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Quote-Price Sheet

QUOTER:

QUOTE / PRICE SHEET

SOLICITATION NUMBER: 140P8422R0009

PARK - PMIS: WHIS - 207189

DEVELOPED AREA: Whiskeytown National Recreation Area, Shasta County, CA

PROJECT TITLE: Install Security Fencing

Quoters are required to submit, at a minimum, a quotation that conforms to the solicitation documents with pricing for all Base line items and all Option line items (if any). Failure to do so may render your quotation unacceptable. For any lump-sum (LS) line items, provide the total price only. For any unit-priced line items, provide the unit price and the extended total price. If no specific line item exists for a portion of the work, include the costs on a related item. In case of error in summation, the total of the corrected amounts govern. Round totals and extend prices to whole dollars. Refer to section “H” of this solicitation for additional information regarding contract options. (delete this last sentence if no options)

CONTRACT LINE ITEM NUMBER (CLIN) CONTRACT LINE ITEM (CLI) TITLE QUANTITY UNIT OF MEASURE UNIT PRICE TOTAL PRICE

1 Remove Existing Fencing at Headquarters and Grizzly Gulch locations 1 LS

2 Install New Perimeter Posts and Chain Link Fencing at Headquarters and Grizzly Gulch locations 1 LS

3 Install Electronic/Solar Gate at Headquarters and Grizzly Gulch locations 1 LS

4 Concrete and Delivery for Headquarters and Grizzly Gulch locations 1 LS

TOTAL PRICE (Contract Line Item Number 1 through 4) -----------------------------------------------------------

All measurement and payment information is included in the project specifications, Section 012700.

Solicitation No. 140P8422R0004, Proposal Submission Package

Whiskeytown National Recreation Area

Solicitation: 140P8422R0009

Install Security Fencing at Headquarters and Grizzly Gulch Wastewater Treatment Facility

PMIS - 207189

REQUEST FOR PROPOSAL

(RFP)

Proposal Submission Package file_0.wmf

NATIONAL PARK SERVICE

POINT REYES MABOSolicitation No. 140P8422R0009, Proposal Submission Package

READ CAREFULLY: Many Government-provided forms mentioned in Section L of the Solicitation (Instructions for the Submission of Offers and Other Information) have been collected and provided in this Adobe Portable Document Format (PDF) portfolio format for the offeror’s convenience. However, the offeror is cautioned that that some criteria set forth in Section L of the Solicitation requires submission of documents for which no form or format is provided. The offeror should carefully review the proposal preparation instructions provided in Section L of the Solicitation when formulating their proposal.

TABLE OF CONTENTS

For Technical Volume I:

Relevant Experience Questionnaire

Past Performance Questionnaire

For Business & Price Volume II:

Contract Bid Schedule

SF 24 Bid Bond

Copy of Provision 52.209-13

General References form

Limitations on Subcontracting

RFP No. 140P8422R0009, 52.209-7 Certification Company Name: _________________________________

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

(a) Definitions. As used in this provision—

Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means—

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror ☐ has ☐ does not have current active Federal contracts and grants with total value greater than $10,000,000 .

(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information :

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in–

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via https://www.sam.gov (see 52.204-7).

(End of provision)

Submitted by:

_______________________________________________________________ (signature) __________________________ (date)

_______________________________________________________________ (type name)

_______________________________________________________________ (company name)

_______________________________________________________________ (Unique Entity ID)

General References

READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L of 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 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

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Material Supplier

Name:

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:

Solicitation No. 140P8422R0009

Template for Contracts

Report on Limitations on Subcontracting

Contract Number (PIID) [140P8422R0009]

Type of Set Aside [Total Small Business]

Total Contract Value [Insert Total Contract Value]

Performance Period for This Report [Insert Date] to [Insert Date]

Type of Service

Total Amount Paid by the Government to the Prime during the Performance Period

Similarly Situated Subcontractors (SSS) Total Amount Paid to [Insert First SSS Name]

Total Amount Paid to [Insert Second SSS Name]

Total Amount Paid to [Insert Third SSS Name]

Total Amount Paid to [Insert Fourth SSS Name]

Total Amount Paid to SSS $0

Non-Similarly Situated Subcontractors (NSS) Total Amount Paid to [Insert First NSS Name]

Total Amount Paid to [Insert Second NSS Name]

Total Amount Paid to [Insert Third NSS Name]

Total Amount Paid to [Insert Fourth NSS Name]

Total Amount Paid to NSS $0

Sheet2

Services (except construction)

General construction

Construction by special trade contractors

BID BOND

(See instructions on reverse)

OMB Control Number: 9000-0045 Expiration Date: 8/31/2022

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT

OF BID

PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

BID IDENTIFICATION

BID DATE INVITATION NUMBER

PRINCIPAL

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1. 2.

2.

3.

3.

(Seal) (Seal) (Seal) Corporate Seal

INDIVIDUAL SURETY(IES)

NAME(S)

(Seal) (Seal)

CORPORATE SURETY(IES)

SU

R

ET

Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

2. Corporate

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

FOR (Construction, Supplies or Services)

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

DATE BOND EXECUTED (Must not be later than bid opening date)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

JOINT VENTURE

OTHER (Specify)

PARTNERSHIPINDIVIDUAL

CORPORATION

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond.

The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

B

STATE OF INCORPORATION LIABILITY LIMIT ($)

2. Corporate

Corporate

LIABILITY LIMIT ($)STATE OF INCORPORATION

1.NAME(S) &

C

LIABILITY LIMIT ($)

D

E

F

G

STANDARD FORM 24 (REV. 8/2016) BACK

BID BOND

(See instructions on reverse)

OMB Control Number: 9000-0045 Expiration Date: 8/31/2022

PRINCIPAL (Legal name and business address)

TYPE OF ORGANIZATION ("X" one)

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT OF BID PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION(S)

THOUSAND(S)

HUNDRED(S)

CENTS

BID IDENTIFICATION

BID DATE

INVITATION NUMBER

PRINCIPAL

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

3.

3.

(Seal)

(Seal)

(Seal)

Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal)

(Seal)

CORPORATE SURETY(IES)

SURETY A

NAME & ADDRESS

STATE OF INCORPORATION

LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

Corporate Seal

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

FOR (Construction, Supplies or

Services)

OBLIGATION: We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum. CONDITIONS: The Principal has submitted the bid identified above. THEREFORE: The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid. Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government. Notice to the surety(ies) of extension(s) is waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid. WITNESS: The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

DATE BOND EXECUTED (Must not be later than bid opening date)

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

SURETY B

NAME & ADDRESS

STATE OF INCORPORATION

LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)

STATE OF INCORPORATION

2.

2.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY C

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY D

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY E

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY F

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INCORPORATION

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY G

STANDARD FORM 24 (REV. 8/2016) BACK

8.2.0.3062.1.452232.445150

Standard Form 24 - Bid Bond

DATE BOND EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:

PRINCIPAL (Legal Name and business Address):

STATE OF INCORPORATION :

SURETY(IES) (Name and business address):

PERCENT OF BID PRICE:

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. THOUSAND(S):

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. HUNDRED(S):

DATE Enter 2 digit month, 2 digit day and 4 digit year.:

BID IDENTIFICATION INVITATION NUMBER:

FOR (CONSTRUCTION SUPPLIES, OR SERVICES):

1. Name(s) and title(s) (types):

2. Name(s) and title(s) (types):

3. Name(s) and title(s) (types):

INDIVIDUAL SURETY(IES) 1. NAME(S) (TYPED) :

INDIVIDUAL SURETY(IES) 2. NAME(S) (TYPED) :

CORPORATE SURETY(IES), SURETY A NAME AND ADDRESS:

STATE OF INC.:

CORPORATE SURETY(IES), SURETY A 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY A 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES) LIABILITY LIMIT(S):

If Other was selected, specify here. :

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. CENTS:

CORPORATE SURETY(IES), SURETY B 2.SIGNATURES:

CORPORATE SURETY(IES), SURETY B NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY B STATE OF INC.:

CORPORATE SURETY(IES), SURETY B 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY E 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY C 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY C STATE OF INC.:

CORPORATE SURETY(IES), SURETY C 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY C NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY D 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY D STATE OF INC.:

CORPORATE SURETY(IES), SURETY D 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY D NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY E STATE OF INC.:

CORPORATE SURETY(IES), SURETY E 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY E NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY F 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY F STATE OF INC.:

CORPORATE SURETY(IES), SURETY F 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY F NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY G 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY G STATE OF INC.:

CORPORATE SURETY(IES), SURETY G 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY G NAME AND ADDRESS:

CORPORATE SURETY(IES) B LIABILITY LIMIT(S):

CORPORATE SURETY(IES) C LIABILITY LIMIT(S):

CORPORATE SURETY(IES) D LIABILITY LIMIT(S):

CORPORATE SURETY(IES) E LIABILITY LIMIT(S):

CORPORATE SURETY(IES) F LIABILITY LIMIT(S):

CORPORATE SURETY(IES) G LIABILITY LIMIT(S):

3. The bond may express penal sun as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed dollars).:

Relevant Experience Questionnaire

Solicitation: 140P2022R0009

Submit responses to the questions below that demonstrate your relevant experience successfully completing projects of a similar nature and scope as this requirement per the instructions provided in Section L of the Solicitation. Limit submittals to the quantity of projects and timeframes required in the solicitation. Expand the response sections shown below as needed to adequately address each question (this questionnaire may be expanded to multiple pages if needed).

