this ITN is twenty (20) percent. If the cost of the lowest accepted proposal is $100,000, they would be awarded twenty (20) percent.

If the second lowest accepted proposal is $125,000 they would be awarded sixteen (16) percent.

$100,000 = .80 X 20 = 16% $125,000

The Price Proposal score will then be added to the Technical Proposal Score to obtain the Preliminary Score for each Offeror.

The highest ranked Offeror will be the Offeror with the highest Preliminary Score.

Exhibit 2

ITN 25-017 EX 2-1 OF 1

PROPOSAL FORM

ITN NO. 25-017

ERP SYSTEM SELECTION

OFFEROR:

REPLIES WILL BE DUE PURSUANT TO SECTION 1.4 OF THE INSTRUCTIONS TO

OFFERORS AND MAY NOT BE WITHDRAWN WITHIN ONE HUNDRED EIGHTY

(180) DAYS AFTER SUCH DATE.

The OFFEROR certifies that this proposal is made without prior understanding, agreement or connection with any corporation, firm, or person submitting a proposal for the same contractual services and is in all respects fair and without collusion or fraud. The OFFEROR agrees to abide by all conditions of the Contract Documents and certifies that it is authorized to sign this proposal and that the proposal is in compliance with all requirements of the Invitation to Negotiate including, but not limited to, certification requirements.

The OFFEROR further declares that it has examined the Contract Documents and all addenda, and that it understands the requirements of the Work to be performed and all of the requirements in the Invitation to Negotiate

Authorized Signature Printed Name

Addenda: Provide signature and date for each Addenda received.

1. 2. 3.

4. 5. 6.

Exhibit 3

ITN 25-017 EX 3-1 OF 4

CONTRACTOR’S QUALIFICATION CERTIFICATION

Complete one form for each firm if Partnership or Consortium

Firm Name:_______________________________________________________________

Address:__________________________________________________________________

City,State,Zip:_____________________________________________________________

Telephone: ( ) _____________________ Fax: ( ) __________________

Contact Person:____________________________Title:____________________________

E-Mail Address:_________________________________________

FEID # _____________ DUNS # __________________

1. DBE Certified ___ No ___ Yes Classification:___________________________ Certified By:________________________________________________________________

2. Specify the principal product or service offered by your firm:_________________________________________________________________________________

3. Identify the area(s) which the business serves:__ Miami-Dade__ Broward

__ Palm Beach __Florida __Other__________________

4. Date business was established:_______________ Occupational License:____________

5. Type of Business:

A. ___Sole Proprietor Name_________________________________________________________________________ Home Address__________________________________________________________________ Home Phone _______________________ Cell Phone_________________________________ Professional license/Certificate of Competency#_______________________________________

B. ___Partnership

Are the owners of the business lawful, permanent residents of Florida? ___Yes ___No Provide the name, residential address and telephone number of all owners of the business.

Partners Name Res. Address Phone Number Cell Number

Professional license/Certificate of Competency #:_____________________________________ Name in which license/Certificate of Competency is issued:_____________________________

ITN 25-017 EX 3-2 OF 4

C. ___Corporation Incorporated in the state of ___________ Date______________

Officer’s Names Title Res. City Phone No.

Professional license/Certificate of Competency #:___________________________________

Name in which license/Certificate is Issued________________________________________

6(a). List each contract completed by you during the last five (5) years, or if less than five (5) contracts have been completed in the last five (5) years, list the last five (5) contracts completed for which liquidated damages or other contractually stipulated sums or damages were assessed against your business for failure to complete the work on time or for any other breach of contract by your business. For each such contract, provide a brief description of the work performed, the initial contract amount, the dollar amount at completion, date completed, and the name and telephone number of the owner’s representative.

Contract Number

Description of Contract

POC &

Phone

Initial Amount

Closeout Amount

Date Completed

6(b). For the last five (5) years, list each contract under which the owner has called upon your business’ surety to complete the work, has terminated your business for default, or sued to complete performance or recover damages. If fewer than five (5) contracts have been so affected during the last five (5) years, list the last five (5) contracts to be so affected. For each such contract, provide the same information as required in (a) above, and in addition, provide the name and contract person with telephone number of your business’ surety.

