EXHIBIT D - FACTOR 1- KEY PERSONNEL.docx

EXHIBIT D

FACTOR 1- KEY PERSONNEL

SOLICITATION NO: N40080-25-R-2233

This form is to be completed by the Offeror. Use this form to provide the last five (5) years of project information for the Project Manager for evaluation under Factor 3- Key Personnel.

1. Offeror Name:

2. Project Manager Name:

3. Contract Information

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Title:

Contract Period of Performance:

Award Amount:

Contracting POC (Name, Phone Number, Email):

Annexes/Sub-Annexes managed by PM under this project:

☐ 1503010 Custodial

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Title:

Contract Period of Performance:

Award Amount:

Contracting POC (Name, Phone Number, Email):

☐ 1503010 Custodial

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Title:

Contract Period of Performance:

Award Amount:

Contracting POC (Name, Phone Number, Email):

☐ 1503010 Custodial

EXHIBIT E

FACTOR 3 SAFETY DATA & NARRATIVE

SOLICITATION NO: N40080-25-R-2233

This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor.

Days Away from Work, Restricted Duty, or Job Transfer (DART) Rates and Experience Modification Rate (EMR) shall not be submitted for subcontractors.

Joint Venture (JV) or Partnership: Complete Blocks 1 through 3 for each business entity that is part of the JV or partnership.

For Offerors utilizing Sub-annex 1503010 – Custodial Subcontractor experience: Complete Blocks 1 – 3 for the Offeror and the Sub-annex 1503010 – Custodial Subcontractor.

1. Offeror Name:

Name of JV member, partner, first-tier Small Business subcontractor, or Sub-annex 1503010 – Custodial Subcontractor providing the information below (if applicable):

Offeror’s Five Previous Complete Calendar Years of Reported Safety Data:

Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.

Instructions for calculating the DART rate can be found in the solicitation.

2a. For DART Rates of 3.0 or greater, explain any extenuating circumstances and corrective actions taken:

2b. Explain any negative DART Rate trends and any corrective actions taken for improvement:

2c. If you do not have a DART Rate for a given year, state so here and explain why:

Instructions for calculating the EMR can be found in the solicitation.

3a. For EMR of 4.5 or greater, explain any extenuating circumstances and corrective actions taken:

3b. Explain any negative EMR trends and any corrective actions taken for improvement:

3c. If you do not have an EMR for a given year, state here and explain why: