5. Exhibit A QTY Price Data.pdf

Exhibit A Solicitation No. 432954-MC-24 Subcontract No. TBD 01/11/24 Page 1 of 26

MISSION SUPPORT AND TEST SERVICES, LLC

FIRM-FIXED-PRICED SERVICE

SUBCONTRACT

EXHIBIT A

QUANTITIES, PRICES, AND DATA

TABLE OF CONTENTS

FORM TITLE PAGE

FORM A Consideration Schedule FORM B Subcontractor and Vendor List FORM C Evaluation Criteria FORM D Past Performance Questionnaire FORM E Experience Statement FORM F Lower-Tier Subcontractor Experience Statement FORM G Resumes of Key Personnel FORM I Safety Program FORM J Safety and Health History FORM K Lower-Tier Subcontractor Safety and Health History FORM L Comprehensive QA/QC Program FORM M Subcontract Schedule

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FORM A CONSIDERATION SCHEDULE

Form A, with the blanks filled in based on the awarded proposal(s) or agreement of the Offeror and CONTRACTOR shall become part of the resulting subcontract.

1. SCHEDULE OF QUANTITIES AND PRICES

The Prices shown Exhibit A, Form A, are all-inclusive Firm-Fixed-Prices (including e.g., labor, materials, G&A, overhead, profit or fee, taxes (except sales tax)*, any other costs required to be paid by law, regulation, or ordinance, and any other cost of whatsoever nature). Payment of the Prices shall constitute full payment for the performance of the Work and covers all costs of whatever nature incurred by SUBCONTRACTOR in accomplishing the Work in accordance with the provisions of the Subcontract and are not subject to escalation for any cause, except as may otherwise be provided in this Subcontract.

The total Firm Fixed Price for the performance of all Work is [INSERT DOLLARS IN WORDS] dollars ($[ENTER

DOLLAR AMOUNT]).

The breakdown of the fixed price services for payment purposes is detailed below:

*Sales tax is not included, but shall be added to each invoice as a separate line item if applicable to the

For evaluation purposes only, the estimated period of performance is 120 Calendar Days.

Firm-Fixed-Price Services for RVDC Drilling

Item Number Description of item Quantity Unit of

Issue Unit Price

(See Note 3)

120 CD

Total

(See Note 3)

Milestone

Training in Las Vegas or at NNSS, as required by Exhibit B, Statement of Work, and Exhibit E.

Reference Exhibit A, paragraph 3, Training and Badging below.

(See Note 2).

1 Job $ $

Milestone

Mobilization to the Jobsite of all resources required to accomplish the work

1 Job $ $

Milestone

Work Control Package Development (See Note 1) 1 Job $ $

Monthly Payment

Furnish all necessary materials, labor, and equipment, on-site fabrication, as required by the statement of work, specifications, drawings, and herein.

1 Job $ $

Monthly Payment

Dyed Diesel Fuel See note 4 Gallon/Day $ $

Monthly Payment

Clear Diesel Fuel See note 4 Gallon/Day $ $

Monthly Payment

Drilling Fluids Cost (Per Foot) 6,930 Feet $ $

Monthly Payment

Drill Bits 1 Job $ $

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Monthly Payment

Footage Consumables / Casing Rate 6,930 Feet $ $

Milestone

Demobilization from the Jobsite of all Subcontractor’s resources and final cleanup.

1 Job $ $

Grand Total Amount

Note 1: Amount shown is one-time fixed amount to be paid for development of all required work control packages, assuming 40 hours each for ______individuals including travel. In the event the SUBCONTRACTOR requires additional time and travel, the SUBCONTRACTOR may submit a request for change for consideration. The request for change must identify actuals to date and the increase required, with the increase required in the number of hours and travel identified separately. The fixed hourly rate of $________ per hour will be utilized for any request for change. Only requests for change that have not exceeded the 40 hours each for ___ individuals will be considered for negotiating any change. All negotiated changes will be authorized in a written modification to the subcontract.

Note 2: Amount shown is a one-time fixed amount to be paid for all SUBCONTRACTOR personnel training labor costs, assuming forty (40) hours of training per SUBCONTRACTOR or lower-tier subcontractor employee as outlined in Exhibit E, E5. In the event the SUBCONTRACTOR requires additional time to complete the training, the SUBCONTRACTOR may submit a request for change for consideration. The request for change must identify hours per person and the number of personnel affected. The fixed hourly rate of $______ per hour will be utilized to negotiate any request for change. Requests for change will not be considered for newly assigned personnel after the initial crew has been trained. All requests for change must be negotiated and authorized in a written modification to the subcontract.

Note 3: Amounts reported in $US Dollars.

Note 4: SUBCONTRACTOR to enter number of gallons necessary for drilling to 6,930 ft. Unit of measure is gallons per day. Monthly fixed payment amounts will be based on proposed schedule.

2. MODIFICATION PRICING RATES

The Daily Rate to include all the items identified below will be use in the event a modification to extend the number of days is required. The Daily Rate provided in Subsection B below is a "fixed" rate for the purpose of negotiating Firm-Fixed-Price Subcontract modifications. The Daily Rate below shall apply to Subcontract modifications for the duration of the Subcontract. Any changes made to this Subcontract will be in accordance with Exhibit C, C-20 “Changes.” Changes include change orders, revisions, modifications, equitable adjustments, and anything else which would require or result in a modification to this Subcontract in accordance with the Changes Clause. The SUBCONTRACTOR shall adhere to the pre-established modification Daily Rate. The CONTRACTOR shall review all SUBCONTRACTOR quotes to ensure compliance with contractual terms.

A. Daily Rate: $__________

B. Day Rate may include the following:

Surveying Time Drill and Install Directional Tooling Rental Water Truck Backhoe Telehandler Closed Loop Mud System Air Compressor Genset & Light Plants Load safe Hands-Free Rod Loading System Non-Drilling Foreman (12 Hours Per Day Onsite)

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3. WORK LOCATION

OFFEROR shall provide F.O.B. Destination to NNSS, Area 27 Rock Valley/Direct Comparison Mercury, NV 89023.

Area 27 is located approximately 14 miles north of Mercury.

3. TRAINING AND BADGING

CONTRACTOR-Provided Training: After award and before SUBCONTRACTOR personnel may commence any on-site work at CONTRACTOR facilities, all SUBCONTRACTOR personnel (including any lower-tier Subcontractor personnel) scheduled to perform activity level work on-site will be required to complete, at a minimum, CONTRACTOR-provided General Training and Work Control Training. The total amount of training time for each individual is estimated to be 4 hours. The CONTRACTOR will provide this training one time for all SUBCONTRACTOR on-site personnel prior to commencement of on-site work at no cost to the SUBCONTRACTOR. The SUBONTRACTOR’S time for the initial training session(s) shall be compensated using the following hourly rate which shall apply for all SUBCONTRACTOR personnel who are required to take the training: The estimated cost to the SUBCONTRACTOR for the time its on-site personnel will be required to take the initial training is included in the Firm-Fixed-Price specified herein for the performance of this Subcontract. If, due to turnover of trained personnel, the SUBCONTRACTOR needs additional training sessions during performance of the work for replacement personnel, the CONTRACTOR will provide the training but will not compensate the SUBCONTRACTOR for the time spent in training by the additional personnel to replace those personnel already trained.

Personnel who have previously completed NNSS General Training are not required to be re-trained if this training is current. Check with the Subcontract Technical Representative (STR) after award.

4. PAYMENT TERMS

Enter any prompt payments discount or Net 30 Days .

Electronic funds transfer is the preferred method of payment used by Mission Support and Test Services, LLC.

To take advantage of this expedited payment process, complete FRM-0870. Link to form:

http://www.nnss.gov/docs/docs_procurement/frm0870.pdf

5. MEASUREMENT FOR PAYMENT

A. Firm-Fixed-Price Milestone Payments

Milestone Payments shall be made for the successful completion of the Line Items identified as Milestone Payments in the Consideration Schedule, Exhibit A, Form A. Milestone Payments shall be made in accordance with clause D-11, Invoicing and Payment (Exhibit D). All milestone payments in the aggregate (as discussed below) for the subcontract shall be equal to the Total Firm-Fixed-Price identified in the Consideration Schedule.

01. Training in Las Vegas or at NNSS, as required by Exhibit B, Statement of Work, and Exhibit E. Reference Exhibit A, paragraph 3, Training and Badging below.

02. Mobilization to the Jobsite of all resources required to accomplish the work

03. Work Control Package Development

10. Demobilization from the Jobsite of all Subcontractor’s resources and final cleanup.

B. Monthly Payments Monthly Payments shall be made as work progresses for the Line Items identified as Monthly Payments below in the Consideration Schedule, Exhibit A, Form A, Monthly Payments shall be made in accordance with Clause D-10, Invoicing and Payment (Exhibit D). All monthly payments and milestone payments in aggregate for the Subcontract shall be equal to the Total Firm-Fixed-Price identified in the Consideration http://www.nnss.gov/docs/docs_procurement/frm0870.pdf

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Schedule for this Subcontract. Monthly payments shall not exceed the corresponding values shown in the Schedule of Values (as discussed below):

The CONTRACTOR shall make monthly payments for a portion of the work as shown in Exhibit A (Quantities, Prices, and Data) on a monthly basis as the Work proceed based on Daily/Monthly Progress Reports (SOW Submittals). Monthly payments will be allowable for the following line items:

04. All necessary materials, labor, and equipment

05. Dyed Diesel Fuel

06. Clear Diesel Fuel

07. Drilling Fluids Cost (Per Foot)

08. Drill Bits

09. Footage Consumables / Casing Rate

C. Schedule of Values:

Within 10 days of award the SUBCONTRACTOR shall submit a final Schedule of Values to the Subcontract Administrator for review and approval. The Schedule of values must identify the major segments of the services phase and the estimated cost to complete each segment. The estimated costs of the service phase in aggregate must equal the line item for service in the consideration schedule. The schedule of values will consist of the following segments at a minimum, but the Subcontract Administrator may require the SUBCONTRACTOR to break out the work into additional segments, as the Subcontract Administrator may determine necessary in their discretion.

Complete the Schedule of values identifies the major portions of work to be completed through the services phase of work and must be equal to the line item for Services in the consideration schedule. The Schedule of Values must be agreed to between the parties.

Description of Work Scheduled

Value Start Date End Date

Complete

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6. SUBCONTRACT VALUE

The Value of this Subcontract is To Be Determined dollars ($ To Be Determined). The total payments under this Subcontract shall not exceed Value of this Subcontract unless the value is modified in writing by the Subcontract Administrator in advance.

FORM B SUBCONTRACTOR AND VENDOR LIST

Subcontractor shall employ the following lower-tier subcontractors and/or vendors who will furnish major

01/11/24 Page 7 of 26 components, materials or equipment for performance of the work:

Name & Address

Work Description

Terms* Value Business Type *

If no lower-tier subcontracts or purchases are anticipated, enter the word “NONE.

NOTES: *

1. TERMS: Enter Lump Sum, Unit Price, etc.

2. Business Type: Enter SB for Small Business, SDB for Small Disadvantaged Business, WOSB for

Women-Owned Small Business, VOSB for Veteran-Owned Small Business, and SDVOSB for Service Disabled Veteran-Owned Small Business.

NOTE: This Form will become a part of the resultant subcontract.

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FORM C EVALUATION CRITERIA

1.

CONTRACTOR intends to award a subcontract resulting from this Solicitation to the responsible OFFEROR whose proposal conforms to the solicitation. CONTRACTOR reserves the right to determine that proposals are outside the competitive range at any time during the evaluation process. OFFERORS whose proposals are determined to be outside the competitive range will be promptly notified.

In its sole discretion, CONTRACTOR may, but is not required to:

A. Accept or reject any proposal for any reason with or without prior discussions with the OFFEROR;

B. Waive any requirements of this solicitation or the Solicitation Documents or waive any noncompliance in any proposal;

C. Make award decisions on the basis of the information and proposals received from the OFFEROR and/or additional information received from other sources;

D. Select one or more competitive proposals for further technical review prior to award;

E. Make an award with or without discussions;

F. Obtain additional information of whatsoever nature from any OFFEROR for consideration in the award decision;

G. Amend this solicitation for any reason whatsoever;

H. Cancel this solicitation for any reason whatsoever;

I. Take any other action whatsoever in relation to this solicitation.

2. GENERAL CONSIDERATIONS

In addition to the evaluation of each OFFEROR’S proposal, CONTRACTOR will consider each OFFEROR’S adherence to the terms and conditions. All Exceptions and Deviations will be evaluated on a case-by-case basis. Exceptions and Deviations may result in the proposal not being selected for award.

3. EVALUATION METHOD

A. TRADEOFF PROCESS:

This procurement will use a Best Value tradeoff process assessing merit factors as well as price/cost. This selection process will allow tradeoffs among cost/price and non-cost factors allowing CONTRACTOR to accept other than the lowest priced proposal. Proposals will be rated using a scoring system. The CONTRACTOR will select the OFFEROR whose proposal is technically acceptable and whose technical and price relationship is most advantageous to the CONTRACTOR and the Government. The CONTRACTOR will award to an OFFEROR, other than the lowest responsive and responsible OFFEROR, if the evaluation indicates that the OFFEROR’S proposal is sufficiently superior from a technical standpoint so as to warrant payment by the CONTRACTOR of a premium (i.e., difference in price between the superior proposal and lower responsive proposals) for such superiority. The proposed price between OFFERORS in the competitive range, especially between proposals which have fairly equal technical ratings, may be the major deciding factor in selection of a proposal for award. CONTRACTOR shall not select a proposal whose proposed price is disproportionately greater than the added benefit to the CONTRACTOR/Government of any technical superiorities.

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SCORED CRITERION:

The following Criteria will be evaluated and scored..

Criterion Description Importance 1 Wireline Core Boring Experience Most Important 2 Work Plan / Project Approach Slightly less than 1; Equal to 3 3 Key Personnel Slightly less than 1; Equal to 2 4 Project Schedule Less Important than 1,2,3 5 Drill Pad Layout and Surface Requirements Less Important than 4 and equal to 6 6 Past Performance Less Important than 4 and equal to 5

NOTE: Failure of the offeror to provide complete information may impair the CONTRACTOR's ability to accurately evaluate the proposal, resulting in potentially lower scores for one or more of the Criteria described below.

Criterion 1: Wireline Core Boring Experience

The OFFEROR shall provide a description of their capability and experience drilling core borings to the estimated target depth in similar geologic settings as described in Exhibit B, SOW. Use Exhibit A, Form E Experience Statement for the OFFEROR, and Exhibit A, Form F Lower-tier Subcontract Experience Statement for any lower-tier subcontractors. The Project List should include no more than five (5) projects.

The OFFEROR shall clearly specify their work scope for each project listed, including the value of that work scope, and whether they were the Contractor of Record or a SUBCONTRACTOR for each project. If lower-tier subcontractors are proposed, an experience list of projects teaming with the OFFEROR shall be included.

OFFERORS that demonstrate a more comprehensive experience drilling core borings of similar diameter and depth to those described in Exhibit B, SOW will be scored higher.

Criterion 2: Work Plan / Project Approach

The OFFEROR shall provide a summary level Work Plan with their proposal in accordance with Exhibit B, SOW that describes all aspects of the core drilling and wireline sampling technical approach. The summary level Work Plan must provide sufficient detail to describe the SUBCONTRACTOR’S planned methods for core drilling, plumbness measurements, and wireline core sample retrieval. The summary level Work Plan shall also describe project management and organization, safety, mobilization and site set-up, wireline core drilling and core retrieval systems, plumbness measurements, casings proposed, quality control, and waste management.

OFFEROR shall include a Staffing Plan within the summary level Work Plan with representative resumes for Key Personnel identified in Exhibit D. The OFFERORS Staffing Plan shall include shift rotation plans. The evaluation will focus on whether the proposal demonstrates that the OFFEROR has the capability to provide fully qualified personnel throughout the life of the project. OFFERORs that include a Project Approach section in their proposal that demonstrates and details a clear understanding of the requirements identified in Exhibit B SOW and the type of key personnel needed to fulfill those requirements will be scored highly. Exhibit A, Form H, Project Organization Description shall be used for providing this information.

The technical evaluation will evaluate whether the summary level Work Plan meets the acceptable requirements and whether the OFFEROR understands and can complete core drilling as defined in Exhibit

B, SOW.

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The evaluation may be scored higher if the OFFEROR clearly demonstrates the ability to exceed the acceptable expectations for safe and efficient wireline core drilling and site management practices.

Criterion 3: Key Personnel

OFFEROR shall submit an experience statement for all Key Personnel proposed. The OFFEROR shall also include narrative of the processes used for the selection, retention, and replacement of key personnel in their summary level Work Plan included with their proposal.

Key personnel include:

1. Project Manager

The Project Manager shall have a minimum of 5 years of experience in project management, with at least one project of $3M or greater in the past 5 years, or a current project portfolio of at least $5M. A higher score may be given to OFFERORS that demonstrate the Project Manager’s ability to successfully manage wireline core drilling construction projects, utilize Earned Value Management Systems, and hold a Project Management Professional certification.

2. Drilling Superintendent(s)

The Drilling Superintendent(s) shall have a minimum 10 years of experience in wireline core drilling supervision for projects with a similar diameter and depth as described in Exhibit B, SOW and with experience on a $3M project value within the previous 5-years. The OFFEROR must demonstrate that the Drilling Superintendent has experience on wireline core drilling projects. A higher score may be given to OFFERORS who exceed these acceptable Drilling Superintendent experience and project size requirements.

3. Lead Drillers

The Lead Drillers shall each have at least 10 years of experience with wireline core drilling and have at least one project over the last 5-year period that required wireline core drilling with similar depths and diameters as described in Exhibit B, SOW. Demonstration of Lead Driller experience to depths of greater than 5,000 feet will be evaluated as a meeting the acceptable requirement. The OFFEROR shall provide at least 2 lead drillers to satisfy the anticipated 24/7 rig operation schedule on this project. A higher score may be given to OFFERORS that exceed these acceptable requirements.

4. Site Safety Supervisor

The Site Safety Supervisor(s) shall have a minimum 10 years of experience in drilling safety supervision, with experience on a $3M project within the previous 5-years, or a current project portfolio of at least $5M.

OFFEROR must demonstrate that the Site Safety Supervisor has experience with wireline core drilling projects of similar scope to Exhibit B, SOW. A higher score may be given to OFFERORs that exceed these acceptable requirements.

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OFFEROR shall supply a resume (Exhibit A, Form G Resumes of Key Personnel) for one PRIMARY designee for each key personnel position listed in Exhibit D, Clause “Approval of Subcontractor Key Personnel”.

The OFFEROR shall provide a complete organizational chart identifying the key personnel and their functional assignments. Additionally, the OFFEROR shall provide a discussion of the established lines of authority, responsibility, and communication from lower levels to top-level management. Exhibit A, Form H, Project Organization shall be used for providing this information. The OFFEROR’S proposal shall demonstrate that the proposed key personnel for this Subcontract are highly qualified, and demonstrate the ability to effectively plan, promptly deploy, train, manage, and retain the appropriate staff for the work required. Exhibit A, Form G, resumes of key personnel shall be used for providing this information. The OFFEROR’S key personnel will be evaluated on their qualifications for the specific positions for which they are proposed. The OFFEROR shall provide a plan that addresses the approach for retention of key personnel. The evaluation of Key Personnel will focus on the individuals’ education, professional credentials, and experience relevant to the Scope of Work.

OFFERORS with key personnel who have demonstrated experience that exceed the acceptable requirements identified in Exhibit B, SOW, inclusive of Exhibit A, Form G, may be scored higher.

Criterion 4: Project Schedule

The OFFEROR shall provide a proposed Project Schedule that aligns with Exhibit B, Statement of Work and includes key milestones including mobilization, core drilling, sampling, close out and demobilization.

OFFERORS that demonstrate a detailed schedule substantiating an early mobilization date and completion date may be scored higher.

Criterion 5: Drill Pad Layout and Surface Requirements

The OFFEROR shall provide a complete drill site layout plan not to exceed dimensions of 500 feet by 500 feet in area that includes, at a minimum, space for all anticipated drilling equipment and necessary fluid handling areas and sumps. The plan shall be clearly labeled. The OFFEROR shall also provide a drill pad preparation plan. The plan shall include details such as a grading and surface requirements. The CONTRACTOR will provide earthmoving construction services to prepare the drill pad in accordance with the details in the SUBCONTRACTOR’S plan. The CONTRACTOR will provide aggregate in the quantities, location, and schedule described in the OFFEROR’s plan. The CONTRACTOR will construct the drill pad using NNSS derived aggregates (i.e., 3” minus or Type II).

OFFERORS that demonstrate a complete and practical plan that exceeds the acceptable requirements described in Exhibit B, SOW may be scored higher.

Criterion 6: Past Performance

The OFFEROR shall identify past performance under existing and prior contracts for similar work. The

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OFFEROR shall use Exhibit A, Form D – Past Performance Questionnaire. The OFFEROR shall provide this questionnaire to a minimum of three (3) with a maximum six (6) of its clients and have them return the form as indicated. The OFFERORS are cautioned to include all projects of a similar or reasonably similar nature, scope, and budget for at least the previous (5) five year period. The evaluation will focus on the degree of customer satisfaction, quality of work performed and timeliness of performance. If no past performance questionnaire is received on an OFFEROR then this criterion will receive a neutral rating. Offerors that demonstrate more positive the past performance, can obtain a higher score.

Minimum Requirement

Offeror must receive an acceptable rating/score in all criteria to be considered for award.

Offeror must receive an acceptable rating in all criteria to be considered for award.

For each criterion or sub-criterion, the evaluator shall assign an adjectival rating with a corresponding numerical rating within the range indicated (below). This will be the basis for determining how many of the available points will be assigned to each proposal for each criterion.

Superior (81-100) - Significantly exceeds performance requirements or capability in a beneficial way, and/or substantial and clearly defined response, and/or an innovative response, and has no weaknesses.

Exceptional (61-80) - Exceeds specified performance or capability in a beneficial way, and/or a substantial and clearly defined response, and/or has value added features, and has no significant weakness.

Acceptable (41-60) - Meets requirements, all critical criteria met, and/or proof of experience supplied (as applicable), has good probability of satisfying the requirement, and any weaknesses can be readily corrected.

Marginal (21-40) - Does not clearly demonstrate that evaluation standards are fully met; and/or there is not sufficient data to permit a comprehensive evaluation; and/or the proposal does not provide a good match to requirements; contains weaknesses and/or significant weaknesses indicating a low probability of satisfying the requirement.

Unacceptable (0-20) - Fails to meet minimum requirements; contains significant weaknesses and/or deficiencies from requirements; indicates a lack of understanding of requirements; and would require a major revision to make the proposal acceptable.

Although price will not be scored, it can be the determining factor between proposals within the competitive range. CONTRACTOR will evaluate proposals for award purposes by adding the total price for options to the total price for the base period. CONTRACTOR may determine that a proposal is unacceptable if the option prices are unbalanced. Evaluation of the options will not obligate CONTRACTOR to exercise the option(s).

B. Price Evaluation CONTRACTOR will review pricing for completeness, reasonableness and realism. The purpose of the review will be to ensure, to the maximum extent feasible, that OFFEROR'S proposed prices are complete and realistic in relation to the solicitation, and the technical proposals are reasonable in relation to known market pricing. Realism is the compatibility of the OFFEROR'S proposed price with proposal scope and required effort. Completeness is the responsiveness of the offer in providing the areas of price required by the RFP and scope of work. All the cost information required by the RFP must be submitted. An unrealistic price proposal may be grounds for eliminating a proposal from competition either on the basis that the OFFEROR does not understand the requirement or the OFFEROR has made an improvident proposal.

Although price will not be scored, it can be the determining factor between proposals within the competitive range. CONTRACTOR will evaluate proposals for award purposes by adding the total price for options to the total price for the base period. CONTRACTOR may determine that a proposal is unacceptable if the option

01/11/24 Page 13 of 26 prices are significantly unbalanced. Evaluation of the options will not obligate CONTRACTOR to exercise the option(s).

4. PREPARATION OF PROPOSAL (Technical and Pricing) Proposals shall be submitted on the forms furnished, or copies thereof, and must be manually signed. No erasures are permitted. If changes appear on the forms, the erroneous information must have a single line drawn through the information and be initialed and dated by the person signing the proposal.

Proposals must be submitted in separate volumes per criterion. The proposal shall contain all pertinent information requested in sufficient detail to permit a thorough evaluation. If the requested information is not located in the proper section, the information may be considered omitted.

c. Technical proposals submitted in response to this RFP shall comply with the following requirements:

No cost information is to be included in technical proposal.

Proposal shall not merely offer to perform work IAW the special conditions, but shall explain how the OFFEROR plans to accomplish the requirements. That is, repeating the special conditions without sufficient elaboration will not be acceptable.

d. Proposals will be evaluated as set forth in paragraph 3 Evaluation Method above.

e. Format and Content

The technical proposal should clearly address each of the technical proposal evaluation criteria in Form C above. It should be presented in as much detail as practical and include the following as a minimum:

OFFEROR shall include in its proposal the following:

Volume 1 – Technical information should clearly address each of the technical proposal evaluation criteria in paragraph A above. It should be presented in as much detail as practical and include the following as a minimum.

Form D – Past Performance (Criterion 6) Form E - Experience Statement (Criterion 1) Form F – Lower-Tier Subcontractor Experience Statement (Criterion 1) Project Summary & Staffing Plans (Criterion 3,4,5) Form G – Resumes of Key Personnel (Criterion 3) Form H – Project Organization Description (Criterion 2) Form M – Subcontract Schedule (Criterion 4)

Volume 2 – Safety information shall be provided for the Determination of Responsibility

1. Form I– Safety Program

2. Form J – Subcontractor Safety and Health History

3. Form K – Lower-Tier Subcontractor Safety and Health History

Volume 3 – Quality Assurance information shall be provided for the Determination of Responsibility

1. Form L – Comprehensive QA/QC Program

Quality Assurance OFFEROR shall submit a Quality Assurance (QA) Quality Control (QC) Plan that addresses, at a minimum, the requirements identified on Exhibit A, Form L - Comprehensive QA/QC Program. The plan submitted with the proposal need not be specific to this project. The SUBCONTRACTOR shall provide with their proposal:

1.SUBCONTRACTOR – Company Quality Assurance/Quality Control Plan.

2.Sub-Tier(s) – Lower Tier Subcontractors Quality Assurance/Quality Control Program (QA/QC) Plan.

Volume 4 – Pricing proposal shall include completed:

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1. OFFEROR’S Proposal Letter, signed and dated

2. Form A – Consideration Schedule in its entirety,

3. Form B – Subcontractor and Vendor List with Prices

4. Key Personnel from Exhibit D, D-19

5. FRM-0870, W-9

Note 1: Provide one (1) electronic file copy Volume 1 Technical Proposal, one (1) electronic file copy Volume 2 Safety Proposal, one (1) electronic file copy Volume 3 Quality Assurance Proposal and one (1) electronic file copy Volume 4 Price Proposal to CONTRACTOR for evaluation. All information shall be printed single sided and shall not be a duplicate to ensure clarity of words and/or images.

Note: This Form is for evaluation purposes only and will not be a part of the resultant subcontract.

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FORM D PAST PERFORMANCE QUESTIONNAIRE

Upon completion, please return to:

MISSION SUPPORT AND TEST SERVICES, LLC

Attention: Moriah Clark NLV018 Email address: clarkma@nv.doe.gov

RFP: 432954-MC-24

Firm Name: [Insert Name of the Firm being evaluated] Contract Number: TBD

The above noted firm’s past performance is being assessed for technical evaluation purposes. You are requested to complete the following and email to the above noted address no later than [insert date]. Additional comments are welcome. Provide additional sheets if necessary.

Please provide a brief narrative/description of the services provided, including contract period of performance, type of contract (firm fixed price, cost plus, etc.), and contract award amount:

Does the work involve [Insert brief description of the statement of work] support activities?

YES NO

Please briefly describe the work:

Were there any change orders made to the base contract? YES NO If yes, please explain:

Has this contract been partially or completely terminated for default or convenience?

YES NO

Please describe the circumstances:

Was the quality of personnel compliant with the contract requirements?

(i.e., technical excellence, qualifications, quality, promptness etc.) YES NO Additional Comments:

Were Indefinite Delivery Indefinite Quantity (IDIQ) or Basic Ordering Agreement (BOA) /Releases staffed on time

YES NO N/A

(if applicable) Additional Comments:

Were there any lost time incidents or OSHA violations associated with this contract?

YES NO

Additional Comments:

Were there any Security issues (i.e. Export control issues, infractions, controlled articles/substance issues, Foreign Interests issues, cyber issues, etc.) associated with this contract?

YES NO

Additional Comments:

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How effective was the CONTRACTOR in the areas below. Use the following adjectives to rate the effectiveness of the contractor:

Superior = 4 - Significantly Exceeded Minimum Requirements

Exceptional = 3 - Exceeded Minimum Requirements

Acceptable = 2 - Met Minimum Requirements

Marginal = 1 Less than Minimum Requirements with Satisfactory Results

Unsatisfactory = 0 Did not meet minimum requirements

Responsive to Customer Needs 4 3 2 1 0

Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel:

4 3 2 1 0

Using the adjective ratings above, how would you rate the contractor’s overall performance (please circle one)?

SUPERIOR EXCEPTIONAL ACCEPTABLE MARGINAL UNSATISFACTORY

Highest Rating-------------------------------------------------------------------------------------------------Lowest Rating

Additional Comments:

Name & Date Company Title Address

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FORM E EXPERIENCE STATEMENT

The OFFEROR submits the following statement as to its experience qualifications. In the case of a joint venture, separate forms will be submitted for previous experience of the joint venture and the experience of each party of the joint venture.

This company has been engaged in the contracting business under its present business name for years.

Experience in work of a nature similar in type and magnitude to that set forth in the Statement of Work (SOW) extends over a period of years.

All awarded contracts have been satisfactorily completed, except as follows (name any and all exceptions and reasons therefore, attaching additional pages if necessary):

The following contracts, covering work similar in type and magnitude to that set forth in the SOW, have been satisfactorily completed within the last 5 years preceding the due date for proposals specified in the solicitation or are now in progress for the following owners or prime contractors.