ITN 25-017 EX 3-3 OF 4

Contract Number Description of Contract

POC & Phone Initial Amount

Closeout Amount

Date Comp

Surety POC & Phone No.

6(c). List the details of any litigation which your business has been involved with in the past five (5) years (Attach pages if necessary).

7. References (Please list prior similar projects)

Year Project Name Company Name

Dollar Amount

Contact Person E-Mail

Estimated amount of current work under contract: $_____________________________

8. List three (3) major contracts similar in scope currently underway or completed within the last five

(5) years.

Project No. and Title Owner Value Percent Complete

Contact Person E-Mail

Note: Attach additional sheets if necessary.

ITN 25-017 EX 3-4 OF 4

I, ___________________________________, ____________________________________, OF

____________________________________, CERTIFY THE INFORMATION PROVIDED ON THIS

QUALIFICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Signature Affix Corporate Seal

COUNTY OF _______________________________

STATE OF _______________________________

The foregoing instrument was acknowledged before me on this ______ day of _______, ______ By __________________________________________________________________________

An individual acting in their own right;

__________________ of ____________________________________ Title Corporation/Company a _________________ Corporation, on behalf of the corporation.

State

Acknowledging partner/agent on behalf of _______________________________ a partnership. Name of partnership

This person is personally known me or has produced ________________________ as identification and did/did not take an oath.

____________________________________ Place Notary Seal Here Signature of Person Taking Acknowledgment

In lieu of Stamp: ______________________ ______________________________ Type or Print Name Title Expiration Date

Exhibit 4

ITN 25-017 EX 4-1 OF 2

DRUG FREE WORKPLACE CERTIFICATE

The undersigned vendor hereby certifies that it will provide a drug-free workplace program by:

1. Publishing a statement notifying its employees that the unlawful manufacture, distribution, dispensing, possession, or use of controlled substance is prohibited in the Bidder’s workplace, and specifying the actions that will be taken against employees for violations of such prohibition;

2. Establishing a continuing drug-free awareness program to inform its employees about:

a. The dangers of drug abuse in the workplace;

b. The Bidder’s policy of maintaining a drug-free workplace;

c. Any available drug counseling, rehabilitation, and employee assistance programs;

d. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

3. Giving all employees engaged in performance of the contract a copy of the statement required by paragraph 1;

4. Notify all employees, in writing, of the statement required by paragraph 1, that as a condition of employment on a covered contract, the employee shall:

a. Abide by the terms of the statement;

b. Notify the employer in writing of the employee’s conviction under a criminal drug statute for a violation occurring in the workplace no later than five calendar days after such conviction;

5. Notifying South Florida Regional Transportation Authority in writing within ten calendar days after receiving notice under subdivision 4(a) above, from an employee or otherwise receiving actual notice of such conviction. The notice shall include the position title of the employee;

6. Within thirty (30) calendar days after receiving notice under paragraph 4 of a conviction, taking one of the following actions with respect to an employee who is convicted of a drug abuse violation occurring in the workplace:

a. Taking appropriate personnel action against such employee, up to and including termination; or

b. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state or local health, law enforcement, or other appropriate agency; and

7. Making a good faith effort to maintain a drug-free workplace program through implementation of paragraphs 1 through 6.

Exhibit 4

ITN 25-017 EX 4-2 OF 2

Firm: ________________________________________________ (Please print or type)

By: ________________________________________________ Authorized Signature

Name of Authorized Signature Date

Affix Corporate Seal (If Applicable) County Of State Of

The foregoing instrument was acknowledged before me on this ______ day of _______, ______ By __________________________________________________________________________

___ An individual acting in their own right;

___ _______________________ of ________________________________ Title Corporation/Company a _________________ Corporation, on behalf of the corporation.