Offeror

Company Name

REFERENCED PROJECT INFORMATION

Project Title

Title

Project Location

City, State

Brief Project Description

Description

Project Owner

Company Name

POC:

First & Last Name

Phone:

(XXX) XXX-XXXX

CONTRACTOR LIST

List Contractor(s) whose experience on the referenced project is being submitted for evaluation on this proposed project. If more than one contractor is listed (i.e. prime and subcontractors), provide information specific to that contractor.

Contractor Name

Role on Referenced Project

(Prime or Sub)

Trade

Price

(list for each contractor’s specific work)

Performance Period

(calendar days)

(list for each contractor’s specific work)

Original

Final

Original

Final

Sparky’s Electrical Company

Prime

Prime

$XXX,XXX

$X,XXX,XXX

XX

XX

ABC Plumbing & Heating, Co

Subcontractor

Plumbing & Mechanical

$X,XXX,XXX

$X,XXX,XXX

XXX

XXX

Subcontractor

PROJECT EXPERIENCE QUESTIONS

1. Describe the project work performed by all contractors listed above.

Response

2. Identify which Project Experience elements listed in section L of the solicitation each contractor’s work addresses.

Response

3. Describe & provide reasons for any changes to the original price for the work described in question 2 above.

Response

4. Describe and provide reasons for any changes to the original schedule for the work described in question 2 above.

Response

5. Describe problems, associated with the work described in question 2 above, which were encountered and how they were resolved. Describe how the offeror’s proposal accounts for similar issues.

Response

6. Describe the means and methods, associated with the work described in question 2 above, which were successful. Would you implement the same means and methods on the proposed project? Why or why not?

Response

7. Provide any other additional project information you believe should be presented.

Response

Solicitation: 140P2022R0009 Offeror Company Name: _________________________________

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

Notice to Contractor

Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.

This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.

The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.

A. CONTRACTOR INFORMATION (check one) ☐company listed above ☐ proposed sub for company listed above

Company Name

Company

Street Address

Address

City

City

State

State

Zip Code

XXXXX

UEI Number

XXXXXXX

Point of Contact

Name, Email, Phone

B. CONTRACT INFORMATION

Project Title

Title

Contract Number

XXXXXXXXXX

Contract Type

Firm Fixed Price / Time & Materials / Cost Reimbursable / Other

Awarded Contract Price

$X,XXX,XXX

Current / Final Price

$X,XXX,XXX

Contract Award Date

XX/XX/XXXX

Contract Completion Date

XX/XX/XXXX

Period of Performance

XX/XX/XXX – XX/XX/XXX

Project Location

Park or Street address, City, State

Client / Owner

Company

Brief description of the contract & work effort:

Scope of work description

C. REFERENCE:

Name

First, Last

Position / Title

Title

Organization

Agency or Company

Phone Number

XXX-XXX-XXXX

Email Address

Email

Signature

Signature

Date

XX/XX/XXXX

D. EVALUATION

Rating

Definition

Exceptional

Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good

Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory

Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal

Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unsatisfactory

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

Evaluation Area

Rating

Quality

Quality of workmanship (including subcontractors)?

Choose an item.

Quality of and adherence to quality control plan?

Choose an item.

Quality of informational and technical submittals?

Choose an item.

Overall Quality Rating

Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Schedule (& Time Management)

Met project schedule milestones?

Choose an item.

Responded to owner requests in a timely manner?

Choose an item.

Informational and technical submittals submitted timely?

Choose an item.

Promptly addressed scheduling issues?

Choose an item.

Overall Schedule (& Time Management) Rating

Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Cost Control

Addressed differing & unforeseen site conditions so as to minimize additional costs?

Choose an item.

Provided fair and reasonable pricing for contract modifications?

Choose an item.

Submitted accurate and complete invoices?

Choose an item.

Promptly paid subcontractors and suppliers?

Choose an item.

Overall Cost Control Rating

Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Management

General oversight by project manager and superintendent?

Choose an item.

Coordination with and control of subcontractors?

Choose an item.

Avoidance of accidents & safety violations?

Choose an item.

Addressed location factors (especially remote locations)?

Choose an item.

Maintained good working relationship with owner representatives?

Choose an item.

Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?

Choose an item.

Overall Management Rating

Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Small Business Subcontracting (& Labor Standards)

Met regulatory and contractual labor standards?

Choose an item.

Successfully contracted with small and socio-economically disadvantaged businesses?

Choose an item.

Quality and adherence to applicable subcontracting plans?

Choose an item.

Overall Small Business Subcontracting (& Labor Standards) Rating

Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Regulatory Compliance

Met building and life safety codes?

Choose an item.

Overall Regulatory Compliance Rating

Choose an item.

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:

Choose an item.

Overall Comments:

E. RETURN:

Return by

3:00 p.m. Pacific Daylight Time on Thursday, August 25, 2022

Name

Helli Newsom

Title

Contract Specialist

Organization

National Park Service – Point Reyes MABO

Email helli_newsom@nps.gov