FACTS Sheet1.pdf

RFP FA8519-12-R-31449

ATTACHMENT – FACTS Sheet

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 PARTNER, AND IF APPLICABLE,

CRITICAL SUBCONTRACTOR)

Complete a separate FACTS Sheet for each relevant contract. See Clause L-900 of this RFP for detailed instructions and limits on number and recency of contracts. Provide frank, concise comments regarding present/past performance on the program identified in B. below.

A. (1) Name (Company/Division), (2) Address: (3) CAGE Code

B. PROGRAM TITLE and CONTRACT NUMBER:

C. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:

D. CONTRACT TYPE(S) – PLEASE LIST ALL THAT APPLY (firm fixed price, time & materials, etc.)

E. CONTRACT $ VALUE: (If you performed work as a subcontractor, identify your contract $ value and the PRIME’s contract $ value, if known.)

1. Original contract $ value and current $ value:

2. Estimated value at completion and primary causes of changes:

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

3 years?

F. BRIEF DESCRIPTION OF EFFORT AS: _____ PRIME _____ SUBCONTRACTOR

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.

Category Fill-in for the Proposed Effort (GOVT IPT completes Fill-in for the Effort Identified in para. B above (Offeror completes)

1.Type of Facility or Equipment work was performed against:

USAF T-9, USAF T-

10, USAF T-11 noise suppression facility or equivalent

Provide a brief description

Military or Commercial Industrial Noise Suppression Facility or Equipment that is equivalent to a

USAF T-9, USAF T-

Provide a brief description

10, USAF-11

Military or Commercial industrial noise suppression facility or Test Cell or equipment that is equivalent to an USAF T-9 or USAF T-20 type Test Stand

Provide a brief description

2. Did the effort include repair, refurbishment and/or installation on the following

Augmentor Studs Yes or No Personnel Doors Yes or No Fuel System Yes or No

3. Testing:

Responsibility for Test Plan

Yes or No

Test Report Preparation

Yes or No

Inspection Yes or No Functional Check Yes or No Interface Check Yes or No Demonstration of Serviceability

Yes or No

4. Contract Type(s) FFP, Cost Type, etc.

5. Quantities produced, # repaired or other quantitative data

In comparison to instant effort (multiple repairs, data deliverables)

6. Program Similarity Yes or No

7. Program Complexity

Complex or Non Complex

2. This paragraph shall also include details to support your record for on time delivery, technical quality 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)

G. PERIOD OF PERFORMANCE (POP): (If you performed work as a subcontractor, identify your POP, and the PRIME’s POP, if known)

1. Original schedule and current schedule:

2. Estimate @ completion:

3. How many times changed and primary causes of changes:

H. PRIMARY POINTS OF CONTACT: (The offeror 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

I. If the offeror, joint venture partner or critical subcontractor (if applicable) 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.

J. 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.

K. 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.

L. 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. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of your 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.

M. Was this contract effort (as identified in paragraph B. above) submitted as a past performance source of data for a previous WR-ALC 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.

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.

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY