ATTACHMENTS_A_F.docx

ATTACHMENT A

REQUEST FOR INFORMATION (RFI)

N62473-19-R-1211

The Government does not intend to respond to inquiries submitted less than 10 days before the proposal receipt date shown in the solicitation. Please submit questions to Diana Price by email at diana.price@navy.mil

Firm Name: ________________________________________________________

POC: _____________________________________________________________

Address: __________________________________________________________

Phone Number: ____________________________________________________

Email address: _____________________________________________________

Question is Regarding:

Section of the RFP: __________________________________________________________

Paragraph: ________________________________________________________________

Page Number: ______________________________________________________________

QUESTION:

ATTACHMENT B

SURETY FORM

N62473-19-R-1211

(Bonding Capacity) (To be completed by Surety and submitted by Offeror)

Surety Name: _____________________________________________________

Agent’s Name: ____________________________________________________

Address: _________________________________________________________

Phone Number: ___________________________________________________

Contractor (Offeror) Name: ___________________________________________________

Address: __________________________________________________________________ one Number: _______________________________________________________________

How long have you provided bonding for the above Contractor? _______________________

How would you rate this Contactor?

Excellent Satisfactory Unsatisfactory Other ________________

If Unsatisfactory please explain:

Bonding Limit for a single project $____________________________________________

Aggregate bonding amount $_________________________________________________

Current available bonding? $________________________________________________

Have you ever had to complete a project for the Contractor? YES No

If yes, explain ______________________________________________________________

Have there been complaints of non-payment by subcontractors/suppliers? Yes No If yes, explain: _______________________________________________________________

Has the surety had to pay subcontractors/suppliers? YES NO ____

If yes, explain: ________________________________________________________________

ATTACHMENT C

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : |_| CON #1 |_| CON #2 |_| CON #3 |_| CON #4 |_| CON #5

1. Experience for: |_| Offeror |_| Joint-Venture |_| Other (Explain) Firm Name:

Address:

Phone Number:

DUNS Number:

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 prime (Name/Phone #):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

5. Type of work:

|_| New Construction |_| Renovation |_| Repair |_| Alteration |_| Other (explain):

6. Type of Contract/Task Order: (Check ALL that apply)

|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):

Complete Block 7 for Construction Projects.

7. Construction Project:

Award Amount: Final Price:

Type of Contract/Task Order: (Check ALL that apply)

|_| Design-Build |_| Design-Bid-Build |_| Delivery/Task Order (IDIQ) |_| Other (explain):

If Design-Build, identify the Lead Design Firm:______________________________________________

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

9. Provide a detailed description of what work your firm self-performed on this project:

11. Other Information:

ATTACHMENT D

SAFETY DATA SHEET

N62473-11-R-1211

This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. EMR, DART and TRC rates shall not be submitted for subcontractors.

Joint Venture (JV) or Partnership: Complete Blocks 1 through 8 for each contractor who is part of the JV or partnership. Only one safety narrative (Block 9) is required.

1. Offeror Name:

Name of JV partner providing the information below (if applicable):

Offeror’s Three Previous Complete Calendar Years of Reported Safety Data:

Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.

3a. For EMRs greater than 1.0, explain any extenuating circumstances and corrective actions taken:

3b. Explain any negative EMR trends:

3c. If you do not have an EMR for a given year, state so here and explain why:

4. Insurance Carrier Information:

Insurance Carrier Name:

Instructions for calculating the DART rate can be found at http://www.bls.gov/iif/osheval.htm.

6a. For DART Rates of 3.0 or greater, explain any extenuating circumstances and corrective actions taken:

6b. Explain any negative DART Rate trends:

6c. If you do not have a DART Rate for a given year, state so here and explain why:

ATTACHMENT D

SAFETY NARRATIVE

N62473-19-R-1211

Instructions for calculating the TRC rate can be found at http://www.bls.gov/iif/osheval.htm.

8a. For TRC Rates of 4.5 or greater, explain any extenuating circumstances and corrective actions taken:

8b. Explain any negative TRC Rate trends:

8c. If you do not have a TRC Rate for a given year, state so here and explain why:

ATTACHMENT D

SAFETY NARRATIVE

N62473-19-R-1211

9. Technical Approach for Safety: Provide the Safety narrative using this form. Do not exceed page limitation specified in the RFP. Any additional pages will not be considered.

Describe the plan that the Offeror will implement to evaluate safety performance of potential subcontractors, as a part of the selection process for all levels of subcontractors.

Describe the safety management system that the Offeror will use to oversee the safety compliance and performance of self-performed and subcontractor performed work.

ATTACHMENT D

SAFETY NARRATIVE

N62473-19-D-1211

9. Technical Approach for Safety (continuation): Provide the Safety Narrative using this form. Do not exceed page limitation specified in the RFP. Any additional pages will not be considered.

Describe any innovative methods that the Offeror will employ to ensure and monitor safe work practices at self-performed/and or all subcontractor levels:

Describe the methodology that the Offeror will use in order to execute an effective program that facilitates sound mishap prevention techniques and processes, employee reporting of unsafe conditions, unsafe activities, and near-miss mishaps:

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ATTACHMENT E

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) N62473-19-R-1211

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

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 (Client to complete Blocks 5-8)

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.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

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:

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

3. CUSTOMER SATISFACTION:

4. MANAGEMENT/ PERSONNEL/LABOR

5. COST/FINANCIAL MANAGEMENT

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

6. SAFETY/SECURITY

7. GENERAL

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):

ATTACHMENT F

FINANCIAL QUESTIONNAIRE

N62473-19-R-1211

(To be completed by Financial Institution and submitted by the Offeror)

NAVFAC Southwest San Diego, California is currently considering award of a Navy contract to this firm. Prior to award, the Navy requests the financial information listed below with regard to this firm. In order to be responsive to the Navy’s needs, it is requested that you complete this financial questionnaire with regard to this firm. Upon completion of the questionnaire it is request you place the completed questionnaire in a sealed envelope showing the return address of the financial institution and forward it to the Offeror shown below. The requested information must be received by the contractor no later than _______________________________

Prospective Contractor for which information is being requested:

Name:____________________________________________________________________

Address: __________________________________________________________________

Phone Number: ____________________________________________________________

Point of Contact: ____________________________________________________________

Signature of Prospective Contractor or Contractor Representative Request Financial Information

Name of Financial Institution: ____________________________________________________

Address:______________________________________________________________________

Phone Number: ______________________________________________________________

Account Number: ________________________________

Type of Account: __________________________________

Average Balance Figure: ____________________________ Does the Contractor have a line of credit Yes No

What is the limitation: _____________________________

Remaining Balance: _______________________________ What is the Contractor’s relationship with the bank?

Outstanding Satisfactory Other (explain) __________________________

Name and title of person providing the above information: _________________________________

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