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Single Award IDIQ - Solicitation Amendment
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FA2521-18-R-0020
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RFP FA252118R0020

Past Performance Information

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Present/Past Performance FACTS Sheet

(TO BE COMPLETED BY OFFEROR/JOINT VENTURE MEMBER)

Request the offeror/joint venture member, complete a separate for each relevant contract. See Clause Section L, Paragraph II of this RFP for detailed instructions and limits on number and recency of contracts. Offeror/joint venture member is requested to provide frank, concise comments regarding present/past performance on the program identified in B. below.

If the contract being submitted is an ordering type contractual vehicle (for example, including but not limited to an Indefinite Delivery “D” type contract per FAR 16.5), only after issuance of a delivery/task order does performance occur. The Contract Number, Total Contract Dollar Value, Period of Performance, Quantities Produced/Repaired, Type and Complexity of Data Deliverable submitted here should be for the order or series of orders, the offeror has performed under this ordering type contractual vehicle.

If a series of orders is being submitted, the offeror shall include a list that includes the order numbers, each order’s Total Contract Dollar Value, each order’s Period of Performance, each order’s Quantity Produced/repaired, and the Type and Complexity of Data Deliverables on each order. If the series of orders contains more than 5 orders, include this information on a separate attachment. See Section L Paragraph II for more information on proposal submission and Section M-900 Paragraph II.C.4 for evaluation information.

A. OFFEROR:

(1) Name (Company/Division)

(2) Address

(3) CAGE Code

B. PROGRAM/PROJECT TITLE and CONTRACT NUMBER:

(If submitting ordering type contract: List the basic contract number and each order number or order number within the series of orders)

C. Role of the Offeror In Effort: __________ Prime Contractor __________ Subcontractor

Note that the information provided in the Past Peformance FACTS Sheet shall reflect the role that the offeror/joint venture member performed in the effort, i.e., an offeror who performed as a subcontractor shall identify the contract type, dollar value, description, etc. of its subcontract with the prime contractor.

D. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:

E. CONTRACT TYPE(S) – CHECK ALL THAT APPLY

a. Firm Fixed Price _____

b. Time and Materials _____

c. Cost _____

d. Other (Explain)

F. TOTAL CONTRACT DOLLAR VALUE: (If you performed work as a subcontractor, identify your total contract dollar value and the PRIME’s total contract dollar value, if known. Describe any changes in dollar value that may have occurred from time of contract award to the conclusion of the effort or the present, whichever is applicable.) If submitting an ordering type contract, list the original and current total contract dollar values for each order or order within the series of orders. If your series of orders consists of more than five (5) individual orders include the information in a separate attachment.

1. Original Total Contract Dollar Value:

(If submitting ordering type contract: List the original total contract dollar value for each order or order within the series of orders)

2. Current Total Contact Dollar Value:

(If submitting ordering type contract: List the current total contract dollar value for each order or order within the series of orders)

3. Explain the differences in Total Contract Value, if applicable: Enter an explanation of the difference between the Original Total Contract Dollar Value and the Current Total Contract Dollar Value as of the time of proposal submission.

4. If Award Fee Contract, what percentages of the fee have been awarded in each of last 3 years?

G. PERIOD OF PERFORMANCE: (includes start and end dates, i.e. Jan 2004 – Dec 2007) If submitting an ordering type contract, the “Period of Performance” submitted here should be for the order (or series of orders), the offeror has performed under this ordering type contractual vehicle. The offeror shall submit the “Start Date” for the individual order or the first order in the series. The offeror shall submit the “Original End Date” for the individual order or the last order in the series. If the “End Date” on the individual order or last order within the series of orders has changed, these changes would need to be reflected in the “Current End Date” Section below. Also, if submitting a series of orders, list the Start Date, Original End Date and Current End Date for each order. If your series of orders consists of more than 5 individual orders include the information in a separate attachment.

1. Start Date: Input start date of contract/order/series of orders.

2. Original End Date: Input original end date of contract/order/series of orders based on award.

3. Current End Date (if changed): Input end date, as the contract/order/series of orders stands at time of proposal submission.

H. Quantities of items involved in the effort: If submitting an ordering type contract, the “Quantities” submitted here should be for the order (or series of orders), the offeror has tailor to your order produced/repaired under this ordering type contractual vehicle. If a series of orders is being submitted, the offeror should list the quantity tailor to your acquisition produced/repaired, for each order within the series of orders. Only list the quantities that have been delivered, on the individual order or orders within the series of orders. If more than 5 orders are in the series of orders, include the information in a separate attachment.

