CI IV MACC - Exhibit D - Past Performance - Small Business Utilization.docx
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- Solicitation number
- N6247319R1237
About this file
This solicitation is for an indefinite delivery indefinite quantity multiple award construction contract for new construction, renovation, and repair projects at various government installations in six Western states. The Naval Facilities Engineering Command seeks to award three or more contracts for a base period of 24 months plus one 36-month option period, for a total potential duration of 60 months. The estimated maximum value of all contracts combined is $2.5 billion. Task orders will range from $15 million to $250 million and be awarded on a firm fixed price basis. A minimum of $5,000 in task orders is guaranteed to each awardee. Two of the contracts will be reserved for highly qualified small businesses. Evaluation criteria include technical approach, experience, past performance, safety, technical solution, small business participation, and price. Selection will be based on best value. The solicitation is available electronically only on beta.sam.gov beginning April 10, 2020.
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Text version
EXHIBIT “D”
PAST PERFORMANCE – SMALL BUSINESS UTILIZATION
N62473-19-R-1237
This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for evaluation of Factor 2, Past Performance. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).
Include actual dollar values subcontracted for each of the categories listed. Include the percentage goal only if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. If goals were not established for a project, mark N/A.
Items (a) – (h) are for SUBCONTRACTED values only. Small Business Offerors shall not include self-performed work under these items.
| Business Size: |
| |_| Large |
| |_| Small |
| |_| Small Disadvantaged |
| |_| Women-Owned Small Business |
| |_| HUBZone Small Business |
| |_| Veteran-Owned Small Business |
| |_| Service-Disabled Veteran-Owned Small Business |
| |_| Other: |
Project #1: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #2: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
(h) Service-Disabled Veteran-Owned Small Business Concerns
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #3: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #4: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #5: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Note: Form may be expanded.
Exhibit “D” - Past Performance – Small Business Utilization, Page 1 of 3
(Rev 6/2019)
File details come from the government source that posted it. Updated .