Exhibit D - Past Performance - Small Business Utilization.docx
DOCX document 28 KB Posted
- Attached to
- P-391 F35C Hangar 6, Phase 2
- Solicitation number
- N6247320R0069
About this file
This document is a past performance questionnaire for a construction project. Offerors are required to provide information on up to five previous projects demonstrating their experience meeting small business subcontracting goals. Details include total project value, dollars and percentages subcontracted to various small business categories, and references for each. The related federal contract opportunity is a solicitation from the Naval Facilities Engineering Command, Southwest to design and construct a two-module two-story aircraft maintenance hangar addition and associated facilities at Hangar 6 in support of F-35C Joint Strike Fighter squadrons. The scope includes high bay space, shops, training areas, administrative space, aircraft parking apron and marshalling area, taxiway connections, and alternate mission equipment storage.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0002.pdf | ||
| Surety Form.doc | DOC document | |
| Financial Questionnaire.doc | DOC document | |
| Exhibit F - Small Business Participation Plan - Revised 9-20.docx | DOCX document | |
| Exhibit B - Experience - Offeror.docx | DOCX document | |
| Exhibit B - Experience - Designer.docx | DOCX document | |
| Amendment 0001.pdf | ||
| Exhibit E - Safety Data Sheet.docx | DOCX document | |
| Exhibit C - PPQ.docx | DOCX document | |
| Exhibit A - Offeror Team Composition and Management.docx | DOCX document | |
| EXHIBIT B - Experience - Offeror.docx | DOCX document | |
| EXHIBIT E - Small Business Participation Plan.docx | DOCX document | |
| EXHIBIT A - Construction Experience.docx | DOCX document | |
| EXHIBIT D - Safety Data Sheet.docx | DOCX document | |
| N62473-20-R-0069 Solicitation.pdf | ||
| Exhibit B - Experience - Designer.docx | DOCX document | |
| EXHIBIT C - PPQ.docx | DOCX document |
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Text version
EXHIBIT “D”
PAST PERFORMANCE – SMALL BUSINESS UTILIZATION
N62473-20-R-0069
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, Past Performance. 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 percentage goal only if a goal was established. If established goals were not met on any submitted projects, an explanation for each unmet goal is required. If goals were not established for a project, mark N/A.
Items (a) – (h) are for SUBCONTRACTED values only. Small Business Offerors shall not include self-performed work under these items.
| Business Size: |
| |_| Large |
| |_| Small |
| |_| Small Disadvantaged |
| |_| Women-Owned Small Business |
| |_| HUBZone Small Business |
| |_| Veteran-Owned Small Business |
| |_| Service-Disabled Veteran-Owned Small Business |
| |_| Other: |
Project #1: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #2: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
(h) Service-Disabled Veteran-Owned Small Business Concerns
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #3: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #4: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Project #5: Contract/Project Number/Task Order Number:
Project Title:
| ACTUAL |
| GOAL |
(if applicable)
| Total Project Dollar Value: $ |
| Whole Dollars |
| Percent of line (c) |
| Percent of line (c) |
| N/A |
Total Subcontracted Value: $
| (a) Small Business Concerns (Including SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB, and HBCU/MI) |
| $ |
| % |
| % |
| |_| |
| (b) Large Business Concerns |
| $ |
| % |
| % |
| |_| |
| (c) Total (sum of lines a & b above) |
| $ |
| % |
| % |
| |_| |
| (d) Small Disadvantaged Business Concerns |
| $ |
| % |
| % |
| |_| |
| (e) Women-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (f) HUBZone Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (g) Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
| (h) Service-Disabled Veteran-Owned Small Business Concerns |
| $ |
| % |
| % |
| |_| |
Detailed explanation of each unmet goal and the corrective actions taken (if applicable):
Name of customer reference for this project:
Phone Number:
Email address:
Note: Form may be expanded.
Exhibit “D” - Past Performance – Small Business Utilization, Page 1 of 3
(Rev 6/2019)
File details come from the government source that posted it. Updated .