FACTSSheet.doc

REQUEST FOR PROPOSAL (RFP) FA8533-10-R-22041

ATTACHMENT 1

PRESENT AND PAST PERFORMANCE FACTS SHEET

(To Be Completed by Offeror)

Pursuant to the RFP Provision, “Proposal Requirements,” the offeror shall complete a FACTS Sheet for each of the three efforts it identified in its Volume III.

A. OFFEROR:

1. Name (Company/Division)

2. Address

3. CAGE Code

B. IDENTIFICATION OF EFFORT/CONTRACT and CONTRACT NUMBER: ______ C. ROLE OF OFFEROR IN EFFORT: ______ Prime Contractor ______Subcontractor

Note that the information provided in this FACTS Sheet shall reflect the role that the offeror 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) – PLEASE LIST ALL THAT APPLY (firm fixed price, time & materials, etc.)

F. CONTRACT DOLLAR VALUE:

1. Original contract dollar value:

2. Current dollar value:

3. If Award Fee Contract, what percentages of the fee have been awarded?

G. BRIEF DESCRIPTION OF EFFORT:____

1. As a part of this narrative description, highlight portions considered most relevant to the current acquisition and provide input in the Relevancy Table below:

b. Manufacture

c. Production Yes or No

Yes or No

Yes or No

2. Required Levels of Technology

(1.) Upper Level of 15 Feet or Greater (2.) Lower Level of 10 Feet or Greater (3.) Lower Level Weight Capacity ≥750 lbs (4.) Upper Level Weight Capacity ≥ 1500 lbs

Single Level Platform (1.) Platform Height of 15 ft or Greater

(2.) Platform Weight Capacity ≥ 1500 lbs Yes or No

Yes or No

Yes or No Yes or No Yes or No

Yes or No

Yes or No

Interfaces with Aircraft

Yes or No

Yes or No

AWS D1.1

AWS D1.2

Yes or No Yes or No

Yes or No

Yes or No

(b.) Total qty for effort – 21 each

Specify:

Yearly qty:______

Total qty:_______

Specify term of contract (years)

2. Discuss the offeror’s record for on time delivery, technical quality and cost control for this effort identified in paragraph B. above.

3. Discuss the offeror’s compliance with FAR 52.219-8, Utilization of Small Business Concerns. That is, under the effort discussed in this FACTS Sheet, did the offeror carry out the policy of the United States in the awarding of 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? This is applicable to all offerors, including small businesses.

H. PERIOD OF PERFORMANCE:

1. Current schedule:

2. Causes of changes, if any:

I. PRIMARY POINTS OF CONTACT: (The offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.) Points of contact should include, if applicable, the contracting officer and project/program manager.

NAME/TITLE

PHONE NO./E-MAIL ADDRESS

1. Procurring Contracting Officer

2. Program Manager

3. Administrative Contracting Officer

4. Other (Specify) J. If the offeror is a newly formed entity who either has no prior contracts or does not have relevant corporate past performance, specify, by name, 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.

K. 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, and any corrective actions taken for the contract listed in paragraph B. above.

M. If in this effort, the offeror is 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 a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. 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.

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 2.101and 3.104

FOR OFFICIAL USE ONLY