1. Quantities produced/repaired:

I. Type and Complexity of Data Deliverables:

Scope and magnitude of effort and complexities in the above definitions not only includes the technical complexities identified for each effort, but also the programmatic and logistical considerations including but not limited to quantity produced, length of effort, dollar values, type and complexity of data. When assigning a relevancy rating to a contract effort, the Government will consider the technical complexities, and the programmatic/logistical scope and magnitude of effort as separate aspects. If both of these aspects are not reflected in the submitted contract effort, the overall relevancy rating assigned to that contract will be affected. For example, if the submitted contract meets essentially the same technical complexities, but involves only some of the programmatic/logistical scope and magnitude of effort, a lesser relevancy rating will be assigned.

The Programmatic/Logistical Scope and Magnitude of Effort and Complexities to be used in the relevancy evaluation are based on expected magnitude of work and complexities for the instant acquisition, Paving, IDIQ. They are as follows:

Expected Magnitude of Work and Complexities:

•Quantities: Minimum 1, Maximum 100, with guaranteed minimum amount of $50,000.
•Duration of Time: 2 years
•Estimated Total Dollar Value: Not to Exceed $3.99M

J. BRIEF DESCRIPTION OF EFFORT:

1. As a part of this narrative description, highlight portions considered most relevant to the current acquisition; addressing how and to what extent the proposed effort relates to the program identified in B. above. To supplement the data provided in response to this paragraph, complete the following regarding relevancy of the effort identified in paragraph B to the proposed effort. This is limited to two pages beyond the page limitation of the Past Performance FACTS sheet information.

2. This paragraph shall also include details to support the offeror’s record for on-time delivery, technical quantity and cost control for this effort identified in paragraph B. above.

3. If you are small business, or, if you are a large business and a Small Business Subcontracting Plan per FAR 52.219-9 was NOT required by this effort, indicate your compliance with FAR 52.219-8, Utilization of Small Business Concerns, by completing the following. That is, when subcontracting possibilities existed on this effort, did you award subcontracts to small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extent consistent with efficient contract performance? If FAR 52.219-8 was NOT included in this effort, whenever subcontracting possibilities existed in the performance of this effort, address whether or not it was your policy to utilize small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extent consistent with efficient contract performance.

Utilization of Small Business Concerns
Small Business
Large Business

No subcontracting possibilities

In compliance

Not in compliance (address why)

4. If you are a large business, identify whether a subcontracting plan in accordance with FAR 52.219-9, Small Business Subcontracting Plan, was required by this effort. If one was required, complete the following regarding subcontracting goals and status-to-date. If goals were not met, please explain. This is applicable to large businesses only.

_____ Required

_____ Not Required

Category
Goals
Achieved-to-Date

Small Business

Small Disadvantaged Business

Women-Owned Small Business

HUBZone Small Business

Veteran-Owned Small Business

Service-Disabled Veteran Owned Small Business

HBCU/MI

K. PRIMARY POINTS OF CONTACT: (The offeror/joint venture member is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)

Name and Office Symbol
Phone Number
FAX Number
1. Procuring Contracting Officer
DSN & Comm
DSN & Comm
2. Program Manager
DSN & Comm
DSN & Comm
3. Administrative Contracting Officer
DSN & Comm
DSN & Comm
4. Other (Please Specify)
DSN & Comm
DSN & Comm

L. If the offeror, joint venture member is a newly formed entity who either has no prior contracts or does not possess relevant corporate past performance, but does have key personnel with relevant past performance while employed by another company, specify by name, such key individual(s) who will participate in the proposed effort under this acquisition who also participated in the program identified in B. above, and indicate their contract role. Describe how participation of these key personnel contributed to the success of the previous effort and how this indicates probability of success on the proposed effort.

M. Use this space to address any aspect about this program considered unique. Describe quality awards or certifications that indicate the offeror possesses a high-quality process for developing and producing the product/service required.

N. Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, cure notices, show cause letters, termination for default or cause, disputes, claims, latent defects; and, corrective actions taken for the contract listed in Paragraph B above.

O. Additionally, for those efforts where you are cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. This narrative portion is limited to one (1) additional page beyond the Past PerformanFACTS sheet required page limitation. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of the offeror's/joint venture member’s/critical subcontractor’s ability to isolate the root causes of problems and should describe programs or actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist. Note: In the case of Contractor Performance Assessment Report System (CPARS), if your input has already been provided and the rationale/ circumstances have not changed, DO NOT repeat them here.

P. Was this contract effort (as identified in paragraph B. above) submitted as a past performance source of data for a previous 45 SW procurement. Yes No . If yes, identify the buyer and/or contracting officer, their phone number and office symbol and solicitation number of the procurement for which this effort was submitted.

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Attachment 9 4

FA2521-18-R-0020

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