B08_Attachment_5_FACTS_Sheet_WACO_Rehab_Amphitheater.docx

Present/Past Performance “FACTS Sheet”

(TO BE COMPLETED BY OFFEROR)

Instructions:

Complete the FACTS Sheet for only three (3) relevant previous projects/contracts/jobs that reflect performance of Stone Masonry work that is similar in size and scope to Waco Mammoth National Monument (WACO) Rehabilitate Amphitheater Expansion and Repointing within the past five (5) years. These are not personal references but rather professional references for Stone Masonry and concrete work. The offeror shall provide frank, concise comments, and detail regarding technical capability of performance specific to the relevant actions. No omissions of requested information are permitted on this form. If the offeror does not have all the information requested, they are required to enter N/A as opposed to leaving it unanswered.

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.

OFFEROR:

Name (Company):

Contact eMail Address:

UEI Number:

1. PROJECT ONE:

Project Title & Contract Number:

Address of Project:

Percentage of Project Self Performed:

Period of Performance: to Number of Modifications:

Name of Customer or Organization:

Contracting Officer’s eMail and phone number:

Contracting Officer’s Representative eMail and phone number:

Customer Point of Contact’s eMail and phone number:

Type of Contract:

Role of the Offeror: [ ]Prime Contractor [ ] Subcontractor Original Contract Dollar Value:

Final Contract Dollar Value:

If there were changes in value from the original dollar value to the final dollar value, explain in no more than five (5) sentences why?

In not more than two (2) paragraphs (five (5) sentences per paragraph), summarize the work highlighting portions that are similar or specific to WACO Rehabilitate Amphitheater Expansion and Repointing.

In a paragraph not more than five (5) sentences, speak to the details that support the offeror’s record for on-time delivery. Was the project delivered with regard to the original delivery date on time why or why not?

2. PROJECT TWO:

Project Title & Contract Number:

Address of Project:

Percentage of Project Self Performed:

Period of Performance: to Number of Modifications:

Name of Customer or Organization:

Contracting Officer’s eMail and phone number:

Contracting Officer’s Representative eMail and phone number:

Customer Point of Contact’s eMail and phone number:

Type of Contract:

Role of the Offeror: [ ]Prime Contractor [ ] Subcontractor Original Contract Dollar Value:

If there were changes in value from the original dollar value to the final dollar value, explain in no more than five (5) sentences why?

In not more than two (2) paragraphs (five (5) sentences per paragraph), summarize the work highlighting portions that are similar or specific to (WACO) Rehabilitate Amphitheater Expansion and Repointing.

In a paragraph not more than five (5) sentences, speak to the details that support the offeror’s record for on-time delivery. Was the project delivered with regard to the original delivery date on time why or why not?

3. PROJECT THREE:

Project Title & Contract Number:

Address of Project:

Percentage of Project Self Performed:

Period of Performance: to Number of Modifications:

Name of Customer or Organization:

Contracting Officer’s eMail and phone number:

Contracting Officer’s Representative eMail and phone number:

Customer Point of Contact’s eMail and phone number:

Type of Contract:

Role of the Offeror: [ ]Prime Contractor [ ] Subcontractor Original Contract Dollar Value:

If there were changes in value from the original dollar value to the final dollar value, explain in no more than five (5) sentences why?

In not more than two (2) paragraphs (five (5) sentences per paragraph), summarize the work highlighting portions that are similar or specific to WACO Rehabilitate Amphitheater Expansion and Repointing.

In a paragraph not more than five (5) sentences, speak to the details that support the offeror’s record for on-time delivery. Was the project delivered with regard to the original delivery date on time why or why not?

PLEASE NOTE: The Government is not bound by the offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY