Revised Exhibits A - G.pdf

EXHIBIT “A”

OFFEROR TEAM COMPOSITION AND MANAGEMENT

N40080-20-R-5255 Use this form to provide information regarding the primary members, composition, and management of the proposed team for

Subfactor 4, TECHNICAL QUALIFIATIONS OF PROPOSED STAFFING. If Offeror is a partnership (e.g., JV, Mentor-Protégé), list each partner as a separate team member. If the experience of an entity is being claimed in Factor 2, that entity must be identified and described on this Exhibit. Modify form as necessary to include all primary construction and primary design team members. PLEASE

NOTE – “TEAM MEMBER” MEANS A COMPANY, LLC, ETC., NOT AN INDIVIDUAL PERSON. Do not include information for individuals. Do not exceed two (2) pages. IF YOUR PROPOSAL IS BASED ON 100% IN-HOUSE LABOR (I.E. NO

SUBCONTRACTORS OR CONSULTANTS), WRITE “NOT APPLICABLE.”

Team Member 1 Name: Location: DUNS:

Contractual relationship to the team:

Describe team member role, responsibilities, and meaningful involvement in performance of the contract:

If located outside of Virginia, explain how entity will have meaningful involvement from a remote location.

Team Member 2 Name: Location: DUNS:

Contractual relationship to the team:

Describe team member role, responsibilities, and meaningful involvement in performance of the contract:

If located outside of Virginia, explain how entity will have meaningful involvement from a remote location.

Team Member 3 Name: Location: DUNS:

Contractual relationship to the team:

Describe team member role, responsibilities, and meaningful involvement in performance of the contract:

If located outside of Virginia, explain how entity will have meaningful involvement from a remote location.

Team Member 4 Name: Location: DUNS:

Contractual relationship to the team:

Describe team member role, responsibilities, and meaningful involvement in performance of the contract:

If located outside of Virginia, explain how entity will have meaningful involvement from a remote location.

Team Member 5 Name: Location: DUNS:

Contractual relationship to the team:

Describe team member role, responsibilities, and meaningful involvement in performance of the contract:

If located outside of Virginia, explain how entity will have meaningful involvement from a remote location.

Discuss the rationale for proposing this team arrangement:

Note: Form may be expanded.

Attachment X – Historical Small Business Utilization, Page 1 of 4

(Rev 3/2020)

EXHIBIT B

HISTORICAL SMALL BUSINESS UTILIZATION

N40080-20-R-5255

This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for the evaluation of Factor 2, Small Business Utilization and Participation. Attachment X documents the offeror’s historical small business utilization and achievements for each project submitted under Factor 1, Corporate

Experience. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).

Include actual dollar values subcontracted for each of the categories listed. Include the whole dollar and percentage goals ONLY if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. Acknowledging a goal was missed, is not the same as providing an explanation for why a goal was missed. If goals were not established for a project, mark N/A. Enter zeroes

(0) where applicable.

Project #1: Contract/Project Number/Task Order Number:

Project Title:

Offeror Size: Large Business Small Business

Performed as: Prime Contractor

Subcontractor

JV Member

Subcontracting Plan Required: Yes No

ACTUAL GOAL

(if applicable)

Total Project Dollar Value: $ Whole

Dollars

Percent of line (c)

Whole

Dollars

Percent of line (c) N/A Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)

(b) Large Business Concerns $ % $ %

(c) Total (sum of lines a & b above) $ % $ %

(d) Small Disadvantaged Business Concerns (SDB) $ % $ %

(e) Women-Owned Small Business Concerns (WOSB) $ % $ %

(f) HUBZone Small Business Concerns $ % $ %

(g) Veteran-Owned Small Business Concerns (VOSB) $ % $ %

(h) Service-Disabled Veteran-Owned Small Business

Concerns (SDVOSB)

Explanation of each unmet goal (if applicable):

Explanation for a lack of small business subcontracting achievements (if applicable):

Name of customer reference for this project:

Phone Number:

Email address:

Attachment X – Historical Small Business Utilization, Page 2 of 4

Project #2: Contract/Project Number/Task Order Number:

Total Project Dollar Value: $ Whole

Dollars

Percent of line (c)

Whole

Dollars

Percent of line (c) N/A Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)

(b) Large Business Concerns $ % $ %

(c) Total (sum of lines a & b above) $ % $ %

(d) Small Disadvantaged Business Concerns (SDB) $ % $ %

(e) Women-Owned Small Business Concerns (WOSB) $ % $ %

(f) HUBZone Small Business Concerns $ % $ %

(g) Veteran-Owned Small Business Concerns (VOSB) $ % $ %

(h) Service-Disabled Veteran-Owned Small Business

Concerns (SDVOSB)

Project #3: Contract/Project Number/Task Order Number:

Total Project Dollar Value: $ Whole

Dollars

Percent of line (c)

Whole

Dollars

Percent of line (c) N/A Total Self Performed Value: $

Total Subcontracted Value: $

Attachment X – Historical Small Business Utilization, Page 3 of 4

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)

(b) Large Business Concerns $ % $ %

(c) Total (sum of lines a & b above) $ % $ %

(d) Small Disadvantaged Business Concerns (SDB) $ % $ %

(e) Women-Owned Small Business Concerns (WOSB) $ % $ %

(f) HUBZone Small Business Concerns $ % $ %

(g) Veteran-Owned Small Business Concerns (VOSB) $ % $ %

(h) Service-Disabled Veteran-Owned Small Business

Concerns (SDVOSB)

Project #4: Contract/Project Number/Task Order Number:

Total Project Dollar Value: $ Whole

Dollars

Percent of line (c)

Whole

Dollars

Percent of line (c) N/A Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)

(b) Large Business Concerns $ % $ %

(c) Total (sum of lines a & b above) $ % $ %

(d) Small Disadvantaged Business Concerns (SDB) $ % $ %

(e) Women-Owned Small Business Concerns (WOSB) $ % $ %

(f) HUBZone Small Business Concerns $ % $ %

(g) Veteran-Owned Small Business Concerns (VOSB) $ % $ %

(h) Service-Disabled Veteran-Owned Small Business

Concerns (SDVOSB)

Attachment X – Historical Small Business Utilization, Page 4 of 4

Project #5: Contract/Project Number/Task Order Number:

Total Project Dollar Value: $ Whole

Dollars

Percent of line (c)

Whole

Dollars

Percent of line (c) N/A Total Self Performed Value: $

Total Subcontracted Value: $

(a) Small Business Concerns (Include Values from d-h below and Self-Performed Value IF Small Business)

(b) Large Business Concerns $ % $ %

(c) Total (sum of lines a & b above) $ % $ %

(d) Small Disadvantaged Business Concerns (SDB) $ % $ %

(e) Women-Owned Small Business Concerns (WOSB) $ % $ %

(f) HUBZone Small Business Concerns $ % $ %

(g) Veteran-Owned Small Business Concerns (VOSB) $ % $ %

(h) Service-Disabled Veteran-Owned Small Business

Concerns (SDVOSB)

Attachment Y – Small Business Participation Commitment Document

(Rev 4/2020)

EXHIBIT C

SMALL BUSINESS PARTICIPATION COMMITMENT DOCUMENT (SBPCD)

N40080-20-R-5255

This form is to be completed by all Offerors (both large and small businesses) in order to provide supporting information for evaluation of Factor 2, Small Business Utilization and Participation. Round all percentages to the nearest tenth of a percent (i.e., include only 1 number after the decimal point).

1. Offeror Info:

Offeror Name:

Applicable size category for the Offeror under the NAICS Code identified (check one):

Large Business (LB) ☐

Small Business (SB) ☐

If the Offeror is a Small Business, check all socioeconomic categories that apply to the

Offeror.

If none of the socioeconomic categories apply to the Offeror, check NONE:

Historically Underutilized Business Zone Small Business (HUBZone SB) ☐

Woman-Owned Small Business (WOSB) ☐

Economically Disadvantaged Woman-Owned Small Business (EDWOSB) ☐

Small Disadvantaged Business (SDB) ☐

Veteran-Owned Small Business (VOSB) ☐

Service-Disabled Veteran-Owned Small Business (SDVOSB) ☐

NONE ☐

2. Subcontracting Breakdown:

a. Total contract value (sum of b + c): $ 100%

b. Estimated value of all planned subcontracting

(inclusive of all planned subcontracting to all businesses, regardless of size):

$ % of 2.a

c. Estimated value of all work to be self-performed by Offeror’s workforce:

$ % of 2.a

3. Subcontracts for products and services to be awarded under this contract:

a. Large Business:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

Estimated

Subcontract Value

Teaming Agreement (TA)

☐YES ☐ NO

Date of Agreement:

Letter of Commitment

Date of the LOC:

Other Type of Commitment:

Other Commitment Date:

DUNS NUMBER

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

This number represents total planned subcontracting dollars under this contract that will go to subcontractors who are Large Business concerns.

b. Small Business:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

1. This number represents total planned subcontracting dollars under this contract that will go to subcontractors who are Small Business concerns (includes all SB, HUBZone SB, WOSB/EDWOSB, SDB, VOSB, and SDVOSB concerns); Historically

Black Colleges, Universities, and Minority Institutions (HBCU/MI); AbilityOne participating non-profit agencies for the blind or severely disabled; and Alaskan

Native Corporations (ANCs) and Indian Tribes as prescribed in FAR 19.703(c) &

FAR 52.219-9.

2. If the Offeror is a Small Business concern, enter the dollar amount that the Offeror will self-perform (line 2.c).

3. Total planned dollars under this contract that will go to SB concerns (sum of 3.b.1 +

3.b.2):

4. Total proposed small business participation rate (in terms of percentage of total contract value):

% of 2.a

All Offerors provide a detailed explanation supporting the total small business participation rate

(methods used to develop the rate):

All Offerors who are not able to meet the minimum total small business participation rate (20% of the total contract value) shall provide a detailed explanation why the minimum total small business participation rate cannot be achieved:

c. HUBZone SB:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment will go to subcontractors who are qualified HUBZone SB concerns certified by the

Small Business Administration (SBA).

2. If the Offeror is a HUBZone SB concern, enter the dollar amount that the Offeror will self-perform (line 2.c).

3. Total planned dollars under this contract that will go to HUBZone SB concerns (sum of 3.c.1 + 3.c.2):

4. Total proposed HUBZone SB participation rate (in terms of percentage of total

% of 2.a

d. WOSB/EDWOSB:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment will go to subcontractors who are small business concerns 51% owned and controlled by one or more women.

2. If the Offeror is a WOSB/EDWOSB concern, enter the dollar amount that the

Offeror will self-perform (line 2.c).

3. Total planned dollars under this contract that will go to WOSB/EDWOSB concerns

(sum of 3.d.1 + 3.d.2):

4. Total proposed WOSB/EDWOSB participation rate (in terms of percentage of total

% of 2.a

e. SDB:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment will go to subcontractors who are small business concerns owned and controlled by one or more socially and economically disadvantaged individuals (include in this category the planned subcontracting dollars to HBCU/MIs, and the planned subcontracting dollars to ANCs and Indian Tribes).

2. If the Offeror is a SDB concern, enter the dollar amount that the Offeror will self-perform (line 2.c).

3. Total planned dollars under this contract that will go to SDB concerns (sum of 3.e.1 +

3.e.2):

4. Total proposed SDB participation rate (in terms of percentage of total contract value): % of 2.a

f. VOSB:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment by one or more qualifying veterans (include in this category the planned subcontracting dollars to SDVOSB concerns shown in 3.g below).

2. If the Offeror is a VOSB concern, enter the dollar amount that the Offeror will self-perform (line 2.c).

3. Total planned dollars under this contract that will go to VOSB concerns (sum of 3.f.1

+ 3.f.2):

4. Total proposed VOSB participation rate (in terms of percentage of total contract value):

% of 2.a

g. SDVOSB:

Name of Subcontractor Type and Complexity of Product/Service

Type of Commitment to

Subcontractor:

☐YES ☐ NO $

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment

Date of Agreement:

Letter of Commitment by one or more qualifying service-disabled veterans.

2. If the Offeror is a SDVOSB concern, enter the dollar amount that the Offeror will self-perform (line 2.c).

3. Total planned dollars under this contract that will go to SDVOSB concerns (sum of

3.g.1 + 3.g.2):

4. Total proposed SDVOSB participation rate (in terms of percentage of total contract value):

% of 2.a

4. If the Offeror does not intend to subcontract, provide a detailed explanation why subcontracting would not result in efficient contract performance.