State

___ Acknowledging partner/agent on behalf of __________________________ a partnership.

Name of partnership

This person is personally known me or has produced ________________________ as identification and who (did/did not) take an oath.

____________________________________ Place Notary Seal Here Signature of Person Taking Acknowledgment

In lieu of Stamp: ______________________ ______________________________ Type or Print Name Title

Expiration Date

Exhibit 5

ITN 25-017 EX 5-1 OF 1

TRUTH-IN-NEGOTIATION CERTIFICATE

For the work described as:

I hereby certify that I am the (title) and duly authorized representative of the Firm whose name is and whose address is: .

In connection with the Firm's bid or price proposal for this firm fixed price, negotiated or change order contract which is to be submitted to the South Florida Regional Transportation Authority (SFRTA) for approval, I hereby certify, to the best of my knowledge, information, and belief, that:

(a) The wage rates and other factual unit costs supporting the Firm's compensation, as set forth in the bid or proposal, are accurate, complete and current as of the time of the contracting;

(b) It is my understanding and the understanding of the Firm I here represent that if any of the items of compensation under the above mentioned contract were increased due to the furnishing of inaccurate, incomplete or non-current wage rates or other units of costs, the SFRTA is entitled to an adjustment in all appropriate items of compensation, including profit, to exclude any significant sum by which the price was increased because of the defective data. It is also my understanding and that of the Firm I here represent that the SFRTA’s right of adjustment includes the right to a price adjustment for defects in cost or pricing data submitted by a prospective or actual subcontractor.

(c) It is my understanding and the understanding of the Firm I here represent that if additions are made to the original price of the contract, such additions may be adjusted to exclude any significant sums where it is determined the price has been increased due to inaccurate, incomplete or non-current wage rates and other factual costs.

Date Signature

Sworn to and subscribed to before me this day of , 20 .

Official Seal must be affixed.

Signature of Notary Public

My Commission Expires

(SEAL)

Exhibit 6

ITN 25-017 EX 6-1 OF 2

SOUTH FLORIDA REGIONAL TRANSPORTATION AUTHORITY

(SFRTA)

COMPLIANCE WITH THE U.S. DEPARTMENT OF HOMELAND SECURITY

U.S. CITIZENSHIP AND IMMIGRATION SERVICES

EMPLOYMENT ELIGIBILITY VERIFICATION (E-VERIFY)

THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY

PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.

This sworn statement is submitted to: South Florida Regional Transportation Authority.

by (print individual’s name and title) for

(print name of entity submitting sworn statement) whose business address is:

and (if applicable) it’s Federal Employer Identification Number (FEIN) is (if the entity has no FEIN, include Social Security Number of the individual signing this sworn statement:

I, being duly first sworn state:

That the above name firm, corporation or organization is in compliance with and agree to continue to comply with, and assure that any sub-contractor, or third party contractor under this project complies with all applicable requirements of the laws listed below including, but not limited to, those provisions pertaining to employment, provisions or programs and services, transportation, communication, access to facilities, renovations, and new construction.

Pursuant to Section 448.095, Florida Statutes, all contractors providing labor, supplies, or services to the SFRTA are required to register with and use the U.S. Department of Homeland Security’s E-Verify system to verify the work authorization status of all employees hired during the term of an agreement with SFTRA to provide labor, supplies, or services and must, upon request, provide evidence of compliance with this provision.

Contractors shall also require all subcontractors performing work under an agreement to provide labor, supplies, or services to SFRTA to use the E-Verify system for any employees they may hire during the term of the agreement. Subcontractors shall provide the contractor with an affidavit stating the subcontractor does not employ, contract with, or subcontract with an unauthorized

Exhibit 6

ITN 25-017 EX 6-2 OF 2

alien, as stated in Section 448.095, Florida Statutes. Contractor shall provide a copy of such affidavit to the SFRTA upon receipt and shall maintain a copy for the duration of the agreement.

