s080027A_attachment_A.pdf

AG-03R6-S-08-0027A

IDIQ for Road Construction Services Attachment A, Page 1 of 62

ATTACHMENT A

The following attachments are a part of this solicitation and any resulting contract.

J- 1 Past Performance Inquiry Form

J- 2 Wage Rate Decisions (The CO will identify the Decision applicable for each Task Order):

Idaho:

ID080015, Mod. 8, dated 12/5/2008 – Highway ID080012, Mod. 6, dated 12/5/2008 – Heavy

Montana:

MT080002, Mod. 1, dated 10/31/2008 – Highway MT080001, Mod. 8, dated 12/12/2008- Heavy

North Dakota:

ND080002, Mod. 5, dated 11/21/2008 – Highway ND080014, Mod. 2, dated 9/5/2008 - Heavy ND080015, Mod. 3, dated 10/31/2008 – Heavy

South Dakota:

SD080009, Mod. 3, dated 8/22/2008 – Heavy and Highway

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Past Performance Inquiry Form

PAST PERFORMANCE INQUIRY FOR:

(Offeror’s Name)

Dear Customer:

Our firm has submitted a proposal to the USDA Forest Service, Northern Region. In accordance with the Federal Acquisition Regulations (FAR), they will evaluate our firm’s past performance.

Your candid response to the attached survey will assist the evaluation team. Please complete the enclosed survey as thoroughly as possible and forward it to the Forest Service (DO NOT RETURN

THIS FORM TO OUR COMPANY).

General information regarding the responses may be released to the Offeror; however, the FAR prohibits the release of names providing the responses. Complete confidentiality will be maintained.

Please send the completed form to the address below to arrive NO LATER THAN February 4, 2009:

USDA Forest Service Western Montana Acquisition Zone ATTN: Sue Beron Building 24, Fort Missoula Missoula, MT 59804

Or email it to: sberon@fs.fed.us

Contractor Name:

Address:

City, State, and Zip Code

Contract or Order No.:

Total Value of Contract:

Liquidated Damages Assessed:

Contract Award Date:

Final Completion Date:

Name of person completing this form:

Phone Number:

Name of Company or Government Agency:

Description of work:

SOURCE SELECTION INFORMATION/CONFIDENTIAL

mailto:sberon@fs.fed.us

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RATINGS - Summarize Contractor performance and check the number that corresponds to the rating for each category.

RATING DEFINITION

E = Exceptional Performance exceeded what was required by the contract.

VG = Very Good Performance met all the requirements of the contract.

S = Satisfactory Contractor met most (essentially all) of the requirements of the contract.

M = Marginal Contractor met some of the requirements of the contract, however changes to the Contractor’s processes were necessary to achieve contract requirements.

U = Unsatisfactory Contractor failed to meet requirements of the contract.

N/A = Not Applicable

Question did not apply to the contract performed for your firm.

QUALITY AND TIMELINESS

Rating How well did the Contractor manage the quality of work?

How well did the Contractor identify and correct deficient work?

Were submittals, testing, certifications, and final drawings (as-built drawings) completed accurately and timely?

Was work performed as scheduled?

Were delays resolved quickly and to both parties’ satisfaction?

Comments:

MANAGEMENT AND BUSINESS RELATIONS

Did the Contractor provide adequate oversight to Subcontractors, suppliers, and employees?

Did the Contractor maintain a good relationship with the owner, contracting agency, and management personnel?

If there were change orders, was the Contractor reasonable in defining scope of change and controlling cost?

Did the Contractor provide adequate work force (number and skills) for work being performed?

What percentage of the work was subcontracted?

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COMPLIANCE WITH LABOR AND SAFETY STANDARDS

Did the Contractor comply with labor laws incorporated into contract?

If there were problems, how well were they addressed and resolved?

Was a safety plan required? If so, how well did the Contractor follow the plan?

Were there hazards at the worksite that required continual oversight and if so did the Contractor initiate corrections of safety hazards at the worksite?

CUSTOMER SATISFACTION

Would you recommend the selection of this Contractor again?

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Wage Rate Decisions

ID080015, Mod. 8, dated 12/5/2008

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ID080012, Mod. 6, dated 12/5/2008

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MT080002, Mod. 1, dated 10/31/2008

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MT080001, Mod. 8, dated 12/12/2008

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ND080002, Mod. 5, dated 11/21/2008

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ND080014, Mod. 2, dated 9/5/2008

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ND080015, Mod. 3, dated 10/31/2008

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SD080009, Mod. 3, dated 8/22/2008

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