Notes:

(1) Lines 2.b + 2.c = 100% of Line 2.a

(2) Lines 3.a + 3.b.1 = 100% of Line 2.b

(3) Subcontracts to companies that qualify in multiple categories of SB must be reported under each category. For example:

if you are planning to subcontract $100,000 to company ABC, a woman-owned, small disadvantaged business that is also a certified HUBZone SB, you will report $100,000 in block 3.b (SB), 3.c (HUBZone SB), 3.d (WOSB) and 3.e (SDB).

(4) The sum of 3.c.1 through 3.g.1 does not automatically equate to the value of line 3.b.1.

(5) Designated HUBZone SB concerns must be certified by SBA.

(6) Large business Offerors selected for award shall be required to submit an acceptable Small Business Subcontracting

Plan incorporating the proposed subcontract values and any specifically identified small business concerns. The Small

Business Subcontracting Plan shall also include small business subcontracting goals that meet or exceed the minimum small business subcontracting targets stated in the solicitation. If the Offeror fails to negotiate an acceptable subcontracting plan, the Offeror will be ineligible for award.

(7) This form may be expanded as needed.

EXHIBIT “D”

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET – OFFEROR

N40080-20-R-5255 This form is to be completed by the Offeror. Submit (one per project) in order to provide supporting project information for Factor 2, Experience. Only projects that are within the project description parameters of the solicitation will be considered relevant. Submit no less than three (3) and no more than (5) projects.

Project No. (check one): - 1 - 2 - 3 - 4 - 5 Contractor:

1. Offeror Name:

Firm who performed the work:

Performed this work as: Prime Contractor Subcontractor Joint Venture Other (explain):

If subcontractor, name of prime: Phone #:

If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror:

Joint Venture Partner Partner Subcontractor Parent Company

Subsidiary Satellite Office Predecessor Company Other:

Explain how this firm will have meaningful involvement in the performance of the contract:

Construction Contract:

2. Contract/Project No.: Delivery/Task Order Number:

Title:

Location:

3. Award Date (mm/dd/yy): Award Amount: $

Completion Date (mm/dd/yy): Final Price: $

This is the: total project subcontract price

4. Type of Contract: Design-Build. If D-B, design firm was:

(check one) Design-Bid-Build

Customer:

5. Name:

Point of Contact Name/Title:

POC Phone Number: POC Email Address:

Project Description:

6. Type of Work (check all that apply): New Construction Renovation Repair

7. Provide a detailed description of the project and the relevancy to the project requirements of this RFP:

8. If project is design-build, provide a detailed description of the design effort:

9. Percentage of work your firm self-performed (see definition): % Provide a detailed description of the work your firm self-performed on this project.

Note: Form may be expanded.

Exhibit “B” – PPQ, Page 1 of 4 (Rev 12/11)

EXHIBIT “E”

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION

1. Contractor Information Firm Name: CAGE Code:

Address: DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION

5. Client Information Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: NAVFAC REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO NAVFAC WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON NAVFAC SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO NAVFAC. PLEASE CONTACT THE OFFEROR FOR NAVFAC POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO

VERIFY ANY AND ALL INFORMATION ON THIS FORM.

Exhibit “B” – PPQ, Page 2 of 4

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating.

Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been NO significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract.

There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable No information or did not apply to your contract Rating will be neither positive nor negative.

Exhibit “B” – PPQ, Page 3 of 4

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance E VG S M U N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E VG S M U N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract E VG S M U N

3. CUSTOMER SATISFACTION

a) To what extent were the end users satisfied with the project? E VG S M U N

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

E VG S M U N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? E VG S M U N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s) E VG S M U N

Exhibit “B” – PPQ, Page 4 of 4

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client. E VG S M U N

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

E VG S M U N

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section. Yes No

e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Yes No

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. Yes No

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the user’s rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements. E VG S M U N

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this contractor. E VG S M U N

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

INDIVIDUAL SMALL BUSINESS SUBCONTRACTING PLAN (Template)

Edit or delete red font text and complete fill-ins as applicable

This template is designed to be consistent with FAR 19.704, Subcontracting Plan Requirements and FAR clause 52.219-9, Small Business Subcontracting Plan (“subcontracting plan”). Other formats may be acceptable, including commercial or master subcontracting plans; however, failure to include the essential information exemplified in this individual plan template may be cause for delay in acceptance or rejection of a bid/offer.

