EXHIBITs.pdf

RFQ N40084-14-T-0400

EXHIBIT “A”

PAST PERFORMANCE FORM

for Solicitation No. N40084-14-T-0400

INCINERATED ASH TRANSPORTATION SERVICES

FOR U.S. NAVAL FACILITIES, YOKOSUKA, JAPAN

Project number/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 “B”

PAST PERFORMANCE QUESTIONNAIRE

for Solicitation No. N40084-14-T-0400

INCINERATED ASH TRANSPORTATION SERVICES

FOR U.S. NAVAL FACILITIES, YOKOSUKA, JAPAN

OFFEROR:

The above identified offeror has expressed an interest in submitting a proposal in response to an FEAD Yokosuka Solicitation No. N40084-14-T-0400 for INCINERATED ASH TRANSPORTATION SERVICES FOR U.S. NAVAL FACILITIES, 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）