Exhibit D - Past Performance - Small Business Utilization.docx
DOCX document 31 KB Posted
- Solicitation number
- N6247321R1411
About this file
This document provides details for an indefinite delivery indefinite quantity multiple award construction contract solicitation for renovation, repair, and new construction of medical facility projects. The solicitation involves a two-phase design-build selection process to award at least three IDIQ contracts for work at various government medical installations in California, Arizona, Nevada, Utah, Colorado, New Mexico, Washington, and Hawaii over a potential 96-month period. The work includes design, construction, equipment, labor, and all means necessary for medical treatment facility projects. Evaluation will consider technical approach, construction experience, past performance, safety, technical solution, small business participation, and price. The estimated maximum value for all contracts is $1 billion with individual task order values ranging from $15 million to $1 billion. The solicitation is available electronically only on SAM.gov as of October 5, 2021, with no site visit or pre-proposal conference scheduled.
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Other files
| File | Type | Posted |
|---|---|---|
| N6247321R1411 Amendment 1.pdf | ||
| RFI Response Form 28 Oct.xlsx | XLSX spreadsheet | |
| RFI Response Form 18 Oct.xlsx | XLSX spreadsheet | |
| RFI Form - 3MAR2021.xlsx | XLSX spreadsheet | |
| N6247321R1411.pdf | ||
| Surety Form.doc | DOC document | |
| RFI Form.doc | DOC document | |
| Exhibit E - Safety Data _ Narrative.docx | DOCX document | |
| Offerors Team Consent Form.doc | DOC document | |
| MACC Frequently Asked Questions.doc | DOC document | |
| N6247321R1411.pdf | ||
| Exhibit C - PPQ.doc | DOC document | |
| Exhibit A - Offeror Team Composition and Management.docx | DOCX document | |
| Exhibit F - Small Business Participation Plan.docx | DOCX document | |
| Exhibit B - Contractor Experience Data Sheet.docx | DOCX document |
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Text version
EXHIBIT “D”
PAST PERFORMANCE – SMALL BUSINESS UTILIZATION
N62473-21-R-1411
This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for evaluation of Factor 3, 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:
Exhibit “G” – Proposed Subcontracting Participation Breakout, Page 1 of 4
(Rev 12/12)
File details come from the government source that posted it. Updated .