Response_Forms.pdf

CONSTRUCTION RFQ SOLICITATION NO. AG-9AC7-S-16-0123

Orleans Flooring Replacement

Six Rivers National Forest

SECTION M--EVALUATION FACTORS FOR AWARD

The Government will assess the capability of each quoter on the basis of the following technical criteria, which are approximately equal in value: (1) Relevant Past Performance (Relevant Experience) and (2) Understanding of the Government's Requirement. The Government will assess these factors and price as a basis for comparing quoters to determine best value. If a quoter takes exception to any of the terms and conditions of the solicitation, or fails to provide response to any evaluation factor sufficient for the completion of evaluation without clarification, then the Government may consider its offer to be unacceptable.

(1) Relevant Past Performance (Relevant Experience) - For this factor provide a list (3 – 5 entries) of past or present similar projects. Include projects which you believe offer the best evidence that your firm has the experience required to complete the requirements under this contract. For each project listed, provide:

Contract or project name.

Project description/ summary and applicable dates.

Reference/ contact name, phone number, and e-mail address if possible.

o The Government may survey these clients to obtain past performance information related to Quoter’s past work and may also obtain this information from other sources.

(2) Understanding of the Government’s Requirement – For this factor, provide:

Any information that indicates the extent to which the project site was visited, or information otherwise obtained about the site, including the results concluded.

The resources (personnel and equipment) which are planned for use on the project, and how realistic that plan is given concurrent obligations. List any licensed subcontractors you plan to use.

Price: The Government intends to assess price to determine realism and reasonableness (reflective of the quoter’s understanding of the work and ability to perform the contract).

Technical response does not need to elaborate or lengthy, but should represent the information requested above. Non-price factors, when combined, are approximately equal in importance to price.

An optional response form is enclosed for Quoter convenience in responding to technical criteria.

Six Rivers National Forest

Response to Technical Criteria Note: The use of this form is NOT required. Quoters may respond to the Evaluation Criteria using any format they desire, so long as it addresses all of the evaluation criteria. This format is provided as a convenience for Quoters to organize their response to the technical requirements.

1) Relevant Past Performance (Relevant Experience):

(Please list 3 – 5.)

Project 1 Name Dates Reference Name, Phone, Email

Description of Work/ Summary

Project 2

Project 3

Project 4

Project 5

2) Understanding of the Government’s Requirement

Information that indicates the extent to which the project site was visited, or information otherwise obtained about the site, including the results concluded:

The resources (personnel and equipment) which are planned for use on the project, and how realistic that plan is given concurrent obligations. List any licensed subcontractors you plan to use.

AGAR 452.209-70 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID

DELINQUENT TAX LIABILITY OR A FELONY CONVICTION (FEB 2012) -- ALTERNATE I

(FEB 2012) (DEVIATION)

(a.) Awards made under this solicitation are subject to the provisions contained in the Consolidated Appropriations Act, 2012 (P.L. No. 112-74), Division E, Sections 433 and 434 regarding corporate felony convictions and corporate federal tax delinquencies. To comply with these provisions, all offerors must complete paragraph (1) of this representation, and all corporate offerors also must complete paragraphs (2) and (3) of this representation.

(b.) The Offeror represents that –

(1) The Offeror is , is not (check one) an entity that has filed articles of incorporation in one of the fifty states, the District of Columbia, or the various territories of the United States including American Samoa, Federated States of Micronesia, Guam, Midway Islands, Northern Mariana Islands, Puerto Rico, Republic of Palau, Republic of the Marshall Islands, U.S. Virgin Islands. (Note that this includes both for-profit and non-profit organizations.)

If the Offeror checked “is” above, the Offeror must complete paragraphs (2) and (3) of the representation. If Offeror checked “is not” above, Offeror may leave the remainder of the representation blank.

(2) (i) The Offeror has , has not (check one) been convicted of a felony criminal violation under Federal or State law in the 24 months preceding the date of offer.

(ii) Offeror has , has not (check one) had any officer or agent of Offeror convicted of a felony criminal violation for actions taken on behalf of Offeror under Federal law in the 24 months preceding the date of offer.

(3) The Offeror does , does not (check one) have any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

Name of Company:

Name of Company Representative:

Date:

http://www.dm.usda.gov/procurement/policy/docs/USDAFARDeviation03-22-2012Solicitation.pdf