Section_J_-_Entire_Attachments_&_Exhibits.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE 4. ORDER NUMBER 5. 6.

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect 8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

SOLICITATION NUMBER

EQ10PMP-17-0050

Tara Thomas/ Michael Metje calls)

(253)315-1664 / 326-1653

10PQD

GSA Auburn Complex - Region 10 Auburn, WA 98001

10PQD

Acquisition Management Division Services Acquisition Branch 400 15th St SW, Auburn, WA 98001

GSA Finance Division (BCFA) PO Box 17181 Ft. Worth, TX 76102-0181

ONE

DATE

01/10/2018

SOLICITATION ISSUE

DATE

11/20/2017

12/15/2017

10:00 AM PST

GSA/PBS

Acquisition Management Division Services Acquisition Branch 400 15th St SW, Auburn, WA 98001

BCFA

X 100X

STANDARD FORM 1449 (REV. 2/2012) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ADDENDUM TO STANDARD FORM 1449

Block 17a DUN & BRADSTREET NUMBER (DUNS):

Block 17b REMITTANCE ADDRESS:

In the event an EFT transfer does not work please indicate where a paper check should be mailed if the address is other than that shown on the Standard Form 1449, Solicitation/Contract/Order for Commercial Items:

SUBMIT WITH VOLUME I OF PROPOSAL

VENDOR VALIDATION INFORMATION

VENDOR: ___________________________________________________________________

DUNS NUMBER: _____________________________________________________________

TAX ID NUMBER: _____________________________________________________________

CONTRACT EXECUTIVE: The following contractor representative is hereby identified as the

Contract Executive and will negotiate submitted Request for Proposal (RFP).

Name: ______________________________________________________________________

Title: ________________________________________________________________________

Telephone Number: ____________________________________________________________

Email Address: _______________________________________________________________

SIGNATORY AUTHORITY: The following Contractor Representative is providing signatory authority on behalf of this contract.

Name: ______________________________________________________________________

Title: ________________________________________________________________________

Telephone Number: ____________________________________________________________

Email Address: _______________________________________________________________

WD 15-5535 (Rev.-3) was first posted on www.wdol.gov on 08/08/2017

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-5535

Daniel W. Simms Division of | Revision No.: 3 Director Wage Determinations| Date Of Revision: 08/03/2017 Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.20 for calendar year 2017 applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.20 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2017. The EO minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

State: Washington

Area: Washington Counties of King, Snohomish

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support And Clerical Occupations 01011 - Accounting Clerk I 16.80 01012 - Accounting Clerk II 18.86 01013 - Accounting Clerk III 21.09 01020 - Administrative Assistant 28.70 01035 - Court Reporter 20.91 01041 - Customer Service Representative I 15.01 01042 - Customer Service Representative II 16.87 01043 - Customer Service Representative III 18.41 01051 - Data Entry Operator I 17.39 01052 - Data Entry Operator II 18.99 01060 - Dispatcher, Motor Vehicle 24.63 01070 - Document Preparation Clerk 16.46 01090 - Duplicating Machine Operator 16.46 01111 - General Clerk I 14.44 01112 - General Clerk II 15.76 01113 - General Clerk III 17.69 01120 - Housing Referral Assistant 21.81 01141 - Messenger Courier 15.50 01191 - Order Clerk I 16.48 01192 - Order Clerk II 17.98 01261 - Personnel Assistant (Employment) I 17.32 01262 - Personnel Assistant (Employment) II 19.38 01263 - Personnel Assistant (Employment) III 21.60 01270 - Production Control Clerk 23.26 01290 - Rental Clerk 16.18 01300 - Scheduler, Maintenance 17.49 01311 - Secretary I 17.49 01312 - Secretary II 19.57 01313 - Secretary III 21.81

11/1/2017https://www.wdol.gov/wdol/scafiles/std/15-5535.txt?v=3

01320 - Service Order Dispatcher 20.35 01410 - Supply Technician 28.28 01420 - Survey Worker 19.01 01460 - Switchboard Operator/Receptionist 16.16 01531 - Travel Clerk I 14.84 01532 - Travel Clerk II 15.95 01533 - Travel Clerk III 17.09 01611 - Word Processor I 20.58 01612 - Word Processor II 23.10 01613 - Word Processor III 25.84 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer, Fiberglass 25.92 05010 - Automotive Electrician 22.06 05040 - Automotive Glass Installer 21.36 05070 - Automotive Worker 21.36 05110 - Mobile Equipment Servicer 19.93 05130 - Motor Equipment Metal Mechanic 22.82 05160 - Motor Equipment Metal Worker 21.36 05190 - Motor Vehicle Mechanic 22.78 05220 - Motor Vehicle Mechanic Helper 19.20 05250 - Motor Vehicle Upholstery Worker 20.65 05280 - Motor Vehicle Wrecker 21.36 05310 - Painter, Automotive 22.06 05340 - Radiator Repair Specialist 21.36 05370 - Tire Repairer 16.61 05400 - Transmission Repair Specialist 22.82 07000 - Food Preparation And Service Occupations 07010 - Baker 15.16 07041 - Cook I 16.14 07042 - Cook II 18.09 07070 - Dishwasher 11.72 07130 - Food Service Worker 12.63 07210 - Meat Cutter 21.24 07260 - Waiter/Waitress 13.40 09000 - Furniture Maintenance And Repair Occupations 09010 - Electrostatic Spray Painter 22.11 09040 - Furniture Handler 17.88 09080 - Furniture Refinisher 22.11 09090 - Furniture Refinisher Helper 19.16 09110 - Furniture Repairer, Minor 20.52 09130 - Upholsterer 22.11 11000 - General Services And Support Occupations 11030 - Cleaner, Vehicles 13.30 11060 - Elevator Operator 13.30 11090 - Gardener 18.86 11122 - Housekeeping Aide 15.32 11150 - Janitor 15.32 11210 - Laborer, Grounds Maintenance 15.44 11240 - Maid or Houseman 12.25 11260 - Pruner 14.29 11270 - Tractor Operator 17.73 11330 - Trail Maintenance Worker 15.44 11360 - Window Cleaner 16.44 12000 - Health Occupations 12010 - Ambulance Driver 25.20 12011 - Breath Alcohol Technician 23.56 12012 - Certified Occupational Therapist Assistant 27.95 12015 - Certified Physical Therapist Assistant 27.97 12020 - Dental Assistant 19.89 12025 - Dental Hygienist 45.62 12030 - EKG Technician 32.30

12035 - Electroneurodiagnostic Technologist 32.30 12040 - Emergency Medical Technician 25.20 12071 - Licensed Practical Nurse I 21.06 12072 - Licensed Practical Nurse II 23.56 12073 - Licensed Practical Nurse III 26.26 12100 - Medical Assistant 19.15 12130 - Medical Laboratory Technician 21.00 12160 - Medical Record Clerk 19.57 12190 - Medical Record Technician 21.89 12195 - Medical Transcriptionist 21.12 12210 - Nuclear Medicine Technologist 45.30 12221 - Nursing Assistant I 12.26 12222 - Nursing Assistant II 13.78 12223 - Nursing Assistant III 15.04 12224 - Nursing Assistant IV 16.89 12235 - Optical Dispenser 24.40 12236 - Optical Technician 18.57 12250 - Pharmacy Technician 21.02 12280 - Phlebotomist 17.96 12305 - Radiologic Technologist 33.37 12311 - Registered Nurse I 29.46 12312 - Registered Nurse II 36.05 12313 - Registered Nurse II, Specialist 36.05 12314 - Registered Nurse III 43.61 12315 - Registered Nurse III, Anesthetist 43.61 12316 - Registered Nurse IV 52.28 12317 - Scheduler (Drug and Alcohol Testing) 29.19 12320 - Substance Abuse Treatment Counselor 18.54 13000 - Information And Arts Occupations 13011 - Exhibits Specialist I 21.79 13012 - Exhibits Specialist II 26.22 13013 - Exhibits Specialist III 32.07 13041 - Illustrator I 23.97 13042 - Illustrator II 27.87 13043 - Illustrator III 34.10 13047 - Librarian 34.59 13050 - Library Aide/Clerk 13.93 13054 - Library Information Technology Systems 31.24 Administrator 13058 - Library Technician 21.86 13061 - Media Specialist I 22.54 13062 - Media Specialist II 25.21 13063 - Media Specialist III 28.11 13071 - Photographer I 20.35 13072 - Photographer II 22.76 13073 - Photographer III 28.20 13074 - Photographer IV 34.50 13075 - Photographer V 41.74 13090 - Technical Order Library Clerk 17.49 13110 - Video Teleconference Technician 22.47 14000 - Information Technology Occupations 14041 - Computer Operator I 18.22 14042 - Computer Operator II 20.39 14043 - Computer Operator III 22.73 14044 - Computer Operator IV 25.25 14045 - Computer Operator V 27.97 14071 - Computer Programmer I (see 1) 14072 - Computer Programmer II (see 1) 14073 - Computer Programmer III (see 1) 14074 - Computer Programmer IV (see 1) 14101 - Computer Systems Analyst I (see 1)

14102 - Computer Systems Analyst II (see 1) 14103 - Computer Systems Analyst III (see 1) 14150 - Peripheral Equipment Operator 18.22 14160 - Personal Computer Support Technician 25.25 14170 - System Support Specialist 35.14 15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 34.20 15020 - Aircrew Training Devices Instructor (Rated) 41.38 15030 - Air Crew Training Devices Instructor (Pilot) 49.60 15050 - Computer Based Training Specialist / Instructor 34.20 15060 - Educational Technologist 32.11 15070 - Flight Instructor (Pilot) 49.60 15080 - Graphic Artist 28.27 15085 - Maintenance Test Pilot, Fixed, Jet/Prop 46.79 15086 - Maintenance Test Pilot, Rotary Wing 46.79 15088 - Non-Maintenance Test/Co-Pilot 46.79 15090 - Technical Instructor 27.60 15095 - Technical Instructor/Course Developer 33.76 15110 - Test Proctor 22.28 15120 - Tutor 22.28 16000 - Laundry, Dry-Cleaning, Pressing And Related Occupations 16010 - Assembler 12.55 16030 - Counter Attendant 12.55 16040 - Dry Cleaner 15.82 16070 - Finisher, Flatwork, Machine 12.55 16090 - Presser, Hand 12.55 16110 - Presser, Machine, Drycleaning 12.55 16130 - Presser, Machine, Shirts 12.55 16160 - Presser, Machine, Wearing Apparel, Laundry 12.55 16190 - Sewing Machine Operator 16.93 16220 - Tailor 18.02 16250 - Washer, Machine 13.63 19000 - Machine Tool Operation And Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 28.49 19040 - Tool And Die Maker 32.27 21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 20.15 21030 - Material Coordinator 23.26 21040 - Material Expediter 23.26 21050 - Material Handling Laborer 15.41 21071 - Order Filler 14.63 21080 - Production Line Worker (Food Processing) 20.15 21110 - Shipping Packer 18.13 21130 - Shipping/Receiving Clerk 18.13 21140 - Store Worker I 16.69 21150 - Stock Clerk 21.08 21210 - Tools And Parts Attendant 20.15 21410 - Warehouse Specialist 20.15 23000 - Mechanics And Maintenance And Repair Occupations 23010 - Aerospace Structural Welder 30.45 23019 - Aircraft Logs and Records Technician 25.84 23021 - Aircraft Mechanic I 29.49 23022 - Aircraft Mechanic II 30.45 23023 - Aircraft Mechanic III 31.34 23040 - Aircraft Mechanic Helper 22.89 23050 - Aircraft, Painter 28.49 23060 - Aircraft Servicer 25.84 23070 - Aircraft Survival Flight Equipment Technician 28.49 23080 - Aircraft Worker 27.31 23091 - Aircrew Life Support Equipment (ALSE) Mechanic 27.31 I

23092 - Aircrew Life Support Equipment (ALSE) Mechanic 29.49

II

23110 - Appliance Mechanic 24.65 23120 - Bicycle Repairer 20.08 23125 - Cable Splicer 38.34 23130 - Carpenter, Maintenance 27.75 23140 - Carpet Layer 24.79 23160 - Electrician, Maintenance 34.40 23181 - Electronics Technician Maintenance I 32.27 23182 - Electronics Technician Maintenance II 33.67 23183 - Electronics Technician Maintenance III 34.85 23260 - Fabric Worker 25.82 23290 - Fire Alarm System Mechanic 26.78 23310 - Fire Extinguisher Repairer 24.36 23311 - Fuel Distribution System Mechanic 28.93 23312 - Fuel Distribution System Operator 23.98 23370 - General Maintenance Worker 24.19 23380 - Ground Support Equipment Mechanic 29.49 23381 - Ground Support Equipment Servicer 25.84 23382 - Ground Support Equipment Worker 27.31 23391 - Gunsmith I 24.36 23392 - Gunsmith II 27.31 23393 - Gunsmith III 29.49 23410 - Heating, Ventilation And Air-Conditioning 32.24 Mechanic 23411 - Heating, Ventilation And Air Contidioning 33.29 Mechanic (Research Facility) 23430 - Heavy Equipment Mechanic 27.81 23440 - Heavy Equipment Operator 32.54 23460 - Instrument Mechanic 29.28 23465 - Laboratory/Shelter Mechanic 28.49 23470 - Laborer 14.38 23510 - Locksmith 25.88 23530 - Machinery Maintenance Mechanic 28.82 23550 - Machinist, Maintenance 24.37 23580 - Maintenance Trades Helper 20.79 23591 - Metrology Technician I 29.28 23592 - Metrology Technician II 30.23 23593 - Metrology Technician III 31.12 23640 - Millwright 33.55 23710 - Office Appliance Repairer 28.49 23760 - Painter, Maintenance 25.88 23790 - Pipefitter, Maintenance 31.08 23810 - Plumber, Maintenance 30.03 23820 - Pneudraulic Systems Mechanic 29.49 23850 - Rigger 28.42 23870 - Scale Mechanic 27.31 23890 - Sheet-Metal Worker, Maintenance 29.27 23910 - Small Engine Mechanic 24.79 23931 - Telecommunications Mechanic I 27.54 23932 - Telecommunications Mechanic II 28.43 23950 - Telephone Lineman 24.84 23960 - Welder, Combination, Maintenance 26.78 23965 - Well Driller 34.15 23970 - Woodcraft Worker 29.49 23980 - Woodworker 24.36 24000 - Personal Needs Occupations 24550 - Case Manager 17.75 24570 - Child Care Attendant 12.29 24580 - Child Care Center Clerk 15.32 24610 - Chore Aide 12.52

24620 - Family Readiness And Support Services 17.75 Coordinator 24630 - Homemaker 19.55 25000 - Plant And System Operations Occupations 25010 - Boiler Tender 31.92 25040 - Sewage Plant Operator 34.14 25070 - Stationary Engineer 31.92 25190 - Ventilation Equipment Tender 24.78 25210 - Water Treatment Plant Operator 34.14 27000 - Protective Service Occupations 27004 - Alarm Monitor 27.81 27007 - Baggage Inspector 15.18 27008 - Corrections Officer 28.12 27010 - Court Security Officer 33.60 27030 - Detection Dog Handler 18.83 27040 - Detention Officer 28.12 27070 - Firefighter 34.20 27101 - Guard I 15.18 27102 - Guard II 22.54 27131 - Police Officer I 36.71 27132 - Police Officer II 40.80 28000 - Recreation Occupations 28041 - Carnival Equipment Operator 14.18 28042 - Carnival Equipment Repairer 15.09 28043 - Carnival Worker 11.43 28210 - Gate Attendant/Gate Tender 16.27 28310 - Lifeguard 12.47 28350 - Park Attendant (Aide) 18.20 28510 - Recreation Aide/Health Facility Attendant 13.28 28515 - Recreation Specialist 22.54 28630 - Sports Official 14.49 28690 - Swimming Pool Operator 22.29 29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker And Bracer 32.76 29020 - Hatch Tender 32.76 29030 - Line Handler 32.76 29041 - Stevedore I 31.01 29042 - Stevedore II 34.20 30000 - Technical Occupations 30010 - Air Traffic Control Specialist, Center (HFO) (see 2) 40.51 30011 - Air Traffic Control Specialist, Station (HFO) (see 2) 27.94 30012 - Air Traffic Control Specialist, Terminal (HFO) (see 2) 30.77 30021 - Archeological Technician I 22.27 30022 - Archeological Technician II 24.91 30023 - Archeological Technician III 30.86 30030 - Cartographic Technician 30.86 30040 - Civil Engineering Technician 30.68 30051 - Cryogenic Technician I 27.31 30052 - Cryogenic Technician II 30.17 30061 - Drafter/CAD Operator I 22.27 30062 - Drafter/CAD Operator II 24.91 30063 - Drafter/CAD Operator III 27.78 30064 - Drafter/CAD Operator IV 34.17 30081 - Engineering Technician I 20.07 30082 - Engineering Technician II 22.53 30083 - Engineering Technician III 25.20 30084 - Engineering Technician IV 31.22 30085 - Engineering Technician V 38.19 30086 - Engineering Technician VI 46.21 30090 - Environmental Technician 28.91 30095 - Evidence Control Specialist 24.66

30210 - Laboratory Technician 27.78 30221 - Latent Fingerprint Technician I 30.60 30222 - Latent Fingerprint Technician II 33.80 30240 - Mathematical Technician 30.86 30361 - Paralegal/Legal Assistant I 22.87 30362 - Paralegal/Legal Assistant II 28.34 30363 - Paralegal/Legal Assistant III 33.72 30364 - Paralegal/Legal Assistant IV 41.93 30375 - Petroleum Supply Specialist 30.17 30390 - Photo-Optics Technician 30.86 30395 - Radiation Control Technician 30.17 30461 - Technical Writer I 26.44 30462 - Technical Writer II 32.34 30463 - Technical Writer III 39.12 30491 - Unexploded Ordnance (UXO) Technician I 25.75 30492 - Unexploded Ordnance (UXO) Technician II 31.15 30493 - Unexploded Ordnance (UXO) Technician III 37.34 30494 - Unexploded (UXO) Safety Escort 25.75 30495 - Unexploded (UXO) Sweep Personnel 25.75 30501 - Weather Forecaster I 34.17 30502 - Weather Forecaster II 41.57 30620 - Weather Observer, Combined Upper Air Or (see 2) 23.99 Surface Programs 30621 - Weather Observer, Senior (see 2) 27.77 31000 - Transportation/Mobile Equipment Operation Occupations 31010 - Airplane Pilot 31.15 31020 - Bus Aide 18.37 31030 - Bus Driver 23.82 31043 - Driver Courier 17.32 31260 - Parking and Lot Attendant 11.59 31290 - Shuttle Bus Driver 18.43 31310 - Taxi Driver 13.29 31361 - Truckdriver, Light 18.43 31362 - Truckdriver, Medium 21.42 31363 - Truckdriver, Heavy 22.63 31364 - Truckdriver, Tractor-Trailer 22.63 99000 - Miscellaneous Occupations 99020 - Cabin Safety Specialist 15.19 99030 - Cashier 12.32 99050 - Desk Clerk 12.38 99095 - Embalmer 28.38 99130 - Flight Follower 25.75 99251 - Laboratory Animal Caretaker I 14.54 99252 - Laboratory Animal Caretaker II 15.47 99260 - Marketing Analyst 36.48 99310 - Mortician 28.38 99410 - Pest Controller 20.98 99510 - Photofinishing Worker 17.14 99710 - Recycling Laborer 23.45 99711 - Recycling Specialist 26.93 99730 - Refuse Collector 21.70 99810 - Sales Clerk 13.82 99820 - School Crossing Guard 18.89 99830 - Survey Party Chief 34.33 99831 - Surveying Aide 19.69 99832 - Surveying Technician 26.99 99840 - Vending Machine Attendant 18.44 99841 - Vending Machine Repairer 21.16 99842 - Vending Machine Repairer Helper 18.44

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors, applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is the victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $4.41 per hour or $176.40 per week or $764.40 per month

HEALTH & WELFARE EO 13706: $4.13 per hour, or $165.20 per week, or $715.87 per month

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor, 3 weeks after 5 years, and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor or successor, wherever employed, and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)

HOLIDAYS: A minimum of ten paid holidays per year: New Year's Day, Martin Luther King Jr.'s Birthday, Washington's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECEIVE THE FOLLOWING:

1) COMPUTER EMPLOYEES: Under the SCA at section 8(b), this wage determination does not apply to any employee who individually qualifies as a bona fide executive, administrative, or professional employee as defined in 29 C.F.R. Part 541. Because most Computer System Analysts and Computer Programmers who are compensated at a rate not less than $27.63 (or on a salary or fee basis at a rate not less than $455 per week) an hour would likely qualify as exempt computer professionals, (29 C.F.R. 541.

400) wage rates may not be listed on this wage determination for all occupations within those job families. In addition, because this wage determination may not list a wage rate for some or all occupations within those job families if the survey data indicates that the prevailing wage rate for the occupation equals or exceeds $27.63 per hour conformances may be necessary for certain nonexempt employees. For example, if an individual employee is nonexempt but nevertheless performs duties within the scope of one of the Computer Systems Analyst or Computer Programmer occupations for which this wage determination does not specify an SCA wage rate, then the wage rate for that employee must be conformed in accordance with the conformance procedures described in the conformance note included on this wage determination.

Additionally, because job titles vary widely and change quickly in the computer industry, job titles are not determinative of the application of the computer professional exemption. Therefore, the exemption applies only to computer employees who satisfy the compensation requirements and whose primary duty consists of:

(1) The application of systems analysis techniques and procedures, including consulting with users, to determine hardware, software or system functional specifications;

(2) The design, development, documentation, analysis, creation, testing or modification of computer systems or programs, including prototypes, based on and related to user or system design specifications;

(3) The design, documentation, testing, creation or modification of computer programs related to machine operating systems; or

(4) A combination of the aforementioned duties, the performance of which requires the same level of skills. (29 C.F.R. 541.400).

2) AIR TRAFFIC CONTROLLERS AND WEATHER OBSERVERS - NIGHT PAY & SUNDAY PAY: If you work at night as part of a regular tour of duty, you will earn a night differential and receive an additional 10% of basic pay for any hours worked between 6pm and 6am.

If you are a full-time employed (40 hours a week) and Sunday is part of your regularly scheduled workweek, you are paid at your rate of basic pay plus a Sunday premium of 25% of your basic rate for each hour of Sunday work which is not overtime (i.e. occasional work on Sunday outside the normal tour of duty is considered overtime work).

** HAZARDOUS PAY DIFFERENTIAL **

An 8 percent differential is applicable to employees employed in a position that represents a high degree of hazard when working with or in close proximity to ordnance, explosives, and incendiary materials. This includes work such as screening, blending, dying, mixing, and pressing of sensitive ordnance, explosives, and pyrotechnic compositions such as lead azide, black powder and photoflash powder.

All dry-house activities involving propellants or explosives. Demilitarization, modification, renovation, demolition, and maintenance operations on sensitive ordnance, explosives and incendiary materials. All operations involving re-grading and cleaning of artillery ranges.

A 4 percent differential is applicable to employees employed in a position that represents a low degree of hazard when working with, or in close proximity to ordnance, (or employees possibly adjacent to) explosives and incendiary materials which involves potential injury such as laceration of hands, face, or arms of the employee engaged in the operation, irritation of the skin, minor burns and the like;

minimal damage to immediate or adjacent work area or equipment being used. All operations involving, unloading, storage, and hauling of ordnance, explosive, and incendiary ordnance material other than small arms ammunition. These differentials are only applicable to work that has been specifically designated by the agency for ordnance, explosives, and incendiary material differential pay.

** UNIFORM ALLOWANCE **

If employees are required to wear uniforms in the performance of this contract (either by the terms of the Government contract, by the employer, by the state or local law, etc.), the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate below that required by the wage determination. The Department of Labor will accept payment in accordance with the following standards as compliance:

The contractor or subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition, where uniform cleaning and maintenance is made the responsibility of the employee, all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective bargaining agreement providing for a different amount, or the furnishing of contrary affirmative proof as to the actual cost), reimburse all employees for such cleaning and maintenance at a rate of $3.35 per week (or $.67 cents per day). However, in those instances where the uniforms furnished are made of "wash and wear" materials, may be routinely washed and dried with other personal garments, and do not require any special treatment such as dry cleaning, daily washing, or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract, by the contractor, by law, or by the nature of the work, there is no requirement that employees be reimbursed for uniform maintenance costs.

** SERVICE CONTRACT ACT DIRECTORY OF OCCUPATIONS **

The duties of employees under job titles listed are those described in the "Service Contract Act Directory of Occupations", Fifth Edition (Revision 1), dated September 2015, unless otherwise indicated.

** REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE, Standard Form 1444 (SF-1444) **

Conformance Process:

The contracting officer shall require that any class of service employee which is not listed herein and which is to be employed under the contract (i.e., the work to be performed is not performed by any classification listed in the wage determination), be classified by the contractor so as to provide a reasonable relationship (i.e., appropriate level of skill comparison) between such unlisted classifications and the classifications listed in the wage determination (See 29 CFR 4.6(b)(2)(i)). Such conforming procedures shall be initiated by the contractor prior to the performance of contract work by such unlisted class(es) of employees (See 29 CFR 4.6(b)(2)(ii)). The Wage and Hour Division shall make a final determination of conformed classification, wage rate, and/or fringe benefits which shall be paid to all employees performing in the classification from the first day of work on which contract work is performed by them in the classification. Failure to pay such unlisted employees the compensation agreed upon by the interested parties and/or fully determined by the Wage and Hour Division retroactive to the date such class of employees commenced contract work shall be a violation of the Act and this contract. (See 29 CFR 4.6(b)(2)(v)). When multiple wage determinations are included in a contract, a separate SF-1444 should be prepared for each wage determination to which a class(es) is to be conformed.

The process for preparing a conformance request is as follows:

1) When preparing the bid, the contractor identifies the need for a conformed occupation(s) and computes a proposed rate(s).

2) After contract award, the contractor prepares a written report listing in order the proposed classification title(s), a Federal grade equivalency (FGE) for each proposed classification(s), job description(s), and rationale for proposed wage rate(s), including information regarding the agreement or disagreement of the authorized representative of the employees involved, or where there is no authorized representative, the employees themselves. This report should be submitted to the contracting officer no later than 30 days after such unlisted class(es) of employees performs any contract work.

3) The contracting officer reviews the proposed action and promptly submits a report of the action, together with the agency's recommendations and pertinent information including the position of the contractor and the employees, to the U.S.

