Attachment 3 Past Performance Package.docx
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- Attached to
- Multiple Award Construction Contract (MACC) - Scott AFB IL Federal contract opportunity
- Solicitation number
- FA4407-09-R-0003
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Attachment 3
FA4407-09-R-0003
PAST PERFORMANCE PACKAGE
FA4407-09-R-0003
MULTIPLE AWARD CONSTRUCTION
CONTRACT (MACC)
SCOTT AFB IL
22 April 2009
ATTACHMENT 1: PAST PERFORMANCE INFORMATION
(To be filled out by offeror and sent to Contracting Office)
Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth at paragraphs 2.3 of Section L, Information to Offerors.
A. Offeror Name (Company/Division): ____________________ CAGE Code: ____________________ DUNS Number: ____________________
B. Program Title: ____________________
C. Contract Specifics:
1. Contracting Agency or Customer _____________________________________________
2. Contract Number __________________________
3. Contract Type __________________________
4. Period of Performance __________________________
5. Original Contract $ Value _________________ (Do not include unexercised options)
6. Current Contract $ Value _________________ (Do not include unexercised options)
7. If Amounts for 5 and 6 above are different, provide a brief description of the reason
D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate the acquisition phase and highlight portions considered most relevant to current acquisition)
E. Completion Date:
1. Original date: ____________________
2. Current Schedule: ____________________
3. Estimate at Completion ____________________
4. How Many Times Changed: ____________________
5. Primary Causes of Change: ____________________
F. Primary Customer Points of Contact: (For Government contracts provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)
| Program Manager: | Name ____________________ | |
| Office ____________________ | ||
| Address ________________________________________ | ||
| Telephone ____________________ |
| Contracting Officer: | Name ____________________ |
| Office ____________________ | |
| Address ________________________________________ | |
| Telephone ____________________ |
| 3. Administrative | Name ____________________ |
| Contracting Officer Office ____________________ | |
| Address ________________________________________ | |
| Telephone ____________________ |
G. Address any aspect about this contract/program considered unique.
H. Specify by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.
I. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).
ATTACHMENT 2: CONSENT LETTER
(To be filled out by subcontractor, teaming partner, or joint venture partner and sent into Contracting Office)
Example Format for Past Performance Consent Letter for use with MACC Source Selection
Past performance information concerning subcontractors, teaming partners, and joint ventures partners cannot be disclosed to an Offeror without the subcontractor's, teaming partner's, or joint venture partner’s consent. In an effort to assist the Government's Past Performance review team in assessing your past performance relevancy and confidence, we request that the following consent form be completed by the subcontractors, teaming partners, and/or joint venture partners identified in your proposal. The completed consent forms shall be submitted as part of your Past Performance Volume.
SUBCONTRACTOR/TEAMING PARTNER/JOINT VENTURE PARTNER CONSENT FORM FOR THE RELEASE OF PAST PERFORMANCE INFORMATION TO THE PRIME CONTRACTOR
We are currently participating as a ________________________________ (subcontractor/teaming partner/joint venture partner) with _________________________________ (prime contractor or name of entity providing the proposal) in responding to the Department of the Air Force, Scott Air Force Base, Illinois; Request for Proposal FA4407-09-R-0003, Multiple Award Construction Contract, (MACC) at Scott AFB, IL We understand the Government is placing great emphasis on past performance in order to obtain best value source selections. In order to facilitate the performance confidence assessment process, we are signing this consent letter in order to allow you to discuss Present/Past performance information with the prime contractor during the source selection process.
Signature and Title of individual who has the authority to sign for and legally bind the company:
_________________________________________Name & Title Signature
Company Name:
Address:
Cage Code:
Phone Number and Fax Number:
ATTACHMENT 3: CLIENT AUTHORIZATION LETTER
(To be filled out by subcontractor, teaming partner or joint venture partner and sent into Contracting Office)
Example Format for Client Authorization Letter For use with MACC Source Selection
To Whom It May Concern, We are currently participating as a __________________ (subcontractor/teaming partner/joint venture partner) with _________________________ (Prime contractor or name of entity providing the proposal) in responding to the Request for Proposal, FA4407-09-R-0003, for Multiple Award Construction Contract at Scott AFB, IL. We understand the Government is placing great emphasis on past performance in order to obtain best value source selections. In order to facilitate the performance confidence assessment process, we are signing this authorization letter in order to allow the Government’s Past Performance review team to discuss Present/Past performance information with the previous commercial customers during the source selection process. This letter authorizes release to the Government of requested information on the (subcontractor’s/teaming partner’s/joint venture partner’s) performance.
Signature and Title of individual who has the authority to sign for and legally bind the company:
_________________________________________Name & Title Signature
Company Name:
Address:
Cage Code:
Phone Number and Fax Number:
Offeror (prime):
PAST PERFORMANCE EVALUATION QUESTIONAIRRE
RFP FA4407-09-R-0003
MULTIPLE AWARD CONSTRUCTION CONTRACT
Section 1: Contractor Information (to be filled out by the contractor requesting information and mailed to respondent)
A. Contractor’s name and address: _____________________________________________________ B. Point of Contact:_________________________________________________________________
C. Phone number (w/ area code) ______________________________________________________
D. Contract Number:_______________________________________________________________
E. Project Title or Description of Work Performed under this project:________________________
F. Contract Type _____Firm Fixed Price ______ Indefinite Delivery/Indefinite Quantity
G. Project Award Date: ___________________ Sched Completion Date:______________________ Actual Completion Date:_____________________ H. Project Award Amount:_________________ Final Project Amount:________________________
I. Contractor being evaluated performed as the: ________________Prime _____ Subcontractor
(Signature)
(Name and Title of Authorizing Official) (Date)
SECTION 2: Respondent Information (to be completed by respondent. Once completed, respondent sends to Contracting Office)
Evaluated By:
(Signature) (Date)
(Typed or Printed Name) (Address)
(Title) (Address Continued)
(Phone Number) (No. of years evaluator worked on contract)
SECTION 4: Narrative Summary
1. What were the contractor’s greatest strengths in the performance of the contract?
2. What were the contractor’s greatest weaknesses in the performance of the contract?
3. Please provide any additonal comments concerning the contractor’s performance that you feel would help us in our evaluation.
4. Government Contracts Only. Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?
______ Yes ________No
If Yes, please provide explanation_______________________________________________________
5. Government Contracts Only: Was the contractor ever issued a cure or show cause notice under the referenced contract?
______ Yes ________No
If Yes, please provide explanation_______________________________________________________
Thank you for your prompt response and assistance.
Please return this completed questionnaire to:
| Mailing Address: | 375th Contracting Squadron |
| Attn: Cynthia L. Strout | |
| 201 E. Winters St., Bldg 52 | |
| Scott AFB IL 62225-5015 |
Or FAX to: Cynthia L. Strout (618) 256-2652
Or E-mail (preferred) cynthia.strout@scott.af.mil
When Filled in This Document is Source Selection Sensitive Information IAW FAR 2.101 and FAR 3.104 image1.emf image2.emf
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