NAME, ADDRESS/CONTACT AND

TELEPHONE NUMBER

WORK

DESCRIPTION

VALUE LOCATION START/STOP

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FORM F LOWER-TIER SUBCONTRACTOR EXPERIENCE STATEMENT

This statement of experience qualifications is submitted for the following lower-tier subcontractor or supplier. In the case of multiple lower-tier subcontractors or suppliers, separate forms will be submitted for previous experience of each lower-tier subcontractor or supplier.

COMPANY NAME: PHONE:

CONTACT: FACSIMILE:

ADDRESS:

This company has been engaged in the contracting business under its present business name for years.

Experience in work of a nature similar in type and magnitude to that set forth in the SOW extends over a period of years.

All awarded contracts have been satisfactorily completed, except as follows (name any and all exceptions and reasons therefore, attaching additional pages if necessary):

The following contracts, covering work similar in type and magnitude to that set forth in the SOW, have been satisfactorily completed within the last 5 years preceding the due date for proposals specified in the solicitation or are now in progress for the following owners or prime contractors.

NAME, ADDRESS/CONTACT AND

TELEPHONE NUMBER

WORK

DESCRIPTION

VALUE LOCATION START/STOP

01/11/24 Page 19 of 26

FORM G RESUMES OF KEY PERSONNEL

OFFEROR is to provide a resume for each key person to be assigned to the Subcontract, containing at least the following information on each person.

1. TITLE:

2. NAME:

3. EDUCATION/QUALIFICATIONS:

4. PRESENT POSITION IN OFFEROR’S COMPANY:

5. RELEVANT EXPERIENCE:

6. EMPLOYMENT HISTORY:

7. CITIZENSHIP:

Attach and properly designate additional pages, if necessary.

NOTE: This Form is for evaluation purposes only and will not be a part of the resultant subcontract.

Approved personnel listed in the Special Condition titled “Approval of SUBCONTRACTOR Key Personnel” may not be replaced without CONTRACTOR’s approval of the replacement personnel.

01/11/24 Page 20 of 26

FORM H PROJECT ORGANIZATION DESCRIPTION

OFFEROR is to attach an organizational chart with numbers and titles of key personnel and numbers and categories of home office personnel. Additionally, the OFFEROR is to provide a written description of the organization, defining lines of authority/responsibility/communication and the overall working of the organization with particular emphasis on interface and the procedures for monitoring and controlling the work.

OFFEROR is to attach a narrative, not to exceed three pages, describing its plan for Subcontract execution.

This plan should be developed in conjunction with the organizational chart, resumes, and proposed lower-tier subcontractors/vendors. The narrative shall explain the management approach to this project as well as the flow of work from start to conclusion.

OFFEROR also must include capacity to perform information that links directly to each function listed on the organizational chart (i.e., the name of the person and the percentage of utilization in the program).

Pertinent information will be written into the appropriate Subcontract documents.

01/11/24 Page 21 of 26

FORM I SAFETY PROGRAM

OFFEROR shall submit the following Safety and Health data with its proposal:

Environmental Safety & Health Requirements:

The SUBCONTRACTOR’s commitment to Environmental Safety and Health will be evaluated on their written Safety Management Program as represented by the company’s written safety programs, policies, procedures, and understanding of requirements and safe job performance through:

Work Definition Hazard Identification & Control Hazard Performing Work Safely Self-Improvement Worker Training

Resume of Company Safety Manager Resume of proposed Site Safety Representative (see Attachment A for qualification requirements) Completed Health History Forms

Subcontractor Lower-Tier Subcontractors

Insurance EMR verification for past three (3) years Subcontractor Lower Tier Subcontractors

Additional Information for evaluation purposes:

Provide a copy of the OFFEROR Safety Program. The Program must clearly reflect an understanding of the health and safety issues associated with a project of this scope, and their intention to comply with the rigorous commercial health and safety standards. The SUBCONTRACTOR and Lower-Tier Subcontractors will be reviewed on their safety and health history as defined in Exhibit A, Form I & J.

Additional Information for evaluation purposes:

• Resume of Company Safety Manager – see Exhibit A, Form G, Resumes of Key Personnel

• Resume of proposed Site Safety Representative – see Exhibit A, Form G, Resumes of Key Personnel

Safety Representative

• The Safety Representative shall have a minimum of one of the following qualifications: Degree in Occupational Safety, Certified Safety Professional (CSP), Associate Safety Professional (ASP) with 1-3 years documented safety experience, Occupational Health and safety Technician (OHST) or Construction Safety and Health Technician (CHST) certification with 2-3 years’ experience performing safety duties, or 5-10 years documented full times safety experience. (See Exhibit A, Form G Resumes of Key Personnel)

Completed Health History Forms – see Exhibit A, Form H Safety Program, Form I Safety and Health History, and Form J Lower-Tier Subcontractor Safety and Health History

• Subcontractor

• Lower-Tier Subcontractors Insurance EMR verification for past three (3) years

• Subcontractor

• Lower Tier Subcontractors

01/11/24 Page 22 of 26

Note: An Experience Modification Rate (EMR) of 1.0 or less is acceptable (Pass). If an EMR exceeds 1.0 for any year, the SUBCONTRACTOR and/or their LOWER-TIER SUBCONTRACTORS shall:

a. Supply information that clearly and completely explains the excessive rate(s)

b. Provide objective evidence that the root cause(s) of the excessive rate(s) have been identified and corrective actions implemented that have resulted in measurable improvements in safety performance, e.g.

lower incident rates, less severe incidents, and subsequent reductions in the EMR.

01/11/24 Page 23 of 26

FORM J SAFETY AND HEALTH HISTORY

Submittals:

1. Company Safety Program/applicable procedures

2. Resume of Company Safety Manager

3. Resume of proposed Site Safety Representative (reference Attachment A, Qualification Requirements for Safety Representative)

4. Insurance EMR verification

1. General Subcontractor Name:

2. NAICS Code:

238990 All Other Specialty Trade Contractors

3. Number of Lower-Tier Subcontractors expected on-site?

4. Lower-Tier Subcontractor Name Discipline:

5. Workers’ Compensation Insurance Carrier letter providing your firm’s Interstate EMR for the three

(3) most recent years. Attach letter and input rates and total hours worked.

Year: EMR: Insurance Carrier:

Year: EMR: Insurance Carrier:

Year: EMR: Insurance Carrier:

6. Number of OSHA Inspections previous 5 years. Year(s):

7. Number of OSHA Citations previous 5 years Type:

8. Use your OSHA 300 Log to fill in number of injuries and illnesses for previous three years:

a) Number of lost workday cases Year:

# Hours Worked:

b) Number of restricted workday cases Year:

# Hours Worked:

c) Number of cases with medical attention only

Year:

# Hours Worked:

d) Number of fatalities Year:

# Hours Worked:

9. Explanation for EMR if greater than 1.0 :

01/11/24 Page 24 of 26

FORM K LOWER-TIER SUBCONTRACTOR SAFETY AND HEALTH HISTORY

1. Lower-Tier Company Name:

2. NAICS Code:

238990 All Other Specialty Trade Contractors

3. Name of General Subcontractor

4. Workers’ Compensation Insurance Carrier letter providing your firm’s Interstate EMR for the three

(3) most recent years. Attach letter and input rates and total hours worked.

Year: EMR:

Year: EMR:

Year: EMR:

5. Use your last year’s OSHA No. 300 Log to fill in number of injuries and illnesses:

a) Number of lost workday cases

Hours Worked:

b) Number of restricted workday cases

c) Number of cases with medical attention only

d) Number of fatalities

6. Number of OSHA Inspections previous 5 years. Year(s):

7. Number of OSHA Citations previous 5 years Type: (De minimus, Serious, Willful, Repeat)

8. Do you have a written safety program? Yes No

9. Have you submitted the safety program to the General Contractor for their approval? Yes No

10. Explanation for EMR greater than 1.0

01/11/24 Page 25 of 26

FORM L COMPREHENSIVE QA/QC PROGRAM

QA/QC Program The QA plan submitted with the proposal need not be specific to this project. The OFFEROR shall provide with their proposal:

1. OFFEROR – Company Quality Assurance/Quality Control Program (QA/QC program) Plan.

2. Sub-Tier(s) – Lower Tier Subcontractors Quality Assurance/Quality Control Program (QA/QC program) Plan.

OFFEROR to provide a copy of their Quality Assurance/Quality Control (QA/QC) Program to be implemented in performance of the Work. The QA/QC Program shall include information on the organization of the program, including the authority and responsibility of all involved personnel. This Program shall meet the following requirements:

• The OFFEROR’S proposal shall include a description of the capabilities and experience with meeting the Quality Assurance/Quality Control (QA/QC) requirements demonstrating a QA/QC Program meeting ISO- 9001-2015 or equivalent, including, at a minimum:

o Section 4 (Context of the Organization) Key Requirements for a pass:

• Establish the quality management system.

• Determine processes needed for the QA/QC program.

o Section 5 (Leadership) Key Requirements for a pass:

• Top management commitment to the QA/QC program

• Leadership has defined responsibilities for ensuring quality execution.

o Section 7.1.5 (Resources) Provision for establishing sufficient QA/QC resources.

o Section 7.2 (Competence) Provision for the use of qualified personnel.

o Section 8.1 (Operational planning and control) Key Requirements for a pass:

• Documentation of requirements for each of the organization’s specific products or services

• Control of processes in accordance with established criteria (to include processes for work execution, procurement, document control, inspection, testing, calibration, nonconformance reporting, records management, and continuous improvement, as appropriate to the defined work scope.)

o Meet other ISO-9001-2015 provisions as appropriate to subcontract scope required for this Core Drilling Project and detail out those requirements in this QA/QC Program.

This shall be submitted for approval with the proposal.

Lower-Tier Subcontractors

All lower-tier subcontractors shall have an implemented QA/QC program which also meets the same requirements as above. This shall be submitted for approval with the proposal.

Final program will be approved as submitted under the Subcontract requirements.

01/11/24 Page 26 of 26

FORM M SUBCONTRACT SCHEDULE

OFFEROR is to submit a Preliminary Subcontract Schedule in the Critical Path Method (CPM) format addressing as a minimum the milestone dates listed in the Special Condition titled “COMMENCEMENT, PROSECUTION AND COMPLETION OF THE WORK.”

WORK ACTIVITY WEEK 1 2 3 4 5 6 7 8 9 10 11

WORK ACTIVITY WEEK 12 13 14 15 16 17 18 19 20 21 22

NOTES:

Continue on additional sheets if necessary.