Tab_12_SPE4AX-16-R-0004_Bearings_RFP_Attachment_9_-_Past_Performance_FACTS_Sheet.docx

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Present / Past Performance “FACTS Sheet” (TO BE COMPLETED BY OFFEROR, JOINT VENTURE PARTNER, AND IF APPLICABLE, CRITICAL SUBCONTRACTOR)

Complete a separate FACTS Sheet for each relevant contract. See Section L of the Request for Proposal (RFP) for detailed instructions and limits on number and recency of contracts. Provide frank, concise comments regarding present / past performance on the program identified in B. below.

A. (1) Name (Company / Division), (2) Address: (3) CAGE Code

B. PROGRAM TITLE and CONTRACT NUMBER:

C. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:

D. CONTRACT TYPE(S) – PLEASE LIST ALL THAT APPLY (firm fixed-price, time and materials, etc.)

E. CONTRACT $ VALUE: (If you performed work as a subcontractor, identify your contract $ value and the PRIME’s contract $ value, if known.)

1. Original contract $ value and current $ value:

2. Estimated value at completion and primary causes of changes:

3. If Award Fee Contract, what percentages of the fee have been awarded in each of last 3 years?

F. BRIEF DESCRIPTION OF EFFORT AS: _____ PRIME _____ SUBCONTRACTOR

1. As a part of this narrative description, highlight portions considered most relevant to the current acquisition; addressing how and to what extent the proposed effort relates to the program identified in B. above. To supplement the data provided in response to this paragraph, complete the following regarding relevancy of the effort identified in paragraph B to the proposed effort.

Facility 2: production

6. Quantities produced, # repaired or other quantitative data

7. Program Similarity

8. Program Complexity

11. Other

2. This paragraph shall also include details to support your record for on time delivery, technical quality, and cost control for this effort identified in paragraph B. above.

3. If you are small business, or if you are a large business and a Small Business Subcontracting Plan per FAR 52.219-9 was NOT required by this effort, indicate your compliance with FAR 52.219-8, Utilization of Small Business Concerns, by completing the following. That is, when subcontracting possibilities existed on this effort, did you award subcontracts to small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extent consistent with efficient contract performance? If FAR 52.219-8 was NOT included in this effort, whenever subcontracting possibilities existed in the performance of this effort, address whether or not it was your policy to utilize small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extent consistent with efficient contract performance.

No subcontracting possibilities

In compliance

Not in compliance (address why)

4. If you are a large business, identify whether a subcontracting plan in accordance with FAR 52.219-9, Small Business Subcontracting Plan, was required by this effort. If one was required, complete the following regarding subcontracting goals and status-to-date. If goals were not met, please explain. Required: Not Required:

Small Business

Small Disadvantaged Business

Women-Owned Small Business

HUBZone Small Business

Veteran-Owned Small Business

Service-Disabled Veteran Owned Small Business

HBCU/MI

G. PERIOD OF PERFORMANCE (PoP): (If you performed work as a subcontractor, identify your PoP, and the PRIME’s PoP, if known)

1. Original schedule and current schedule:

2. Estimate @ completion:

3. How many times changed and primary causes of changes:

H. PRIMARY POINTS OF CONTACT: (The offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)

(PCO NOTE: TAILOR ABOVE LIST TO FIT YOUR PROGRAM, INCLUDING HOW MANY YOU LIST, WHO YOU LIST, AND ORDER OF PRIORITY. THIS SHOULD MATCH THE PARA OF L-XXX IF OFFERORS SEND OUT QUESTIONNAIRES.)

I. If the offeror, joint venture partner or critical subcontractor (if applicable) is a newly formed entity who either has no prior contracts or does not possess relevant corporate past performance, but does have key personnel with relevant past performance while employed by another company, specify by name such key individual(s) who will participate in the proposed effort under this acquisition who also participated in the program identified in B. above, and indicate their contract role. Describe how participation of these key personnel contributed to the success of the previous effort and how this indicates probability of success on the proposed effort.

J. Use this space to address any aspect about this program considered unique. Describe quality awards or certifications that indicate the offeror possesses a high-quality process for developing and producing the product/service required.

K. Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, cure notices, show cause letters, termination for default or cause, disputes, claims, latent defects; and, corrective actions taken for the contract listed in paragraph B. above.

L. Additionally, for those efforts where you are cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of your ability to isolate the root causes of problems and should describe programs or actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist. Note: In the case of Contractor Performance Assessment Report System (CPARS), if your input has already been provided and the rationale/ circumstances have not changed, DO NOT repeat them here.

M. Was this contract effort (as identified in paragraph B. above) submitted as a past performance source of data for a previous DLA Aviation procurement. Yes No . If yes, identify the buyer and/or contracting officer, their phone number and office symbol and solicitation number of the procurement for which this effort was submitted.

PLEASE NOTE: The Government is not bound by the offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY