13R0425-EXHIBITS.pdf

RFP N40084-13-R-0425

NON-PRICE PROPOSAL

FOR

N40084-13-R-0425

INTEGRATED SOLID WASTE MANAGEMENT

AT U.S. FLEET ACTIVITIES, YOKOSUKA, JAPAN

(Complete and submit with your Technical proposal)

COMPANY NAME:

REPRESENTATIVES NAME AND TITLE:

COMPANY PHONE/FAX NO.

COMPANY E-MAIL ADDRESS:

COMPANY DUNS NUMBER:

COMPANY NCAGE CODE:

Riho.Ogawa.JA Typewritten Text Attachment (3)

EXHIBIT “A”

OFFEROR EXPERIENCE PROJECT DATA SHEET

The purpose of this form is to provide supporting project information for Factor 2 – Corporate Experience. This form is to be completed by the Offeror. Only projects that are within the maximum submittal number and that fit the submittal requirements will be considered for evaluation.

1. Contract Number:

2. Contracting Issuing Organization (or Prime Contractor):

3. Project Number and / or Title:

4. Project Location:

(Note: If worked as a subcontractor - List only the contract / project work that your company performed – do not list the prime contract.

2. Award Date (mm/dd/yy):

Completion Date (mm/dd/yy):

(Including all options)

Percentage of project complete: ______ %

Number of Option: ______

3. Award Amount (Of the Offeror’s Work):

Base period: ____________________ First Option Period: ____________________ Second Option period: ____________________ Third Option Period: ____________________ Fourth Option Period: ____________________ Total Contract Price (Including all options):

4. Type of work:

New Construction Construction Renovation Construction Repair Alteration

Service: Facility operation, maintenance or repair

Service: Utility Renovation Repair Alteration

5. Type of Contract:

Construction: Design-Build Construction: Design-Bid-Build Service Other (explain):

6. Your company performed the Work as:

(check one)

Prime Contractor Sub Contractor

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract:

If a Design-Build Project, identify the Lead Design Firm:

7. Customer/Owner/Prime Contractor Information:

Customer/Prime Name:

Point of Contact:

Phone Number:

FAX Number:

E-mail address:

8. Provide a detailed description of the project (the project work for which the Offeror was responsible for) including the specific types of work in terms of:

1. Identify the project scope of work in terms of services.

2. Identify whether or not any of the proposed Key Personnel participated in the project.

9. Provide a detailed description of what portion of the project work that your company (the Offeror) performed on the project with in-house/employee labor (DO NOT include any work you’re your company subcontracted out).

10. Provide a detailed description of what type of work and percentage of work that your company sub-contracted for the project. Identify the number of sub-contractors used, the type of work each subcontractor performed, and the overall percentage of work each subcontractor performed:

Note: Form may be expanded

EXHIBIT “B”

PAST PERFORMANCE FORM

for

RFP N40084-13-R-0425

Project title/location:

Name of Owner/Contracting Activity:

Date of Award: Award value:

Contract value @ completion if different from award amount:

Contracting Point of Contact & Telephone #:

Technical Point of Contact & Telephone #:

Brief Description of Project:

Problems encountered and corrective action taken:

Awards:

EXHIBIT “C”

PAST PERFORMANCE QUESTIONNAIRE

for

RFP N40084-13-R-0425

OFFEROR:

The above identified offeror has expressed an interest in submitting a proposal in response to an FEAD Yokosuka Solicitation No. N40084-13-R-0425 for INTEGRATED SOLID WASTE MANAGEMENT AT U.S. FLEET ACTIVITIES, YOKOSUKA, JAPAN. One of the proposal evaluation factors is the verification of the offeror’s performance on past and present contracts which demonstrates their ability to perform the contract requirements. For an accurate performance evaluation, we depend on companies/agencies such as yours to share first hand experience on the offeror’s past and present performance. Your comments will be considered Source Selection Sensitive. Therefore, you are advised that our regulations prohibit us from releasing the names of individuals providing us information on this offeror’s past performance.

In order to maintain the integrity of the Source Selection process, respectfully request that you do not divulge nor discuss your comments on this questionnaire with any other individuals. Please review the questions on the following sheets and provide your frank, honest and objective responses to the questions. We thank you in advance for your time and willingness to complete the questionnaire.

Your completed questionnaire will become a part of the official source selection record.

Please provide comments to help explaining your ratings. The space provided in this form for comments will “expand” to accommodate all text you choose to submit if you complete it on your computer using Microsoft Word (or other similar word processing software).

PAST PERFORMANCE QUESTIONNAIRE

In response to the following questions, please evaluate the offeror’s performance by circling an appropriate code provided to the right of each question.

各質問の右側にある記号を で囲んで当該契約の評価をして下さい。○

Code Quality level O Outstanding

特に優れている The contractor’s performance met contractual requirements and clearly exceeded many contract requirements.

G Good 優れている

The contractor’s performance met contractual requirements and exceeded some contract requirements.

A Acceptable 満足

The contractor’s performance met the contract requirements.

M Marginal 問題あり

The contractor’s performance met the minimum contract requirements but with difficulty.

U Unsatisfactory 不満

The contractor’s performance was poor and/or did not satisfy contract requirements.

NR No Rating 該当なし

You are unable to rate this item or it was not one of your contract requirements.

1. Quality of service How would you rate the offeror’s quality control and/or inspection procedures?品質管理についての評価

O

G

A

M

U

NR

How would you rate the offeror’s adequacy of submittals?

提出書類についての評価

2. Timely Performance How would you rate the offeror’s adequacy of initial work schedule, reports, adherence to approved schedule and resolution of delays?

作業スケジュール、提出物、遅延への対応についての評価

How would you rate the offeror’s response to emergency call?

緊急呼び出しの反応についての評価

3. Effectiveness of Management How would you rate the offeror’s project manager and key personnel assigned to your contract? 契約管理者や現場担当者についての評価

How would you rate the offeror’s coorperation/responsiveness to issues, concerns, problems, etc? Was appropriate action taken to ensure they do not reocur? 現場管理についての評価 (問題への対応、再発防止策はとられたか)

How would you rate the offeror’s coordination and control of all subcontractors and their personnel?

下請け業者の管理についての評価

4. Compliance of Safety Standards

How would you rate the offeror’s safety in the performance of your contract and the offeror’s overall commitment to a safe work environment? 安全対策についての評価

5. Overall Rating In summary, how would you rate the overall quality of the offeror’s past or present performance?

総合評価をしてく ださい

6. Narrative Summary

Please write this offeror’s greatest strength and weakness in the performance of this contract, which you would like to highlight:

調査対象契約に関してこの業者の長所や短所について何かコメントがあれば記入して下さい

Please write any additional comments concerning this offeror’s performance:

他に何かコメントがあれば記入して下さい

Signature（サイン）