DOL-ETA-15-R-00088_Amend_0002.pdf

(x)

DOL-ETA-15-R-00088

x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

Washington DC 20210

ETA OCM JOB CORPS

Room N-4643 200 Constitution Ave, NW Division of Job Corps Procurement US Department of Labor

DALLAS

Dallas TX 75202 Suite 707 525 S. Griffin Street US Department of Labor

02/17/2016000002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

02/17/2016

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

A. Amendment

ITEM 0001: RFP Attachment J-7 is hereby deleted in its entirety and is replaced with the attached document.

Period of Performance: 09/01/2016 to 09/30/2021

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Sheryl Algee

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ATTACHMENT J-7

Past Performance Questionnaire

To Whom It May Concern:

The is currently responding to the U. S. Department of Labor RFP # for the procurement of the continued operation of the

The U. S. Department of Labor is placing increased emphasis in their procurements on past performance as a source selection factor. They are requiring that clients of entities responding to their solicitations be identified and their participation in the evaluation process be requested.

Therefore, we are requesting that you provide the following information regarding our performance on the contract identified below. Please complete Sections B-F of this Questionnaire and return it directly to the address shown below no later than

By my signature below, I authorize you to respond to any additional inquiries by the U. S.

Department of Labor regarding our performance on the referenced contract.

(Signature) (Date)

(Title)

A. Past Performance

A. Contract Identifying Information:

Offeror:

Project Title & Contract Number:

Contracting Officer: Phone No.

Project Manager: Phone No.

Address:

FAX No.

Work Performance Period: to

Contract Value:

Brief Summary of Statement of Work:

B. Outcomes vs. Goals:

1. Were there measurable performance goals or outcomes associated with this contract?

If yes, describe:

Yes No

For the following questions, where applicable, check the adjectival rating which most closely represents your assessment of the contractor's performance: Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory

2. How effective was the contractor in achieving those outcomes?

(Explain any rating below Satisfactory)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

C. Cost Control: How well has the contractor:

1. Performed all contracted services within the budget?

2. Submitted complete and accurate financial reports and invoices?

3. Has a draft or final audit report disclosed questioned or disallowed costs? If yes, indicate:

period covered by audit disallowed or recommended for disallowance disallowed costs as a % of audited funds

Yes No

Comments: (Explain any ratings below Satisfactory) Summary Adjectival Rating of Cost Control

D. Timeliness of Performance: How well has the contractor:

1. Completed contract requirements and submitted reports and schedules according to specified time frames?

Exceptional Very Good

Satisfactory Marginal

2. Responded to technical direction and requests in a timely manner?

Comments: (Explain any ratings below Satisfactory) Summary Adjectival Rating of Timeliness of Performance

E. Business Relations: To what extent has the contractor:

1. Been pro-active in contract monitoring and review?

2. Demonstrated a responsive and cooperative working relationship with the Contracting Officer and Project staff?

3. Promptly notified the Contracting Officer of potential problems?

4. Used effective approaches and provided technical expertise and resources to solve contract problems?

Comments: (Explain any ratings below Satisfactory) Summary Adjectival Rating of Business Relations

(For Department of Labor Use Only)

SUMMARY PAST EXPERIENCE CONFIRMATION

B. Outcomes vs. Goals

C. Cost Control

D. Timeliness of Performance

E. Business Relations

F. Customer Satisfaction

Verified by: Date:

F. Customer Satisfaction: To what extent has the contractor:

1. Been effective in tailoring the program to meet the needs of the customers?

2. Shown flexibility in operating the program to meet changing program needs and emphases?

Comments: (Explain any ratings below Satisfactory)

Summary Adjectival Rating of Customer Satisfaction

Additional Comments:

Name & Title of Individual Completing Information: Phone No.

Offeror:

Project Title Contract Number:

Contracting Officer:

Phone No:

Project Manager:

Phone No_2:

Address:

FAX No:

Work Performance Period to:

Contract Value:

Brief Summary of Statement of Work:

undefined: Off

Exceptional: Off

Very Good: Off

Satisfactory: Off

Marginal: Off

Unsatisfactory: Off

Exceptional_2: Off

Very Good_2: Off

Satisfactory_2: Off

Marginal_2: Off

Unsatisfactory_2: Off

Exceptional_3: Off

Very Good_3: Off

Satisfactory_3: Off

Marginal_3: Off

Unsatisfactory_3: Off undefined_2: Off undefined_3: Off

Exceptional_4: Off

Very Good_4: Off

Satisfactory_4: Off

Marginal_4: Off

Unsatisfactory_4: Off

Exceptional_5: Off

Satisfactory_5: Off

Very Good_5: Off

Marginal_5: Off

Unsatisfactory_5: Off

Exceptional_6: Off

Satisfactory_6: Off

Very Good_6: Off

Marginal_6: Off

Unsatisfactory_6: Off

Exceptional_7: Off

Satisfactory_7: Off

Very Good_7: Off

Marginal_7: Off

Unsatisfactory_7: Off

Exceptional_8: Off

Satisfactory_8: Off

Very Good_8: Off

Marginal_8: Off

Unsatisfactory_8: Off

Exceptional_9: Off

Satisfactory_9: Off

Very Good_9: Off

Marginal_9: Off

Unsatisfactory_9: Off

Exceptional_10: Off

Satisfactory_10: Off

Very Good_10: Off

Marginal_10: Off

Unsatisfactory_10: Off

Exceptional_11: Off

Satisfactory_11: Off

Very Good_11: Off

Marginal_11: Off

Unsatisfactory_11: Off

Exceptional_12: Off

Satisfactory_12: Off

Very Good_12: Off

Marginal_12: Off

Unsatisfactory_12: Off

Exceptional_13: Off

Very Good_13: Off

Satisfactory_13: Off

Marginal_13: Off

Unsatisfactory_13: Off

Exceptional_14: Off

Very Good_14: Off

Satisfactory_14: Off

Marginal_14: Off

Unsatisfactory_14: Off

Comments Explain any ratings below Satisfactory_4:

Exceptional_15: Off

Very Good_15: Off

Satisfactory_15: Off

Marginal_15: Off

Unsatisfactory_15: Off

Additional Comments:

Name Title of Individual Completing Information Phone No:

B Outcomes vs Goals:

C Cost Control:

D Timeliness of Performance:

E Business Relations:

F Customer Satisfaction:

Verified by:

Date:

Phone Number:

Comments of Business Relations Rating:

Comments of Timeliness of Performance Rating:

Comments of Cost Control:

Comments for Question C3:

Comments for Question B2:

Comments of Question B1:

Work Performance Period From:

Submission Address: Kelson Baker Contract Specialist (CTR) U.S. Department of Labor Office of Contracts Management 200 Constitution Ave NW, Room N4643 Washington, DC 20210 Baker.Kelson@dol.gov

Request Date:

Job Corps Center Name:

RFP Number:

Contractor Name:

Submit By Date: