Attachment1_FACTSSheet_31169.doc

RFP FA8533-12-R-31169

ATTACHMENT 1

PRESENT/PAST PERFORMANCE “FACTS SHEET”

(To Be Completed by Offeror/Joint Venture Partner)

Request the offeror complete a separate FACTS Sheet for each relevant contract. See the provision titled, “Proposal Requirements” of this RFP for detailed instructions and limits on number and recency of contracts. Offeror is requested to provide frank, concise comments regarding present/past performance on the program identified in B. below.

A. OFFEROR:

(1) Name (Company/Division):

(2) Address

(3) CAGE Code:

B. Contract Number or Project Title:

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 Customer:

E. Contract Type(s): Check All That Apply

a. Firm Fixed Price

b. Time and Materials

c. Cost

d. Other (Explain)

F. Contract Dollar Value. (If you performed work as a subcontractor, identify your contract $ value and the PRIME’s contract $ 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.)

1. Original Contract Dollar Value:

2. Current Dollar Value:

G. PERIOD OF PERFORMANCE: (includes start and end dates, i.e. Jan 2004 – Dec 2007)

1. Original schedule:

2. Current schedule (if changed):

3. Estimated percentage of completion:

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

H. Quantities of items involved in the effort:

1. Quantities ordered

2. Quantities delivered

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 three pages beyond the page limitation of the FACTS sheet information. See RFP provision, “Proposal requirements.”

2. This paragraph shall also include details to support the offeror’s record for on-time delivery, technical quality 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 Staircase Truck (Standard and C-5 Models) requirement. Offerors shall only complete column three. Offerors answers are applicable only to the effort identified in paragraph B above, not the offeror’s proposed solutions to the instant effort. If additional space is needed, please attach a separate sheet to your response (limited to three pages). Please be as specific as possible with fill-in information provided.

( DO NOT CHANGE)

Fill-in for the Effort Identified in para. B above

(Offeror completes)

The effort in para. B required:

Manufacture

Production Refurbishment

Yes or No Yes or No

Yes or No

Yes or No

SAE ARP 836

Other (Identify) Yes or No Yes or No

Chassis Mounted Yes or No Yes or No

Pneumatic

Electrical Yes or No Yes or No

Yes or No

7. Staircase Operation

Capability to Drive Truck with

Staircase Extended Yes or No

Stationary Yes or No Yes or No

FFP

Cost Type

AWS D1.2

Yes or No

Yes or No

Design

Production

15. Extent of Subcontractor Involvement

Circle Correct Response:

Yes or No

If yes, state the nature of involvement:

Design:

Manufacture:

Other:

3. If you are a 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 woman-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. FAR 52.219-8 is applicable to all offerors, including small businesses.

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. Identify whether a subcontracting plan in accordance with FAR 52.219-9, Small Business Subcontracting Plan, was required by this effort you are submitting. If one was required, complete the following regarding subcontracting goals and status-to-date for effort identified in paragraph B. If goals were not met, please explain. This is applicable to large businesses only.

_____ 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

J. 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

(Customer’s Information) Phone Number

DSN & Comm FAX Number

DSN & Comm

1. Procuring Contracting Officer

2. Program Manager

3. Administrative Contracting Officer

4. Other (Please Specify)

K. If the offeror/joint venture partner 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. NOTE: Per the “Proposal Requirements” Offerors and any joint venture partners, that are newly formed entities (in existence less than three years from the issuance date of this solicitation) who either have no prior contracts or do not possess relevant corporate past performance, but have key personnel with relevant past performance while employed by another company, may demonstrate the performance of such key personnel by submitting FACTS Sheets for four of the most recent and relevant contracts under which such key personnel performed the same role currently being proposed on the instant acquisition and this acquisition and this performance occurred during the past three years from the issuance date of this solicitation.

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. It is not presumed that the offeror's 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 by the offeror, 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.

N. 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 contracting personnel and phone numbers.

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 3.104 and 2.101

FOR OFFICIAL USE ONLY