(TO BE SUBMITTED BY OTHER THAN SMALL BUSINESSES ONLY)

(Also referred to as large businesses)

(CONTRACTOR’S NAME)

(ADDRESS)

(CONTRACTOR’S CORPORATE HEADQUARTERS ADDRESS)

[If same as above, so indicate].

(Solicitation or Contract Number)

(Title of the Project and Location)

(Date Prepared)

PLAN SUBMITTED BY:

Signature: __________________________________ Date: ____________________

Printed Name: ___________________________________________________________

Title: __________________________________________________________________

REVIEWED:

Small Business Professional Date

REVIEWED:

Small Business Administration Date Procurement Center Representative

ACCEPTED:

Procuring Contracting Officer Date

SUBCONTRACTING PLAN

This document, together with any attachments, is submitted as a subcontracting plan to satisfy the requirements of Federal Acquisition Regulations (FAR) 19.704. The following goals are established for the contract (including base period and all option items/periods (if applicable)). INCLUDE

SUPPORTING RATIONALE FOR ALL PROPOSED GOALS AND ENSURE THIS PLAN IS

CONSISTENT WITH ANY SMALL BUSINESS PARTCIPATION AND COMMITMENT STRATEGY

ASSOCIATED WITH THIS ACQUISITION.

1. a. Total Contract Value $_______________ (including options)

b. Total Subcontracted $_______________ _______% of 1.a (inclusive of all planned subcontracting to all businesses, regardless of size)

c. Total Prime-performed $_______________ _______% of 1.a

2. The following dollars and percentage goals are applicable to the contract cited above. (See FAR 19.704(a)(1) and (2))

a. Large Business $_______________ _______% of 1.b

This number represents total planned subcontract dollars that will be awarded to other than small business concerns (including subcontracts awarded to Historically Black Colleges, Universities and Minority Institutions (HBCU/MIs).

b. Small Business (SB) $_______________ _______% of 1.b

This number represents total planned subcontract dollars that will be awarded to small business concerns** as well as subcontracts awarded under the AbilityOne Program to SourceAmerica (formerly NISH) and National Industries for the Blind (NIB) organizations and subcontracts awarded to Alaskan Native Corporations (ANCs) and Indian Tribes as prescribed in FAR 19.703(c) & FAR 52.219-9.

(** Small business concerns include SBs, Small Disadvantaged Businesses (SDB), Women-Owned Small Businesses (WOSB), Historically Underutilized Business Zone (HUBZone) small businesses, Veteran-Owned Small Businesses (VOSB) and Service-Disabled Veteran-Owned Small Businesses

(SDVOSB))

(Include 2.c, 2.d, 2.e, 2.f, 2.g, 2.h, and 2.i, below).

Notes:

(1) Lines 1.b + 1.c=100% of Line 1.a

(2) Lines 2.a + 2.b = 100% of Line 1.b

(3) Lines 2.c, 2.d, 2.e, 2.f, 2.g, 2.h, and 2.i are calculated against Line 1.b, the total value of overall subcontract dollars.

(4) Subcontracts to companies that qualify in multiple categories of SB must be reported under each category. For example: if you are planning to subcontract $100,000 to company ABC, a woman-owned SDB that is also a certified HUBZone SB, you will report $100,000 on line 2.b (SB), 2.c (HUBZone), 2.d (WOSB) and 2.e (SDB). Accordingly, the sum of 2.c through 2.i will not necessarily equate to the value of 2.b.

(5) Designated HUBZone SBs must be certified by the Small Business Administration (SBA).

c. HUBZone SB $______________ ________% of 1.b

This number represents total planned subcontract dollars that will be awarded to qualified HUBZone small business concerns certified by SBA. (Included in total for 2.b, above)

d. WOSB $_______________ ________% of 1.b

This number represents total planned subcontract dollars under that will be awarded to WOSBs.

(Included in total for 2.b, above)

e. SDB $______________ ________% of 1.b

This number represents total planned subcontracting dollars that will be awarded to small business concerns owned and controlled by socially and economically disadvantaged individuals (include in this category the planned subcontracting dollars to ANCs and Indian Tribes shown in total for 2.i below).

