W50S7Y-21-R-6001 0002 SF30.pdf

GUQE162200

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

See Continuation Page

1. CONTRACT ID CODE PAGE OF PAGES

J 1 14

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W50S7Y21R6001

X 9B. DATED (SEE ITEM 11)

28-Jun-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO.

P0002

5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

29-Jul-2021

CODE

USPFO KS 190 MISSION SUPPORT CONTRACTING

5920 SE COYOTE DR BLDG 662

TOPEKA KS 66619-1429

W50S7Y 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W50S7Y21R6001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00 10 00 - SOLICITATION

The following have been added by full text:

CONTINUATION PAGE

CONTINUATION PAGE

A. NECESSITY FOR CHANGE: Amendment to update the solicitation in response to RFIs.

B. DESCRIPTION OF CHANGE: Below is a list of changes to this solicitation including revisions to specifications from Specs Addendum.

1. Page 1 of 84 of the solicitation, Block 13 D is changed to reflect “Offers providing less than 120 calendar days…”

2. Page 7 of 84 of the solicitation, 2.0 General Proposal Submission Instructions “Submit electronically to Joseph.Weber.7@us.af.mil, bond paper copies shall be mailed to 5920 SE Coyote Drive, Topeka, KS 66619 Attn: Joseph Weber” is added to the end of the paragraph.

3. Page 15 of 84 of the solicitation, Volume 1 – Factor 2: Past Performance, under Submission Requirements is updated to reflect “and/or a final Contractor Performance Assessment Reporting System (CPARS)” is added to the first sentence.

4. Page 17 of 84 of the solicitation, “Volume 2 – Factor 4: Price Proposal” is updated to read “Volume 2 Factor 3: Price Proposal”

5. Specification Section 01 1000 - Summary Part 1 – General, 1.3 paragraph J should be replaced by the language in amended paragraph J in this amendment.

6. Specification Section 072713 – Sheet Air Barriers Part 2 – Products, 2.2 paragraph A,1,a should be replaced by the language in amended paragraph A,1,a in this amendment.

7. Specification Section 088700 – Glazing Surface Films Part 2 – Products, 2.1 paragraph A,1 should be replaced by the language in amended paragraph A,1 in this amendment.

8. Specification Section 088700 – Glazing Surface Films Part 2 – Products, 2.2 paragraph A,1 should be replaced by the language in amended paragraph A,1 in this amendment.

9. Specification Section 096813 – Tile Carpeting Part 1 added the language in this amendment.

10. Specification Section 212200 – Clean Agent Fire Suppression System Part 1 – Requirements, 1.3,B added the language in this amendment.

11. Specification Section 235216 – Fire-Tube Condensing Boilers items added as equal in this amendment.

12. Specification Section 265100 – Lighting Fixtures item added as equal in this amendment.

13. Drawings Sheet A201 – Project Notes Item 14 should be replaced by the language in this amendment.

14. Drawings Sheet M102 – Notes updated to include the language in this amendment.

15. Drawings Sheet MP101 – Notes updated to include the language in this amendment.

16. Drawings Sheet MP201 – Piping Material Schedule updated to include the language in this amendment.

C. TIME: N/A

D. WAGE RATES: N/A

E. PAYMENT: N/A

F. OTHER TERMS AND CONDITIONS: All other terms and conditions remain unchanged.

G. CONTRACTING OFFICER STATEMENT: Only a warranted Contracting Officer (either a Procuring Contracting Officer (PCO) or an Administrative Contracting Officer (ACO)), acting within their delegated limits, has the authority to issue modifications or otherwise change the terms and conditions of this contract. If an individual other than the Contracting Officer attempts to make changes to the terms and conditions of this contract you shall not proceed with the change and shall immediately notify the Contracting Officer.

