Attch 10-FACTS Sheet.docx
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- Protective Coating Services - Ellsworth AFB Federal contract opportunity
- Solicitation number
- FA4690-20-R-0002
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Solicitation No: F4690-20-R-0002 SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104
FOR OFFICIAL USE ONLY
Attachment 12
FACTS Sheet
Present/Past Performance FACTS Sheet (TO BE COMPLETED BY OFFEROR, JOINT VENTURE MEMBER, AND IF APPLICABLE, CRITICAL SUBCONTRACTOR)
Request the offeror/joint venture member/critical subcontractor, if applicable, complete a separate FACTS Sheet for each relevant contract. See Clause L-900, Paragraph II.E. of this RFP for detailed instructions and limits on number and recency of contracts. Offeror/joint venture member/critical subcontractor 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-900 Paragraph II.E for more information on proposal submission and Section M-900 Paragraph III.B. 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 the order number)
C. Role of the Offeror In Effort: __________ Prime Contractor __________ Subcontractor
Note that the information provided in the FACTS Sheet shall reflect the role that the offeror/joint venture member/critical subcontractor 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 2017 – Dec 2018) 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”, “Original End Date” for the individual order. If the “End Date” on the individual order has changed, these changes would need to be reflected in the “Current End Date” Section below.
1. Start Date: Input start date of contract/order.
2. Original End Date: Input original end date of contract/order based on award.
3. Current End Date (if changed): Input end date, as the contract/order 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 the offeror has produced under this ordering type contractual vehicle. Only list the quantities that have been delivered, on the individual order.
1. Quantities painted (linear or square feet), and type of painting (Structures, pavements, airfield):
I. 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 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.
RELEVANCY TABLE
(Complete with each effort submitted for evaluation)
This table will assist the PCO in evaluating the relevancy of the proposed effort to the instant requirement for protective coatings at Ellsworth AFB, SD. Offeror/joint venture member/critical subcontractor, if applicable, shall only complete column three. Offeror’s/joint venture member’s/critical subcontractor’s answers are applicable only to the effort identified in paragraph B. above, not the offeror’s/joint venture member’s/critical subcontractor’s proposed solutions to the instant effort. If additional space is needed, please attach a separate sheet to your response (limited to two pages). Please be as specific as possible with the fill-in information provided.
Category
Fill in for the Proposed Effort
Fill in for the Effort Identified in Paragraph B Above (Offeror/Joint Venture Member/Critical Subcontractor completes) The effort in Paragraph B required:
| 1. Structures |
| SF |
| 2. Pavements |
| LF |
| 3. Airfield |
| LF |
4. Performance Location
5. Contract Type(s)
6. Program Similarity
7. Program Complexity
8. Extent of subcontractor involvement
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
J. PRIMARY POINTS OF CONTACT: (The offeror/joint venture member/critical subcontractor 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 |
K. 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.
L. 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.
M. 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 FACTS 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.
PLEASE NOTE: The Government is not bound by the offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.
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