Department of Labor, Wage and Hour Division, for review (See 29 CFR 4.6(b)(2)(ii)).

4) Within 30 days of receipt, the Wage and Hour Division approves, modifies, or disapproves the action via transmittal to the agency contracting officer, or notifies the contracting officer that additional time will be required to process the request.

5) The contracting officer transmits the Wage and Hour Division's decision to the contractor.

6) Each affected employee shall be furnished by the contractor with a written copy of such determination or it shall be posted as a part of the wage determination (See 29 CFR 4.6(b)(2)(iii)).

Information required by the Regulations must be submitted on SF-1444 or bond paper.

When preparing a conformance request, the "Service Contract Act Directory of Occupations" should be used to compare job definitions to ensure that duties requested are not performed by a classification already listed in the wage determination. Remember, it is not the job title, but the required tasks that determine whether a class is included in an established wage determination.

Conformances may not be used to artificially split, combine, or subdivide classifications listed in the wage determination (See 29 CFR 4.152(c)(1)).

Attachment 9

CHECKLIST OF ITEMS TO SUBMIT

REQUEST FOR PROPOSAL

Posted: 10/2/2017

Submission Sheet for Request for Proposal Operations & Maintenance Services Acquisition FDA Bothell & NARA Seattle

SUBMISSION CHECKLIST -

1. CONTENTS OF EACH IN VOLUMES AS INSTRUCTED IN THE RFP

VOLUME I: CONTRACT DOCUMENTS

SF 1449 SOLICITATION /CONTRACT/ORDER FOR COMMERCIAL ITEMS

CHECKLIST OF ITEMS TO SUBMIT

VENDOR VALIDATION INFORMATION SHEET

VOLUME II: SUPPLIES/SERVICES AND PRICING

SCHEDULE OF PRICING: O&M SERVICES

SCHEDULE OF PRICING: PROFIT AND G&A

SCHEDULE OF PRICING: SWITCHGEAR

SCHEDULE OF PRICING: ADDITIONAL SERVICE LINES

VOLUME III: TECHNICAL EVALUATION FACTORS

EVALUATION FACTOR 1, TECHNICAL EVALUATION QUESTIONS: ATTACHMENT 10

EVALUATION FACTOR 2, WORK PLAN EVALUATION QUESTIONS: ATTACHMENT 11

EVALUATION FACTOR 3, SERVICE DELIVERY QUESTIONS: ATTACHMENT 12

EVALUATION FACTOR 4, SWITCHGEAR SUBCONTRACTOR SELECTION: ATTACHMENT 13

VOLUME IV: PAST PERFORMANCE QUESTIONNAIRE: ATTACHMENT 14 (TO BE RECEIVED FROM

REFERENCES)

CONTRACTOR-SUPPLIED EXPERIENCE QUESTIONNAIRE: ATTACHMENT 15

2. LIST OF EXHIBITS

EXHIBIT 1 QUALITY ASSURANCE PLAN (QASP)

EXHIBIT 2A GREEN PURCHASING REPORT - NON BIO-BASED REPORT

EXHIBIT 2B GREEN PURCHASING REPORT - BIO-BASED REPORT

EXHIBIT 3 SOLID WASTE AUDIT REPORT - RESERVED

EXHIBIT 4 SUMMARY OF ENVIRONMENTALLY SUSTAINABLE PRODUCT ATTRIBUTES AND

OFFERINGS

EXHIBIT 5 MONTHLY REPORT TEMPLATE

EXHIBIT 6 BUILDING OPERATING PLAN TEMPLATE

EXHIBIT 7 SMART BUILDING - RESERVED

EXHIBIT 8 WATER TREATMENT

EXHIBIT 9 OPERATIONAL PERFORMANCE TARGETS

EXHIBIT 10 ENERGY AND WATER EFFICIENCY USE PLAN

EXHIBIT 11 ENERGY AND WATER EFFICIENCY MONTHLY REPORT

EXHIBIT 12 ANNUAL ENERGY& WATER EFFICIENCY REPORT

EXHIBIT 13 QUALIFICATIONS OF ELECTRICAL TESTING TECHNICIANS (ETT)