The E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigration Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors is covered by the terms of Subpart 22.18, “Employment Eligibility Verification”, of the Federal Acquisition Regulation (FAR) and in Executive Order 12989, as amended.

(Signature)

Sworn to and subscribe before me this day of , 20

Personally known or produced identification: Notary Public, State of

(Type of Identification)

(Printed, typed or stamped commissioned name of Notary Public)

Exhibit 7

ITN 25-017 EX 7-1 OF 1

SOUTH FLORIDA REGIONAL TRANSPORTATION AUTHORITY (SFRTA)

ITN NO. 25-017

CONTRACTOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES

(Agreements of $1,000,000.00 or more)

Name: ________________________________________________________________________

FEIN: _______________________

Authorized Representative Name: __________________________________________________

Title: ________________________________________________________________________

Address: _____________________________________________________________________

City: ________________________________ State: _________________ Zip: ______________

Phone No.: _____________________________ Fax No.: _______________________________

Email Address: ____________________________

Section 287.135, Florida Statutes, prohibits local governments from contracting with companies, for goods or services of One Million and 00/100 Dollars ($1,000,000.00) or more that are on either the Scrutinized Companies with Activities in Sudan List, Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, Scrutinized Companies that boycott Israel List, and that it does not have business operations in Cuba or Syria. The lists are created pursuant to section 215.473 and 2.15.4725, Florida Statutes.

As the person authorized to sign on behalf of the CONTRACTOR, I hereby certify that the company identified above in the section entitled "CONTRACTOR Name" is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or Scrutinized Companies that boycott Israel List, and that it does not have business operations in Cuba or Syria. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject the CONTRACTOR to termination of the Agreement, civil penalties, attorney's fees, and/or costs.

CERTIFIED BY: ______________________________________ Date: _________________ Authorized Signature

Print Name: ___________________________________________________________________

Print Title: ___________________________________________________________________

Exhibit 8

ITN 25-017 EX 8-1 OF 1

HUMAN TRAFFICKING AFFIDAVIT

Florida Statute §787.06(13) requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in that statute. The South Florida Regional Transportation Authority “SFRTA”) is a governmental entity for the purposes of this statute.

As the officer or representative of ____________________________________________ (the “Company), I certify that the Company does not, for labor or services,

• Use or threaten to use physical force against any person;

• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against his or her will;

• Use lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied towards the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;

• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification, of any person;

• Cause or threaten to cause financial harm to any person;

• Entice or lure any person by fraud or deceit;

• Provide controlled substances as outlined in Schedule I or Schedule II of Florida State Statute §893.03 to any person for the purpose of exploitation of that person.

Under penalty of perjury, I hereby declare and affirm that the above stated facts are true and correct.

_______________________________ “Company”

By: ____________________________________

Print Name: _____________________________

Print Title: _____________________________

STATE OF _______________

COUNTY OF _____________

The foregoing instrument was sworn to and subscribed before me by means of ☐ physical presence or online notarization, this _____ day of ______________, 20____, by __________________________________, as ________________________ of [insert company name], a __________________, who is personally known to me, or produced _______________________________ as identification.

Notary Public Signature [AFFIX NOTARY SEAL] Print Notary Name:__________________ My commission expires:______________

Exhibit 9

ITN 25-017 EX 9-1 OF 1

South Florida Regional Transportation Authority

NO SUBMITTAL NOTICE

Dear Vendor/Firm:

The Procurement Department of the South Florida Regional Transportation Authority has solicited your participation for ITN NO. 25-017 titled ERP SYSTEM SELECTION. Please complete this form only if you do not intend to submit a bid on this project. SFRTA is interested in improving its competitive bid process and your comments are important to this endeavor. Thank you for your assistance.

I do not intend to bid on this project because:

( ) Do not have the necessary equipment, labor, and capital required.

( ) Do not have the experience necessary to perform the work.

( ) Heavy workload makes bidding impossible at this time.

( ) Unable to get bonding and/or special insurance.

(Be specific)

( ) Insufficient time to complete the work.

( ) General Conditions/Specifications contains requirements which I do not understand. (Explain)

( ) General Conditions/Specifications contains requirements with which I disagree.

(Explain)

Comments:

( ) Retain my name on SFRTA’s vendor list ( ) Remove my name from SFRTA’s vendor list

(Company Name) (Signature)

Please email this form to bids@sfrta.fl.gov.

Exhibit 10

ITN 25-017 EX 10-1 OF 5

AGREEMENT NO. 25-017

BETWEEN

AND

FOR

ITN 25-017 EX 10-2 OF 5

AGREEMENT NO. 25-017

BETWEEN

FOR

This is an Agreement, by and between SOUTH FLORIDA REGIONAL TRANSPORTATION AUTHORITY, hereinafter referred to as “SFRTA”, , a , authorized to and doing business in the State of Florida, hereinafter referred to as “CONTRACTOR”.

RECITALS

An Invitation to Negotiate (ITN) was advertised by SFRTA as ITN No. 25-017 for ERP SYSTEM SELECTION, and CONTRACTOR was determined to be the most highly qualified Offeror that will provide the best value to SFRTA;

NOW, THEREFORE, IN CONSIDERATION of the promises, mutual covenants and obligations herein contained, and subject to the terms and conditions hereinafter stated, the parties hereto agree to the Agreement as follows:

ARTICLE I

SERVICES

CONTRACTOR covenants and agrees to perform all services and other obligations of CONTRACTOR set forth in the Contract Documents, as defined in the ITN. The Contract Documents are hereby incorporated and made a part of this Agreement by this reference.

ITN 25-017 EX 10-3 OF 5

ARTICLE II

TERM

The term of the Agreement shall be __________________ (the “Contract Time”) from the date as stated in the Notice to Proceed (the “Commencement Date”) through Project completion.

ARTICLE III

COMPENSATION

1. SFRTA agrees to pay the CONTRACTOR compensation as specified in the CONTRACT DOCUMENT in an amount not to exceed ________________ ($__________), as set forth below:

2. SFRTA, during any fiscal year, shall not expend money, incur any liability or enter into any contract which, by its terms, involves the expenditure of money in excess of the amounts budgeted as available for expenditure during such fiscal year. Any contract, verbal or written, made in violation of this subsection is null and void and no money may be paid on such contract.

ARTICLE IV

NOTICES

Whenever either party desires to give notice to the other, it must be given by written notice, sent by certified U.S. mail, with return receipt requested, facsimile transmission, express delivery service or hand delivery, addressed to the party for whom it is intended, at the place last specified, and the place for giving of notice shall remain such until it shall have been changed by written notice in compliance with the provisions of this paragraph. For the present, the parties designate the following as the respective places for giving of notice:

CONTRACTOR:

Attn:

ITN 25-017 EX 10-4 OF 5

SFRTA:

801 N.W. 33rd Street Pompano Beach, FL 33064 Attn: Project Manager

WITH COPY TO:

Teresa Moore, General Counsel 801 NW 33rd Street Pompano, Beach FL 33064

ITN 25-017 EX 10-5 OF 5

IN WITNESS WHEREOF, the parties have made and executed this Agreement on the respective date under each signature:

SFRTA

ATTEST: SOUTH FLORIDA REGIONAL

TRANSPORTATION AUTHORITY

By DAVID W. DECH , Chair

EXECUTIVE DIRECTOR

DAY OF , 20

Approved as to form by:

ANTHONY J. CARIVEAU TERESA J. MOORE, General Counsel Chief Contracting Officer

ATTEST: CONTRACTOR NAME

WITNESS PRESIDENT OR VICE-PRESIDENT

DAY OF , 20

Exhibit 11

ITB NO. 25-017 EX 11-1 OF 1

Subcontractor’s Certificate of Previous Payment

Note: The Prime Firm shall attach this statement to current payment invoices, completed by each Subcontractor whose work appears on the previous payment invoice.

