ATTACHMENTS for Sol 47PC0322R0010 for Domestic Water Piping Project 10052022.docx

ATTACHMENT A1

SMALL BUSINESS UTILIZATION FORM

Name of Offeror: _______________________________________________

Large and small business offerors are required to submit proposed subcontracting goals for this contract. If this contract is awarded to a large business concern, it will be required to submit an acceptable subcontracting plan prior to award. The subcontracting plan must contain goals that are identical to or higher than the goals proposed on this form. Proposed subcontracting goals must be provided in percentages for the categories of subcontracting listed below:

Offeror ☐ is a small business concern ☐ is NOT a small business concern.

Please indicate the percentage of work you intend to perform with your own workforce: ___________ % *

Total % to be Subcontracted

Total % to be Subcontracted to Large Business

Total % to be Subcontracted to Small Business

% to Small Disadvantaged Business

% to Women-Owned Small Business

% to HUBZone Small Business

% to Veteran-Owned Small Business

% to Service-Disabled Veteran-Owned Small Business

% Small Business Other

% Self Performed*

*Percentage of Self Performed work must be greater than or equal to 15%

ATTACHMENT A2 – EXPERIENCE SUMMARY TABLE

Name of Offeror:

Project 1

Project 2

(not a real project)

Project Name

Tower Office Building

Location (City, State, Country)

Hato Rey, Puerto Rico

Contract Amount ($ USD)

$15,000,000

Completion Date (Substantial Completion)

03 December 2015

Which elements of experience does the project demonstrate?

Construction of potable water piping replacement work for office buildings (Yes or No)

Yes

Construction for interior repairs within an occupied and operational multi-story building and multi-phase project (Yes or No)

Yes

Design-Build Project

Yes

Project minimum construction cost of USD 500,000.00 (Yes or No)

Yes

Project substantially completed within the past ten (10) years (Yes or No)

Yes

Construction with Federal Government (Yes or No)

Yes

ATTACHMENTS for Solicitation Package 47PC0322R0010

Attachment A3 – 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.

1. Name of Company that Performed this Work (this should be the name of your company, the Offeror)

Role (Prime G.C., C.M.C., Subcontractor, Joint-Venture Partner, etc.):

2. Name of Project

3. Location of Project

4. Project Owner Information 4a. Agency or Company Name

4b. Point of Contact (Name, Phone, and Email)

5. Date Started

6. Date Completed (Substantial Completion)

7. Contract Amount ($ USD)

8. Description of Project and Work Actually Performed by your Company

8a. Size of project (gross square feet) 8b. Project Photos (provide at least two (2))

8d. Narrative description of the Work, including the major disciplines and trades involved.

Make sure you identify the work you performed, the Work that you subcontracted, and whether any work was performed by others.

ATTACHMENT A4 – KEY PERSONNEL RESUME

ATTACHMENT A5 - PAST PERFORMANCE QUESTIONNAIRE

PBS PAST PERFORMANCE QUESTIONNAIRE

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

1. CONTRACTOR/OFFEROR INFORMATION

Firm Name: Address:

Phone Number: Duns Number:

Contact Name Email Address:: Contact Phone Number:

Percent (%) of project work performed:

If a subcontractor, who was the prime (Name/Phone #):

3. CONTRACT INFORMATION

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please explain) Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy): Actual Completion Date (mm/dd/yy): Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable): Explain Differences:

How is this project relevant to the project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requests that the client complete this questionnaire and submits it directly 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 directly to PBS. Please contact the Offeror for PBS POC information. The Government reserves the right to verify any and all information on this form.

PBS Past Performance Questionnaire July 2014

Use the following adjective ratings and definitions in your evaluation of the Contractor's performance.

TO BE COMPLETED BY THE CLIENT

CLIENT INFORMATION

Client Point of Contact Information Name:

Title:

Phone Number: Email Address:

Project Information Contract Type: Contract Title: Contract Location:

Describe your role in the project:

Date Questionnaire was completed (mm/dd/yy):

Client's Signature:

Instructions: Please select the adjective rating that best reflects your evaluation of the Contractor's performance.

(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).

(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.

(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.

(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, execution and response to Government changes.

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

(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).

(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 comment section below.)

Yes No

(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.

(a) Ability to successfully respond to emergency and/or surge situations (including notifying C.O.R., 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

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

COMMENTS SECTION

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):

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