EXHIBIT 14 MISCELLANEOUS BEST PRACTICES - RESERVED

EXHIBIT 15 FDA BUILDING INFORMATION SHEET

EXHIBIT 16 NARA BUILDING INFORMATION SHEET

EXHIBIT 17 FDA INVENTORY

EXHIBIT 18 NARA INVENTORY

EXHIBIT 19 PREVENTIVE MAINTENANCE GUIDES/5850 REV 2012

EXHIBIT 20 SOLID WASTE AND RECYCLING REPORT

EXHIBIT 21 CONTRACTOR INFORMATION WORKSHEET

EXHIBIT 22 DELIVERABLE CHART

2. ACKNOWLEDGEMENT OF ALL EXHIBITS: ______________________ (SIGNATURE REQUIRED)

3. LIST OF ATTACHMENTS

ATTACHMENT 1 STANDARD FORM 1449

ATTACHMENT 2 VENDOR VALIDATION INFORMATION

ATTACHMENT 3 COLLECTIVE BARGAINING AGREEMENT

ATTACHMENT 4 WAGE DETERMINATION

ATTACHMENT 5 SCHEDULE OF PRICING: O&M SERVICES

ATTACHMENT 6 SCHEDULE OF PRICING: PROFIT AND G/A

ATTACHMENT 7 SCHEDULE OF PRICING: SWITCHGEAR SERVICES

ATTACHMENT 8 SCHEDULE OF PRICING: ADDITIONAL SERVICE LINE ITEMS

ATTACHMENT 9 CHECKLIST OF ITEMS TO SUBMIT

ATTACHMENT 10 TECHNICAL EVALUATION QUESTIONS

ATTACHMENT 11 WORK PLAN EVALUATION QUESTIONS

ATTACHMENT 12 SERVICE DELIVERY QUESTIONS

ATTACHMENT 13 SWITCHGEAR SUBCONTRACTOR SELECTION

ATTACHMENT 14 PAST PERFORMANCE QUESTIONNAIRE

ATTACHMENT 15 CONTRACTOR-SUPPLIED EXPERIENCE QUESTIONNAIRE

3. ACKNOWLEDGEMENT OF ATTACHMENTS _____________________ (SIGNATURE REQUIRED)

4. LIST OF AMENDMENT(S)

Amendment # 1______ (Initial)

Amendment # 2______ (Initial)

Amendment # 3______ (Initial)

Amendment # 4______ (Initial)

Amendment # 5______ (Initial)

Amendment # 6______ (Initial)

Amendment # 7______ (Initial)

4. ACKNOWLEDGEMENT OF AMENDMENT(S) (IF APPLICABLE) _____________________________

(SIGNATURE REQUIRED)

Attachment 10 Technical Evaluation Questions

The contractor must answer the below four (4) areas of the building management plan using no more than six (6) pages of text on standard 8 inch x 11 inch paper using a font no smaller than Arial 11 or Times New Roman 12.

The Government will evaluate the Offeror’s technical capability to meet the requirements of the future contract. The offeror must demonstrate a clear understanding of the nature and scope of the work required, strong knowledge of, and experience in the industry. Failure to provide realistic, reasonable and complete information may reflect a lack of understanding of the requirements and may result in a determination that the vendor is technically unacceptable. This factor will be evaluated to determine whether or not the Government believes that the vendor will be able to perform to an acceptable quality level in accordance with the standards listed in this solicitation based on the information provided by the offeror. At a minimum, the Offeror must provide a proposal that addresses the following four (4) areas of the building management plan:

1. Describe the Organizational Structure and Staffing structure for managing the building.

2. Provide a narrative describing the approach for conducting Safety and other Site Training.

3. Provide a narrative describing the Approach to Providing Service.

4. Provide a narrative that describes the Approach to Providing Customer Service.

When adjectives like “Proactive” or “Innovative” are used in answering and explaining the questions associated with the four (4) above categories, the Offeror’s Proposal must fully explain in detail what actions will be performed to accomplish those adjectives.

The following rating categories will be used to evaluate Offerors’ technical proposals for the IDIQ.

RATING DEFINITION

Exceptional

Proposal meets requirements and the responses demonstrate an exceptional technical knowledge and an understanding of the operations and maintenance services requirements. Technical strength far outweighs weaknesses. Risk of unsuccessful performance is very low.

Very Good

Proposal meets requirements and the responses demonstrate a thorough technical knowledge and an understanding of the operations and maintenance requirements.

Technical contains strengths that outweigh any weaknesses. Risk of unsuccessful performance is low.

Acceptable

Proposal meets requirements and the responses demonstrate an adequate technical knowledge and an understanding of the operations and maintenance requirements.

Strengths and weaknesses are offsetting or will have little or no impact on contract performance. Risk of unsuccessful performance is moderate.

Marginal

Proposal does not clearly meet requirements and the responses do not demonstrate an adequate technical knowledge and an understanding of the operations maintenance requirements. The quote has one or more weaknesses which are not offset by the strengths. Risk of unsuccessful performance is high.

Unacceptable Proposal does not meet the requirements and the response contains one or more deficiencies. Quote is unawardable.

Attachment 11 Work Plan Evaluation Questions

Instructions: There are four (4) questions: Organizational Structure and Staffing, Safety and Other Site Training, Approach to Providing Service, and Customer Service. Each question has multiple parts. The Contractor must answer each question using no more than three (3) pages of text on standard 8 inch x 11 inch paper using a font no smaller than Arial 11 or Times New Roman 12. With the exception of question number three (3) where the Contractor is allowed to use up to five (5) pages.

1) Organizational Structure and Staffing

a. Include a flow chart of your organizational structure and staffing for this building(s). Start with the position of President and work down to onsite staff, include all personnel that would have any involvement with the building(s). State the number of onsite staff that will be located at this building(s) along with the positions they would hold and duties they would be performing. Explain in detail the duties and responsibilities of the Chief Engineer / Project Manager.

2) Safety and Other Site Training

a. Explain your safety training program for onsite personnel: include how often training is done, and state who will be giving the instruction and their qualifications. Give examples of some of the training that may have been held, and explain what measuring procedures will be implemented to insure that the material has been absorbed by its staff.

b. Explain what training will be given to onsite personnel for the day to day operation of equipment and systems (e.g. Fire Panel, Building Automation System, Method of Operations for building equipment, etc.); included how often training is done, state who will be giving the instruction and their qualifications, explain what measuring procedures will be implemented to insure that the material has been absorbed by its staff.

3) Approach to Providing Service

a. What guidelines will be used in performing maintenance work?

b. Give detailed explanation of how daily tours of the facility will be performed? List areas, systems and equipment that will be checked and explain the examinations being perform during these tours.

c. How will service calls be performed? In your explanation include response times, insuring proper diagnosis of issue, corrective action and documentation.

d. Give your procedures for replacement or repair parts? Include quality and timely delivery to insure minimum down time for equipment.

e. Prepare an outline that lists all maintenances for equipment and systems that will be performed by subcontractors. Include if those subcontractors will also be used for service calls, diagnostics and repairs. Also include a brief explanation on why you have decided to use a subcontractor. Note: This subcontract’s outline maybe as long as need be to include all maintenances for equipment and systems that will be performed by subcontractors

f. In your Quality Control Plan how often are QC inspections done onsite, what are the qualifications of the QC inspector, and briefly describe some of the items that the QC inspector will be checking. Explain the procedures that will be implemented to correct discrepancies when they are found during a QC inspection.

4) Customer Service

a. What technique or approach will be used to limit frequency of service requests?

b. What technique or approach will be used to insure that GSA and its tenants receive the highest satisfaction of quality work, and what procedures will be implemented when it is found that GSA or its tenants have had an unsatisfied experience?

Attachment 12 Service Delivery Questions

Instructions: There are two (2) questions designed to provide the evaluators a better idea of your organization’s processes and procedures for routine O&M issues. Each question will require multiple steps. The contractor must answer each question using no more than one (1) page of text on standard 8 inch x 11 inch in paper using a font no smaller than Arial 11 or Times New Roman 12 for each question.

1) Situation: Pipe Burst

Give a brief step by step procedure for your response to a Pipe Bursting (Non- Potable / Gray Water) on an occupied floor of a building. Also, include pre-actions that can be taken that would help mitigate the situation if it were to occur.

2) Situation: Cold Call

Give a brief step by step procedure for your response and resolution to a cold call in an occupied zone of a building that has a Building Automation System (BAS) and a Variable Air volume (VAV) type of HVAC system. The answer should be expressed in a form similar to a decision tree.

Attachment 13 Switchgear Subcontractor Selection Questionnaire

Instructions: Provide the evaluators your selection of Subcontractor for Switchgear Testing.

Complete the following document and submit with Volume III. The contractor must complete the Subcontractor information using a font no smaller than Arial 11 or Times New Roman 12.

Subcontractor: _____________________________________________ Address: _____________________________________________ Contact Number: _____________________________________________

DUNS Number: _____________________________________________ Operating Since: _____________________________________________ NETA Certified: _____________________________________________ Price: _____________________________________________

Past Performance Reference #1:

Customer Name: _____________________________________________ Address: _____________________________________________ Date of Service: _____________________________________________

Past Performance Reference #2

Address: _____________________________________________

Past Performance Reference #3

Address: _____________________________________________

Attachment 14

PAST PERFORMANCE QUESTIONNAIRE

FDA Bothell and NARA Seattle

Instructions for Past Performance References and Questionnaire:

Vendor shall provide a list of no more than five (5) past performance reference points of contact identified below to include name, phone numbers and/or email addresses for each past performance reference. This list shall be provided with proposal to GSA.

The vendor shall request the references complete the Past Performance Questionnaire included herein. The Questionnaire must be submitted directly to the Contract Specialist no later than the due date of the quotes. Completed questionnaires submitted with the Quote will not be considered. The Government will use information submitted by the vendor references and other sources such as other federal agencies, commercial sources and Past Performance Information Retrieval System (PPIRS) to assess Past Performance.

PLEASE RETURN COMPLETED FORM to Mr. Min Kim at: min.kim@gsa.gov

REFERENCE PROVIDED FOR: (Vendor Name): ____________________________________

CUSTOMER NAME: ___________________________________________________________

Contract Type: ________________________________________________________________

Period of Performance: _________________________________________________________

Square Footage of Building: ______________________________________________________

Total Number of Floors: _________________________________________________________

Name of Facility/Address: ________________________________________________________

City and State: ________________________________________________________________

Total Value of Contract (including Options): $________________________________________

DESCRIPTION OF CONTRACT

Briefly describe all services provided under this contract. You may use one (1) additional sheet if necessary.

RESPONDENT IDENTIFICATION

Name: ________________________________________________________________________

Agency / Company: _____________________________________________________________

Address: _____________________________________________________________________

Telephone: ___________________________________________________________________

Email Address: _________________________________________________________________

Using the following definitions, please complete the past performance questionnaire.

OUTSTANDING

Performance meets contractual requirements and provides many additional benefits to your company. 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 was highly effective.

VERY GOOD

Performance meets contractual requirements and provides some benefits to your company. 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 was effective.

ACCEPTABLE

Performance meets 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.

MARGINAL

Performance does not meet some contractual requirements. The contractual performances of the element or sub-element being assessed reflect a serious problem for which the contractor has not yet identified corrective action. The contractor's proposed actions appear only marginally effective or were not fully implemented.

UNACCEPTABLE

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

1. What was your role in the contract?

a. Contracting Officer

b. Contracting Officer’s Representative

c. Property Manager

d. Other: _______________________________________

2. Has the contract or task orders been partially or completely terminated?

a. Yes

b. No

Default (Please give a brief explanation below) Other: (Please explain)

3. Rate the contractor’s record in adhering to their predetermined Preventive Maintenance Schedule.

a. Outstanding

b. Very Good

c. Acceptable

d. Marginal

e. Unacceptable

4. Rate how the company completed tasks/milestones/deliverables within the contract requirements.

a. Outstanding

b. Very Good

c. Acceptable

5. Rate the company’s ability to recruit and maintain workforce that understand the nature of work and the required disciplines to accomplish…