KNOW ALL MEN BY THESE PRESENTS, That (name) representing , whose address is , with the title of , whom after being first duly sworn, upon oath deposes and says that pursuant to the provisions of the contract for:

CONTRACT NO. 25-017

CONTRACT NAME: ERP SYSTEM SELECTION

that all monies due him, in accordance with the agreed upon payment schedule, have been paid to him by , the Firm.

NOTARY STATEMENT

STATE OF FLORIDA COUNTY OF

The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identified and who did/did not take an oath.

WITNESS my hand and official seal, this day of , 20 .

Signature of Notary

Exhibit 12

ITN 25-017 EX 12-1 OF 1

DISADVANTAGED BUSINESS ENTERPRISE (DBE) PROGRAM

It is the policy of the South Florida Regional Transportation Authority (SFRTA) that Disadvantaged Business Enterprises, as defined in 49 CFR Part 26, shall have the maximum opportunity to participate in the performance of contracts. SFRTA will never exclude any person from participation in, deny any person the benefits of, or otherwise discriminate against anyone in connection with the award and performance of any contract covered by 49 CFR Part 26 on the basis of race, color, sex, or national origin.

SFRTA has an overall Agency DBE participation goal of 7% which Contractors are encouraged to meet. SFRTA has not established a goal for this specific procurement, however, Contractors are encouraged to take all necessary and reasonable steps to ensure that DBE’s have the maximum opportunity to compete for and perform services on contracts, including participation in any subsequent supplemental contracts. If the Contractors intend to subcontract a portion of the services on the project, Contractors are encouraged to seek out and consider DBE’s as potential subcontractors, by soliciting their interest, capability, and qualifications.

Exhibit 13

ITN 25-017 EX 13-1 OF 3

Contractor Performance Evaluation

SFRTA will periodically evaluate the Contractor’s performance utilizing the Contractor Performance Evaluation Form in Exhibit 13. This evaluation will be done at an interval no less than once per year during the contract term. For contracts with a term less than one year, the evaluation may be performed intermittently as determined by SFRTA. The SFRTA assigned evaluator will complete the Contractor Performance Evaluation Form and provide a copy to the Contractor for review and response. Written contractor responses will be incorporated into the evaluations. In any instances where the performance is below satisfactory, the Contractor will have thirty (30) days to provide a written response to SFRTA.

ITN 25-017 EX 13-2 OF 3

CONTRACTOR PERFORMANCE EVALUATION FORM

CONTRACTOR:______________________________________________________

ADDRESS:_________________________________________________________

PROJECT NAME:____________________________________________________

CONTRACT NO.____________________ AWARD DATE:____________________

EVALUATION NO._____ DATE:__________ PERIOD COVERED:______TO______

EVALUATED BY:____________________________________________________

(Signature & Title)

CONTRACTUAL ACTUAL *

PRICE:

COMPLETION DATE:

TIME TO COMPLETE

Ratings:

E = Excellent G = Good S = Satisfactory U = Unsatisfactory N/A = Not Applicable

* = For Final Evaluation Only. Actual includes contractual plus all Amendments and Change orders.

ITN 25-017 EX 13-3 OF 3

EVALUATION OF CONTRACTOR'S PERFORMANCE

EVALUATED ITEM EVALUATION NO.

1 2 3 4

Quality of Contractor's Work

Adherence to Contract Specs/Scope of Services

Quality of Subcontractor's Work

Quality of Project Manager/Supervisory Personnel

Protection of SFRTA Property

Minimal interference with SFRTA Operations

Timely submission of Reports, Project Schedules and Deliverables

Adherence to Project Schedule

Compliance with Safety Standards

Communication with SFRTA Project Manager

Attendance at Project Meetings

Cooperation with Other Contractors

Timely Notification of Possible Delays

* * * OVERALL EVALUATION * * *

COMMENTS: _______________________________________________________

*NOTE: PLEASE ATTACH BACKUP DOCUMENTATION FOR ALL EVALUATIONS RATED BELOW

SATISFACTORY OR AS REQUESTED BY PROCUREMENT.