Attachments A1-A2-A3- A4.pdf

ATTACHMENT A1 – EXPERIENCE SUMMARY TABLE

FORM A1 – Experience Summary Table

Name of Offeror:_________________

Project 1 Project 2 Project 3 Example Project (for Illustrative purposes only, not a real project)

Project Name X Building

Location (City, State, Country) San Juan, Puerto Rico

Contract Amount ($ USD) $10,000,000

Final Contract Amount ($USD) $10,000,000

Completion Date (Substantial Completion)

01 January 2019

Which elements of Experience does the project demonstrate?

Did the offeror serve as the Prime General Contractor (GC) or Construction Manager as Constructor (CMc) (Yes or No)

Yes

Construction within an occupied and operational site, campus or multi-story building? (Yes or No)

Yes

Performed replacement of chilled and condensated water piping for chiller cooling system

Yes

Replacement of cooling towers, minimum capacity, 50 Tons, 120 gpm (Yes or No)

Yes

Project with a minimum value of $500,000.00 (Yes or No)

Yes

Substantially completed within the past ten (10) years? (Y/N)

Yes

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION-SEE FAR 3.104

ATTACHMENT A2 - PROJECT FACT

SHEET

Instructions: Complete all blocks. Limit the length to a maximum of three (3) pages per project, any information beyond the first three (3) pages will not be considered.

PROJECT FACT SHEET

1. Name of Offeror

2. Role (If not GC, describe)

3. Project Name

4. Project Location Address: City/Territory:

State:

Country:

5. Project Owner Name

(Agency or Company)

6. Project Owner Point of Contact Name:

Phone:

Email:

7. Project Duration at Award (Calendar Days)

8. Actual Project Duration (Calendar Days)

9. If applicable, justify reason(s) for difference between Project Duration at Award and

Actual Project Duration.

10. Construction Start Date (MM-DD- YYY)

11. Substantial Completion (MM-DD-YYY)

12. Contract Amount ($ USD)

13. Final Construction Value ($USD)

14. If applicable, provide a percentage of change orders and justify reason(s).

15. If applicable, justify reason(s) for difference between Contract Amount at Award and Final

Construction Value.

16. Size of project (GSF)

17. Narrative description of the work including major work items or disciplines involved. Make sure you identify how this project is similar to the proposed scope of work. Identify the work you performed, the work you subcontracted, and whether any work was performed by others. Provide at least two (2) project photos. You may add one (1) more page if needed (maximum of three (3) pages per project.

ATTACHMENT A3 - KEY PERSONNEL RESUME

Instructions: Complete all blocks, as applicable.

PROPOSED ROLE

NAME

EDUCATION

College / University Degree Major Year Granted

Years with present company Total years of relevant experience

Project management tool experience (if yes, specify)

RELEVANT EXPERIENCE

Dates

(MM/YY to

MM/YY)

Job Title

Company Description

(Include Relevant Project and Related Experience)

ATTACHMENT A4 - PAST PERFORMANCE QUESTIONNAIRE

Instructions: Complete all blocks.

PBS PAST PERFORMANCE QUESTIONNAIRE

CONTRACT INFORMATION (Contractor/Offeror to complete blocks 1-4)

1. Contractor/Offeror information:

Firm Name:

Address:

Phone Number Contact Name:

Email Address: Contact Phone Number:

2. General Work Information:

Work performed as: [ ] Construction Manager as Advisor

[ ] Other (please explain):

3. Contract Information:

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: [ ] Firm Fixed Price [ ] Cost Reimbursement

[ ] Other (please explain):

4. Project Description:

Complexity of Work: [ ] High [ ] Medium [ ] Routine

Instructions for clients completing this questionnaire: PBS requests that the client completes this questionnaire and submits it direction back to the offeror. The offeror will submit the completed questionnaire to PBS with their proposal, and may duplicate this questionnaire for future submission on PBS solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror.

However, questionnaires may be submitted directed to PBS. Please contact the offeror for PBS Point of Contact (POC) information. The government reserves the right to verify any and all information in this form.

Use the following adjectival ratings and definitions in your evaluation.

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the

Government's/Owner's benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner.

There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum 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.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(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 serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner .A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable No information or did not apply to your contract Rating will be neither positive nor negative.

CLIENT INFORMATION (Client to complete blocks 5-9)

1. Client point of contact information:

Title:

Phone number:

Email Address:

2. Project Contract Type

3. Describe your role in the project:

4. Date questionnaire was completed (MM/DD/YY):

5. Client signature:

PERFORMANCE EVALUATION (Client to complete blocks 10-17. Please select the adjective rating that best reflects your evaluation of the contractor’s performance.)

1. QUALITY E VG S M U N

a. Quality of technical data/report preparation efforts

b. Ability to meet quality standards specified for technical performance.

c. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

d. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance).

2. SCHEDULE / TIMELINESS OF

PERFORMANCE

E

VG

S

M

U

N

a. Compliance with contract delivery/completion schedules including any significant intermediate milestones. If liquidated damages were assessed or the schedule was not met, please address below.

b. Rate the contractor's use of available resources to accomplish tasks identified in the contract.

3. CUSTOMER SATISFACTION

a. To what extent were the end users satisfied with the project?

b. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication).

c. To what extent was the contractor cooperative, businesslike and concerned with the interests of the customer?

d. Overall customer satisfaction

4. MANAGEMENT/ PERSONNEL LABOR

a. Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

b. Ability to hire, apply and retain a qualified workforce to this effort.

c. Government Property Control [ ] [ ] [ ] [ ] [ ] [ ]

d. Knowledge/expertise demonstrated by contractor personnel.

e. Utilization of Small Business concerns [ ] [ ] [ ] [ ] [ ] [ ]

f. Ability to simultaneously manage multiple projects with multiple disciplines

g. Ability to assimilate and incorporate changes in requirements and/or priority, including planning, executions and response to Government changes.

h. Effectiveness of overall management (including ability to effectively lead, manage and control the program).

5. COST/FINANCIAL MANAGEMENT E VG S M U N

a. Ability to meet the terms and conditions within the contractually agreed price(s)?

b. Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client.

c. If this is/was a Government cost type contract, or a CMc/CMc at Risk Contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

d. Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in the comment section below.

[ ] Yes

[ ] No

e. If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in the comment section below.)

[ ] Yes

[ ] No

f. Have there been any indications that the contract has had any financial problems?

If yes, please explain in the comment section below.

[ ] Yes [ ] No

6. SAFETY/SECURITY E VG S M U N

a. To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

b. Contractor complied with all security requirements for the project and personnel security requirements.

7. GENERAL

VG S

M U

a. Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

b. Compliance with contractual terms/provisions If there were specific issues, please explain in the comments sections below.

c. In summary, provide an overall rating for the work performed by this contractor.

8. SUSTAINABILITY

a. Did this project include sustainable methods, materials, processes or certifications? See Whole Building Design Guide for acceptable requirements. Link to guide WBDG Green Building Standards and Certification Systems. If yes, please explain in the comments section below.

[ ] Yes [ ] No

9. SUMMARY

a. Would you hire or work with this firm again? If no, please explain in the comments section below.

[ ] Yes [ ] No

10. COMMENT SECTION BELOW (Please provide additional information below, and attach additional pages if necessary.)

Please provide responses to the above questions (if applicable) and/or additional remarks. Also please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):