Attachment_9_-_Proposal_Submission_Package.pdf

SOLICITATION AG-82A7-S-17-0051: ATTACHMENT 9

PROPOSAL SUBMISSION PACKAGE

April 20, 2017

INSTRUCTIONS: The following forms may be used to prepare proposals for the subject solicitation as applicable.

CONTENTS:

For Technical Volume:

1. Experience Questionnaire

2. Past Performance Questionnaire

For Business & Price Volume:

3. General References

Experience Questionnaire READ CAREFULLY: The purpose of this form is for the offeror to list projects performed that are similar to the work described in this solicitation. Use this form to address your familiarity with the project requirements 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 tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s experience.

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

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK (continuation)

PERFORMANCE REMARKS (continuation)

PAST PERFORMANCE QUESTIONNAIRE

Part II: Performance Assessment (to be completed by reviewer)

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - Performance meets contractual requirements and exceeds many to the reviewer’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD - Performance meets contractual requirements and exceeds some to the reviewer’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

1. Information Provided in Response to Solicitation No.: AG-82A7-S-17-0051

2. Offeror:

PART I: Contract Information

3. Customer Organization:

4. Reference Name and Title: (individual completing this questionnaire)

5. Contract Number:

6. Contract Type:

7. Contract Value:

8. Description of Work/Services:

9. Problems: (if problems encountered on this contract, explain corrective action taken)

M MARGINAL - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY- Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

1. Quality of product or service: (please double click on check box to check and uncheck box)

E V S M U N

Comment:

2. Schedule: (please double click on check box to check and uncheck box)

3. Management: (please double click on check box to check and uncheck box)

4. Regulatory Compliance: (please double click on check box to check and uncheck box)

WO AQM Job Corps Support Branch Contact Information:

Contracting Officer: Brian N. McCabe

OR EMAIL FORM TO: bmccabe@fs.fed.us mailto:bmccabe@fs.fed.us

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided. 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 relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

NAME OF

CONTRACTOR/OFFEROR:

SURETY

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

CORPORATE BANK

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

CORPORATE BANK

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

INSURANCE COMPANY

Name:

Address:

Name of Agent:

Telephone Number:

Types of Policies:

SUBCONTRACTOR

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Address:

Name of Contact:

Telephone Number:

Address:

Name of Contact:

Telephone Number:

MATERIAL SUPPLIER

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL SUPPLIER

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL SUPPLIER

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Biobased Certification

1. Offerors shall identify the Biobased products to be purchased and used under this contract. For each Biobased product. the offeror shall specify the percentage of Biobased content, and for the USDA-designated Biobased content products, the offeror shall demonstrate that the products to be used under this contract will contain the percentage specified in the USDA recommendations or the highest level of Biobased material practicable, consistent with USDA's recommended percentages of Biobased content

Product Description % Biobased Content

2. The offeror shall document prior experience in specifying, purchasing, using, and installing Biobased products. The offeror shall provide a list for all relevant contracts over the past two years involving the specification, purchase, and/or use of Biobased products. The offeror shall include a list of the Biobased products specified, purchased, used, and installed.

Biobased Assessments (completed by reviewer)

Rating Description

Acceptable Proposal clearly states the utilization of Biobased products, List of products, certification, and operation plan

Unacceptable Proposal does not clearly state the utilization of Biobased products, does not include a list of product, lacks certification, and is lacking in clear understanding of operation plan