(Included in total for 2.b, above)

f. VOSB $_______________ ________% of 1.b

This number represents total planned subcontract dollars that will be awarded to small business concerns owned and controlled by veterans (include in this category the planned subcontracting dollars for SDVOSBs shown in 2.g below). (Included in total for 2.b, above)

g. SDVOSB $_______________ ________% of 1.b

This number represents total planned subcontract dollars under this contract that will be awarded to subcontractors who are small business concerns owned and controlled by service-disabled veterans.

(Included in totals for 2.b and 2.f, above)

h. AbilityOne $_______________ ________% of l.b.

This number represents total planned subcontract dollars that will be awarded to AbilityOne associated nonprofit agencies through SourceAmerica and NIB. Per DFARS 219.703, subcontracts awarded to qualified non-profit agencies for the blind or severely disabled may be counted toward the small business subcontracting goal. (Included in total for 2.b, above)

i. Alaskan Native Corporations & Indian Tribes $_______________ ________% of l.b.

This number represents total planned subcontract dollars that will be awarded to ANCs and Indian Tribes and for which the prime contractor has been designated to receive SDB credit. (See FAR 19.703 & FAR 52.219-9) (Included in totals for 2.b and 2.e, above)

3. The following principal products and/or services will be subcontracted under this contract. (See FAR

19.704(a)(3)

a. Products/services planned to be subcontracted to LB concerns (including HBCU/MIs):

Firm subcontract commitments :

Name of Company/DUNS Products or Services

b. Products/services planned to be subcontracted to SB concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

c. Products/services planned to be subcontracted to certified HUBZone concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

d. Products/services planned to be subcontracted to WOSB concerns:

Firm subcontract commitments:

e. Products/services planned to be subcontracted to SDB concerns:

f. Products/services planned to be subcontracted to VOSB concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

g. Products/services planned to be subcontracted to SDVOSB concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

h. Products/services planned to be subcontracted to AbilityOne organizations:

Name of Organization/DUNS Products or Services

i. Planned products/services to be subcontracted to ANCs and Indian Tribe businesses (See 2.i above for explanation):

4. The following methods were used to develop the above subcontracting goals. Include a statement explaining how the products and services to be subcontracted were established, how the products and services to be subcontracted to SB, SDB, WOSB, HUBZone, VOSB, SDVOSB concerns, AbilityOne program participants, ANCs and Indian Tribes were determined, and how their capabilities were assessed. (See FAR 19.704(a)(4))

5. The following methods were/will be used to identify potential sources for solicitation purposes: (See FAR 19.704(a)(5)) The offeror may rely on the information contained in SAM as an accurate representation of a concern’s size and ownership characteristics for the purposes of maintaining a SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB source list. Use of SAM as a source list does not relieve the offeror of its responsibilities (e.g., outreach, assistance, counseling, or publicizing subcontracting opportuniuties.

6. Indirect and overhead costs have have not been included in the goals specified in 1. and 2. above.

If "have" is checked, explain the method used in determining the proportionate share of indirect costs to be incurred with SBs (including all subcategories delineated above). (See FAR 19.704(a)(6))

7. The following employee will administer the subcontracting program: (See FAR 19.704(a)(7))

NAME: ________________________________________________________________

ADDRESS: ________________________________________________________________

TELEPHONE NO.:_____________________ FAX NO.: ___________________________

EMAIL: ____________________________________________________________________

TITLE: _____________________________________________________________________

This individual has general overall responsibility for the company's small business program. This person should have knowledge of the federal small business programs and be knowledgeable about federal procurement practices. If the prime decides to change the person in this position, they must notify the Contracting Officer and the Deputy for Small Business. The administrator is responsible for the development, preparation and execution of this subcontracting plan, and for monitoring performance relative to contractual subcontracting requirements contained in this plan, including:

a. Developing and maintaining bidders lists of SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB concerns, AbilityOne program participants, HBCU/MIs, ANCs, and Indian Tribes (hereafter referred to as the small business community) from all possible sources.

b. Counsel and discuss subcontracting opportunities with representatives of the small business community.

c. Ensuring that procurement packages are structured to permit the small business community to participate to the maximum extent possible.

d. Assuring inclusion of the small business community in all solicitations for products or services, which they are capable of providing.

e. Reviewing solicitations to remove statements, clauses, etc., which may tend to restrict or prohibit the small business community participation.

f. Assign each subcontract the NAICS code and corresponding size standard that best describes the principal purpose of the subcontract.

g. Confirm that a subcontractor representing itself as a HUBZone small business concern is certified by SBA as a HUBZone small business concern by SBA in accordance with 52.219-8(d)(2)

h. Provide notice to subcontractors concerning penalties and remedies for misrepresentations of business status as small, veteran-owned small business, HUBZone small, small disadvantaged, or women-owned small business for the purpose of obtaining a subcontract that is to be included as part or all of a goal contained in the subcontracting plan.

i. Ensuring periodic rotation of potential subcontractors on bidders lists.

j. Ensuring that the bid proposal review board documents its reasons for not selecting low bids submitted by the small business community.

k. Ensuring the establishment and maintenance of records of solicitations and subcontract award activity.

l. Attending or arranging for attendance of company counselors at Business Opportunity Workshops, Minority Business Enterprise Seminars, Trade Fairs, etc.

m. Conducting or arranging for the motivational training for purchasing personnel pursuant to the intent of P.L. 95-507.

n. Monitoring attainment of proposed goals.

o. Preparing and submitting required periodic subcontracting reports.

p. Coordinating contractor's activities during the conducting of compliance reviews by Federal agencies.

q. Coordinating the conduct of contractor's activities involving its small business subcontracting program.

r. Additional duties.

8. The following efforts will be taken to ensure that the small business community will have an equitable opportunity to compete for subcontracts. (See FAR 19.704(a)(8))

a. Outreach efforts will be made by identifying:

- Contacts with minority and small business trade associations.

- Contacts with business development organizations.

- Attendance at small and minority business procurement conference and trade fairs.

b. Sources will be requested from the System for Award Management (SAM) website available at https://www.sam.gov/ on the Internet.

Automated data base sources to be used, other than SAM, will be as follows.

c. The following internal efforts will be made to guide and encourage buyers:

(i) Workshops, seminars and training programs will be conducted.

(ii) Activities will be monitored to evaluate compliance with this subcontracting plan.

(iii) Arrange interviews with the small business community.

d. Describe how your small business database, source lists, guides, and other data will be maintained and utilized by buyers in soliciting subcontracts; e.g., rotation of firms in the data base, keeping data base current and useful.

9. Provide assurances the offeror agrees that the FAR clause 52.219-8 entitled "Utilization of Small

Business Concerns " will be included in all subcontracts which offer further subcontracting opportunities, and all subcontractors, except SB concerns, that receive subcontracts in excess of $700,000 ($1,500,000 for construction) will be required to adopt plans that comply with the requirements of the clause at 52.219-9, Small Business Subcontracting Plan. Such plans will be reviewed by comparing them with the provisions of P.L. 95-507 and assuring that all minimum requirements of an acceptable subcontracting plan have been satisfied. The acceptability of percentage goals shall be determined on a case-by-case basis depending on the supplies/services involved, the availability of potential small and small disadvantaged subcontractors, and prior experience. Once approved and implemented, plans will be monitored through the submission of periodic reports, and/or, as time and availability of funds permit, periodic visits to review subcontracting program progress. (See FAR 19.704(a)(9))

10. Provide assurances the offeror will submit such periodic reports and cooperate in any studies or surveys as may be required by the contracting agency or the Small Business Administration in order to determine the extent of compliance by the offeror (contractor) with the subcontracting plan and with FAR clause 52.219-8. (See FAR 19.704(a)(10))

Provide assurances the offeror will:

a. Submit the Individual Subcontract Report (ISR) and the Summary Subcontract Report (SSR) using the Electronic Subcontracting Reporting System (eSRS) at http://www.esrs.gov, following the instructions in the eSRS and FAR Clause 52.219-9.

1st reporting period – Oct 1 through March 31 Submit NLT 30 April 2nd reporting period – Oct 1 through September 30 Submit NLT 30 October

Reports are required when due, regardless of whether there has been any subcontracting activity since the inception of the contract or the previous reporting period. When a Contracting Officer rejects a report, a revised report shall be submitted within 30 days of the notice of report rejection.

A separate “Final” ISR is required at contract completion.

Upon award of the contract, the identity of the individual(s) responsible for acknowledging receipt or rejecting the ISR and the SSR will be provided to the awardee.

b. After November 30, 2017, include subcontracting data for each order when reporting subcontracting achievements for indefinite-delivery, indefinite quantity contracts intended for use by multiple agencies;

c. Ensure that its large business subcontractors with subcontracting plans agree to submit the ISR and/or the the SSR using the eSRS;

d. Provide its prime contract number and its DUNS number, and the e-mail address of the Government or contractor official responsible for acknowledging or rejecting the reports, to all first tier large business subcontractors with subcontracting plans so they can enter this information into the eSRS when submitting their ISRs;

e. Require that each large business subcontractor with a subcontracting plan provide the prime contract number and its own DUNS number, and the e-mail address of the Government or contractor official responsible for acknowledging or rejecting the reports, to its large business subcontractors with subcontracting plans; and

f. Ensure that the identified contracting officer and small business professional assigned to the contract are included on the eSRS email notification distribution for each report.

*Note 1: If contract value is $30,000 or more and the solicitation includes FAR Clause 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards, ensure additional reporting requirements are met in eSRS in accordance with this clause.

11. The offeror will maintain at least the following types of records to document compliance with this subcontracting plan: (See FAR 19.704(a)(11))

a. Source lists, guides, and other data identifying small business, HUBZone small business, women-owned small business, small disadvantaged business, veteran-owned small business and service-disabled veteran-owned small business.

b. Organizations contacted to locate small business, HUBZone small business, women-owned small business, small disadvantaged business, veteran-owned small business and service-disabled veteran-owned small business.

c. On a contract-by-contract basis, records on all subcontract solicitations over $150,000 and indicating for each solicitation:

(i) whether small business, HUBZone SBs, WOSBs, SDBs, VOSBs and SDVOSBs were solicited, and if not, why not; and

(ii) reason why the award was not made to a small business concern.

(iii) written designations from ANCs or Indian Tribes, in accordance with FAR 19.703, if applicable.

d. Records to support other outreach efforts, e.g., contacts with small business trade associations, business development organizations, and attendance at small business procurement conferences and trade fairs, and frequency of accessing SAM.

e. Maintain records of internal guidance and encouragement to buyers through:

(i) Workshops, seminars, training; and

(ii) Monitoring performance to evaluate compliance with the program’s requirement.

f. On a contract-by-contract basis, records to support award data submitted by the contractor to the

Government including the name, address, and business size of each subcontractor.

12. Assurances that the offeror will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that the offeror used in preparing the bid or proposal, in the same or greater scope, amount, and quality used in preparing and submitting the bid or proposal. Responding to a request for a quote does not constitute use in preparing a bid or proposal. An offeror used a small business concern in preparing the bid or proposal if – (See FAR 19.704(a)(12))

a. The offeror identifies the small business concern as a subcontractor in the bid or proposal or associated small business subcontracting plan, to furnish certain supplies or perform a portion of the contract; or

b. The offeror used the small business concern’s pricing or cost information or technical expertise in preparing the bid or proposal, where there is written evidence of an intent or understanding that the small business concern will be awarded a subcontract for the related work if the offeror is awarded the contract.

13. Assurances that the contractor will provide the contracting officer with a written explanation if the contractor fails to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work as described in paragraph 12 of this plan. This written explanation will be submitted to the contracting officer within 30 days of contract completion. (See FAR 19.704(a)(13))

14. Assurances that the contractor will not prohibit a subcontractor from discussing with the contracting officer any material matter pertaining to payment to or utilization of a subcontractor. (See FAR 19.704(a)(14))

15. Assurances that the offeror will pay its small business subcontractors on time and in accordance with the terms and conditions of the subcontract, and notify the contracting officer if the offeror pays a reduced or an untimely payment to a small business subcontractor (see 52.242-5). (See FAR 19.704(a)(15))

*****END OF PLAN*****

The original copy of this plan will be included in the file and made a material part of the contract.

Copy to:

Small Business Professional SBA Procurement Center Representative

REQUEST FOR INFORMATION (RFI)

N40080-20-R-5255

The Government does not intend to respond to inquiries submitted after the RFI due date shown in the solicitation. Please submit questions to Deidre Parker by email at deidre.parker@navy.mil.

Firm Name:

POC:

Address:

Phone Number:

Email Address:

QUESTION IS REGARDING:

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