SPM4A816Q0079.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

SPM4A8

SEE BLOCK 9

Criticality Code: C

15-12-1048

SPM4A816Q0079

Odemaris Garcia/PARPB13 (804) 279-5394

SPM4A8

Net 30 Days DO B9

SEE SCHEDULE

SEE SCHEDULE

333517

05/05/2016

06/30/2016

DLA Aviation Attn: DLA-VICA (Odemaris Garcia/PARPB13) 8000 Jefferson Davis Highway Richmond, VA 23297-5770 Odemaris.garciaballester@dla.mil Fax: 804-279-5948

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SPM4A8-16-Q-0079 /DLA-VICA/Odemaris Garcia

* RETURN DIRECTLY TO THE GOVERNMENT PROCUREMENT OFFICE AT FAX NO. 804-279-5948

OR VIA EMAIL AT AVNIPERWEB@DLA.MIL. *

PERFORMANCE QUESTIONNAIRE

Defense Logistics Agency - Aviation is collecting past performance information on the company listed below as part of its best value determination on an active procurement. Please complete the evaluation and return directly to the Government. The information is considered sensitive and will not be released to the Offeror.

Company (Offeror) Name:_______________________________________________

Address:_____________________________________________________________

RATING SCALE: Please use the following ratings to answer the questions, by placing an “X” in the appropriate box.

If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark “NA.”

EVALUATION CRITERIA:

Exceptional - The company’s performance was consistently superior. Performance was entirely favorable and you wouldn’t hesitate to do business with them again.

Very Good - The company’s performance was better than average, and you would willingly do business with them again. The contractual performance was mostly favorable and corrective actions, if any, that were taken by the contractor were effective.

Satisfactory - The company’s performance was adequate for the project and you would consider doing business with them again. There were minor performance problems which were corrected.

Marginal – The company’s performance was below average and you would be hesitant to do business with them again. There were some significant performance issues and the vendor had some difficulty taking corrective action.

Unsatisfactory – The company’s performance was entirely unsatisfactory and you would not do business with them again under any circumstances. There were serious performance issues with the contractor and the contractor’s corrective actions were ineffective.

Neutral—No record exists.

FOR AREAS INDICATING EITHER EXCEPTIONAL OR UNSATISFACTORY PERFORMANCE, PLEASE PROVIDE AN

EXPLANATION IN THE COMMENTS SECTION OF THE SURVEY.

QUALITY OF PRODUCT Neutral Unsatisfactory Marginal Satisfactory Very Good

Exceptional

Provided a service that conformed to contract requirements, specs, and standards of good workmanship.

Submitted accurate reports.

Utilized personnel appropriate to the effort performed.

COST CONTROL Neutral Unsatisfactory Marginal Satisfactory Very

Exceptional

Performed the effort within the estimated cost/price.

Submitted accurate invoices on a timely basis.

Demonstrated cost efficiencies in performing the required effort.

Actual costs/rates realized closely reflected the negotiated costs/rates.

SCHEDULE Neutral Unsatisfactory Marginal Satisfactory Very

Exceptional

Tasks were performed in a timely manner and within the period of performance of the contract.

SPM4A8-16-Q-0079 /DLA-VICA/Odemaris Garcia

* RETURN DIRECTLY TO THE GOVERNMENT PROCUREMENT OFFICE AT FAX NO. 804-279-5948

OR VIA EMAIL AT AVNIPERWEB@DLA.MIL. *

Contractor was responsive to technical and/or contractual direction.

BUSINESS RELATIONSHIPS Neutral Unsatisfactory Marginal Satisfactory Very

Exceptional

Demonstrated effective management over the effort performed.

Maintained an open line of communication so that the Contracting Officer’s Representative (COR) or technical POC were apprised of technical, cost, and scheduling issues.

Presented information and correspondence in a clear, concise, and businesslike manner.

Promptly notified the COR, technical POC, and/or Contracting Officer in a timely manner regarding urgent issues.

Cooperated in providing flexible, proactive, and effective recommended solutions to critical program issues.

Demonstrated effective management of its subcontractors

CUSTOMER SATISFACTION Neutral Unsatisfactory Marginal Satisfactory Very

Exceptional

Products/services adequately met the needs of the contract.

Contractor was able to perform with minimal or no direction from the COR or technical

POC.

I am satisfied with the performance of the contractor.

Expectation that we would award another contract to this firm.

Was the contract terminated for default? [ ] Yes [ ] No. If you answered yes, provide an explanation:

COMMENTS: (Required for all EXCEPTIONAL and UNSATISFACTORY ratings)

TYPE OF EQUIPMENT/SERVICE PROVIDED: _______________________________________________________

MANUFACTURER/ MODEL NUMBER OF THE EQUIPMENT:

THIS EVALUATION WAS COMPLETED BY:

BUSINESS NAME:______________________________ POINT OF CONTACT:__________________________

ADDRESS: _________________________________________________________________________________

PHONE: _________________________________ EMAIL: __________________________________________

SIGNATURE: _____________________________________________ DATE: __________________________