JA39A_Past_Performance_Information.pdf

ATTACHMENT JA39

PAST PERFORMANCE PROJECT INFORMATION

Provide the information requested in this form for each program being described. Provide frank, concise comments regarding your performance on the contracts/work you identify.

A. OFFEROR NAME (COMPANY/DIVISION) AND LOCATION (CITY/STATE):

(NOTE: IF THE COMPANY OR DIVISION PERFORMING THIS EFFORT IS DIFFERENT THAN THE OFFEROR, OR THE

RELEVANCE OF THIS EFFORT TO THE ACQUISITION IS IMPACTED BY ANY COMPANY/CORPORATE ORGANIZATIONAL

CHANGE, NOTE THOSE DIFFERENCES/CHANGES AND EXPLAIN WHY THE PAST PERFORMANCE SHOULD BE

ATTRIBUTED TO THE OFFEROR. REFER TO THE “ORGANIZATIONAL STRUCTURE CHANGE HISTORY” YOU PROVIDED

AS PART OF YOUR RELEVANT PRESENT AND PAST PERFORMANCE VOLUME.)

B. PROGRAM TITLE: _________________________________________________________________________

C. DESCRIPTION:

1. Contract* Number: __________________________________________________

2. Contract Type: ______________________________________________________

3. Period of Performance: _______________________________________________

4. Original Contract $ Value: ____________________________________________

5. Current Contract $ Value: _____________________________________________

If Amounts for 4 and 5 above are different, provide a brief description of the reasons for the difference.

*If describing a service account rather than a contract or discrete project, provide account number, type of account/work, and total value over the period of performance.

D. BRIEF DESCRIPTION OF OFFEROR’S DUTIES AS PRIME CONTRACTOR, SUBCONTRACTOR, OR

SERVICE PROVIDER.

(Please highlight portions considered most relevant to current acquisition)

E. COMPLETION DATE:

1. Original Contractual Date: ____________________________________________

2. Current Scheduled Completion Date: ___________________________________

3. Estimated Date of Completion: _________________________________________

4. How Many Times Changed: ____________________________________________

5. Primary Causes of Change: _________________________________________________________

A

F. PRIMARY AND SECONDARY POINTS OF CONTACT:

(Please provide current information on all individuals)

1. Primary POC: Name: __________________________________________________________

Company: _______________________________________________________

Job Title: ________________________________________________________

Office: __________________________________________________________

Address: ________________________________________________________

Telephone: ______________________________________________________

E-mail: _________________________________________________________

Fax: ____________________________________________________________

Relationship to Project: ___________________________________________

2. Secondary POC: Name: __________________________________________________________

Company: _______________________________________________________

Job Title: ________________________________________________________

Office: __________________________________________________________

Address: ________________________________________________________

Telephone: ______________________________________________________

E-mail: _________________________________________________________

Fax: ____________________________________________________________

Relationship to Project: ___________________________________________

G. ADDRESS ANY TECHNICAL (OR OTHER) AREA ABOUT THIS PROGRAM CONSIDERED UNIQUE.

H. SPECIFY BY NAME ANY KEY INDIVIDUAL(S) WHO PARTICIPATED IN THIS PROGRAM AND IS/ARE

PROPOSED TO SUPPORT THIS ACQUISITION. ALSO, INDICATE THEIR ROLES FOR BOTH CQUISITIONS.

I. ADDRESS SIGNIFICANT PROBLEMS ENCOUNTERED ON THIS CONTRACT/ACCOUNT AND YOUR

SOLUTIONS TO THOSE PROBLEMS.

J. IDENTIFY IF A SMALL BUSINESS OR DISADVANTAGED BUSINESS PLAN OR GOAL WAS REQUIRED

FOR THIS CONTRACT/ACCOUNT. IF SO, IDENTIFY IN TERMS OF A PERCENTAGE THE PLANNED

VERSUS ACHIEVED GOAL DURING THE CONTRACT. PLEASE EXPLAIN IF THE ABOVE GOALS WERE

NOT MET.

K. DESCRIBE/DISCUSS THE RELEVANCY OF THE SERVICES YOU PROVIDED ON YOUR REFERENCED

CONTRACT/ACCOUNT TO THE WORK BEING SOLICITED UNDER THIS RFP.

L. PLEASE COMPLETE THE FOLLOWING:

General

1. Indicate (yes or no) if you owned, operated, maintained the system for the referenced customer. Indicate (yes or no) if the systems were located on the customer’s site.

OWN OPERATE MAINTAIN ON SITE

Sewer Lines

Pump Stations

WWTP

Industrial WWTP

Water Lines

Water Storage Tanks

Water Treatment Plants

Overhead Electrical

Distribution System

Underground Electrical

Distribution System

Power Generation Facility

Substations

Natural Gas Distribution

System

Wastewater System

1. What is the average daily flow (gallons per day) for the referenced system?

2. What is the capacity of the WWTP?

3. What is the capacity of the Industrial WWTP?

4. How many pump stations are operated/maintained?

5. How many linear feet of sewage lines are maintained?

6. What is the dollar value of the capital improvements you made to the system during the total period of time service has been rendered?

Time_____(yrs) $_____

7. Have capital improvements been completed that directly or indirectly reduced the amount of Inflow/Infiltration for the system serving the referenced customer?

Capital Improvements $_____ Inflow/Infiltration Reduction_____(%)

Water System

1. What is the average daily flow (gallons per day) for the referenced customer?

2. What type of treatment occurs at the Water Treatment Plant?

3. What type of storage tanks are operated/maintained (ground/elevated, capacity)?

4. What is the dollar value of the capital improvements you made to the system during the total period of time service has

Electrical System

1. What is the voltage of the system you operate/maintain?

2. How many facilities are served by the system you operate/maintain?

3. What is the length (linear feet) of the overhead distribution system you operate/maintain?

4. What is the length (linear feet) of the underground distribution system you operate/maintain?

5. What is the dollar value of the capital improvements you made to the system during the total period of time service has

Natural Gas System

1. What is the length (linear feet) of the distribution system you own/operate?

2. How many meters are on the system you own/operate?

3. What is the dollar value of the capital improvements you made to the system during the total period of time service has