Attachment 1.docx

RFP FA8533-11-R-32740

ATTACHMENT 1

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.

1. Nature of Business Area(s) Involved

Design Manufacture Production Circle all that apply:

Yes or No Yes or No Yes or No

2. Required Levels of Technology

Non-commercial Circle correct response:

Yes or No

2(a) Platform Lift Design

Hydraulics Pneumatic Electrical Circle all that apply:

Yes or No Yes or No Yes or No

1 to 5 ft 6 to 10 ft 11 to 15 ft 16 to 20 ft

1 to 200 pounds 201 to 400 pounds 401 to 600 pounds Over 600 pounds

Yes or No

3. Materials and Production Processes

Yes or No

3(b)Welding Standards

AWS D1.1

AWS D1.2

Circle all that apply:

Yes or No Yes or No

4. Performance Location

Specify performance location:

FFP or Cost type

Hydraulic 600 yearly; 50 monthly Please specify:

Monthly:

Yearly:

Non-Complex

Complex

Design Production

Did this effort include delivery of technical manuals?

Circle correct response:

Yes No

Yes No

11. Extent of subcontractor involvement

Circle correct response:

Yes No

If yes, state nature of involvement:

Design Manufacture

Other

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, is it 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? 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 concern, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extend consistent with efficient contract performance.

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. Required: _________ Not Required: __________

Small Business

Small Disadvantaged Business

Women-Owned Small Business

HUBZone Small Business

Veteran-Owned Small Business

Service-Disabled Veteran Owned Small Business

HBCU/MI

G. PERIOD OF PERFORMANCE: (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.)

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. Any such key personnel must already be employed by the offeror/joint venture partner, or in the case of a critical subcontractor, must already be employed by the critical subcontractor. 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. 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 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.