The following have been deleted:

CONTINUATION PAGE

SECTION 00 21 00 - INSTRUCTIONS

The following have been modified:

INSTRUCTIONS TO OFFERORS

PROPOSAL SUBMISSION REQUIREMENTS,

EVALUATION CRITERIA, AND BASIS OF AWARD

1.0 GENERAL PROPOSAL INFORMATION

The proposal should be prepared simply and economically, providing straightforward, concise delineation of capabilities to perform the contract. The proposal should be practical, legible, clear and coherent. All proposal information is to be submitted utilizing the English language.

The technical proposal shall address the offeror’s proposed approach to fully perform the requirements of the Request for Proposals (RFP). Offerors are discouraged from providing information not required by the RFP.

2.0 GENERAL PROPOSAL SUBMISSION INSTRUCTIONS

All offerors shall be required to submit a proposal with the minimum content as specified herein. Proposals without the minimum content may be rejected. Proposals will be received until the date and time indicated on Standard Form 1442. Submit electronically to Joseph.Weber.7@us.af.mil, bond paper copies shall be mailed to 5920 SE Coyote Drive, Topeka, KS 66619 Attn: Joseph Weber.

3.0 PROPOSAL FORMAT AND SUBMITTAL REQUIREMENTS

1. In order to be considered for award of a contract for the requirements of this solicitation, the offeror must submit a proposal with its offer. Failure to submit a complete proposal may result in the entire offer being rejected. The proposals shall be submitted in Volumes as follows:

VOLUME 1: TECHNICAL PROPOSAL (Tabs A through B)

VOLUME 2: PRICE PROPOSAL (Tab A through B) consisting of an original signed Standard Form 1442 “Solicitation, Offer, and Award”; providing a price for all line items in the corresponding Price Proposal Schedule; and acknowledgment of all amendments to the solicitation and in Tab B - Pro Forma Requirements.

2. Proposal Characteristics

a) Each Volume shall contain a table of contents and all pages of each factor shall be sequentially numbered. All text must be legible and easily read. The page size of the offeror’s proposal shall not exceed 8-1/2 by 11 inches. Diagrams, charts and tables shall conform to the paper size. All text shall be typed single-spaced. Margins (1-inch) shall be clean and clear. If fold-out charts are unavoidable, and are to be utilized, all sheets shall be reproduced on 11 by 17 inch, and folded to 8-1/2 by 11 inch size. Submit the SF 1442, completed and signed by a person authorized by the offeror. Offerors shall limit Volume 1, Technical Proposal, to a maximum of 20 pages. Pages in excess of 20 will not be evaluated. Past Performance Questionnaires (PPQ) do not count toward the page count.

b) Each Volume of the proposal shall be identified by the Solicitation Number, project title, company name, address, and telephone number of the offer, and the following on the volume in bold letters:

VOLUME 1: TECHNICAL PROPOSAL

VOLUME 2: PRICE PROPOSAL

c) The Proposal shall be organized by factors. They shall be described in separate sections, appropriately tabbed in a report form. All pages of each factor shall be sequentially numbered. Elaborate or lengthy presentations are not necessary or desirable. The Proposal’s clarity, organization and cross referencing are mandatory. No material shall be incorporated by reference. The Technical proposal shall not refer the reviewer to information contained in the Price proposal.

d) Additional Information to be provided in Volume 2. The following items should be submitted labeled “Pro Forma Requirements”:

a. Offeror will submit a cover letter containing:

i. Solicitation number

ii. Name, address, email, and telephone and fax numbers of the offeror

iii. Names, title, email, and telephone and fax numbers of persons authorized to negotiate on the offeror’s behalf with the Government in connection with this RFP.

iv. Name, title and signature of the person authorized to sign the proposal

v. A statement specifying agreement with all terms, conditions and provisions included in the RFP

b. For Joint Ventures, the information required by paragraph “Joint Ventures”

c. The Offer (the SF1442) duly executed with an original signature by an official authorized to bind the company.

d. Include the Offeror’s DUNS number in block 14.

e. Acknowledgement of all amendments to the RFP in accordance with the instructions on the

Standard Form 30 (amendment form).

f. The completed Section 00 45 00 of the RFP (Representations and Certifications), including the ORCA certification from SAM Registration.

g. Bid Guarantee. See FAR 52.228-1.

h. Financial statement and bank letter that verifies that sufficient funds will be available to finance the work

4.0 INQUIRIES/QUESTIONS

Bidder inquiries and questions relating to this solicitation shall be submitted to Joe Weber at Joseph.Weber.7@us.af.mil.

Bidder inquiries will be unavailable for new inquiries ten calendar days before proposal due date. Offerors are requested to review the specification in its entirety for answers to questions prior to submission of a new inquiry.

5.0 JOINT VENTURES

Joint Ventures shall submit the following additional documentation regarding their business entities:

1) A certified copy of their Joint Venture agreement.

2) A detailed statement outlining the following in terms of percentages, where appropriate.

a. The relationship of the joint venture parties in terms of business ownership, capital contribution, and profit distribution or loss sharing.

b. The management approach of the joint venture in terms of who will conduct, direct, supervise and control the project and have custody and control of the assets of the Joint Venture and perform the duties necessary to complete the work.

c. The structure of the joint venture and decision-making responsibilities of the Joint Venture parties in terms of who will control the manner and method of performance of the work.

d. The bonding responsibilities of the Joint Venture parties.

e. Identification of the key personnel having authority to legally bind the Joint Venture to subcontracts and state who will provide or contract for the labor and materials for the Joint Venture.

f. Identification of party maintaining the Joint Venture bank accounts for the payment of all expenses and the deposits of all receipts, keep the books and records, and pay applicable taxes for the Joint Venture.

g. Identification of party furnishing the facilities, such as office supplies and telephone service.

h. Identification of party having overall control of the Joint Venture.

Other sections of the proposal shall identify, where appropriate, whether key personnel are employees of the individual Joint Venture parties and identify the party, or hired as employees of the Joint Venture.

If one of the Joint Venture parties possesses experience and/or past performance as a Federal Government contractor or as a National Guard contractor, that experience and/or past experience will be included as the experience and/or past experience of the Joint Venture.

SECTION 00 21 16 - INSTRUCTIONS TO PROPOSERS

The following have been modified:

SOURCE SELECTION INFORMATION

A. PROPOSAL SUBMISSION

The proposal preparation instructions are contained in Section 21 16 of the Request for Proposal (RFP) and are herein incorporated by reference.

B. BASIS FOR AWARD

The award will be made on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors IAW FAR 15.101-2 . Proposals will be evaluated utilizing two technical (non-price) factors, Past Performance and Corporate Experience and will be assessed on acceptable/unacceptable basis, but will not be ranked. In order for an offeror to be considered for award, the proposal must receive an “Acceptable” rating in every non-price Factor. A proposal receiving a rating of “Unacceptable” in any non-price Factor will not be eligible for award.

TECHNICAL FACTORS TO BE EVALUATED

A. VOLUME 1 TECHNICAL INFORMATION

Factor Location Description

FACTOR 1 VOLUME 1 TAB A CORPORATE EXPERIENCE

FACTOR 2 VOLUME 1 TAB B PAST PERFORMANCE

B. V O L U M E 2 PRICE AND PRO FORMA INFORMATION

Factor Location Description FACTOR 3 VOLUME 2 TAB A PRICE (Standard Form 1442 and Price Proposal

Schedules)

FACTOR 3 VOLUME 2 TAB B PRO FORMA REQUIREMENTS

VOLUME 1 - FACTOR 1: CORPORATE EXPERIENCE

Submission Requirements

The offeror shall submit a project portfolio with a minimum of 3 similar projects and maximum of five (5) similar projects (only 3 is required) that have been completed by the offeror (prime construction contractor) in the last five years or substantially complete (90%) with a construction cost between $1.0 and $5.0 million in magnitude. Similar work under this criterion consists of firm fixed-price contracts for repair/remodel and modernize mechanical systems of military buildings or similar commercial construction.

If the offeror represents the combining of two or more companies, state if this project represents a joint venture effort for the listed parties. A maximum of five (5) projects will be evaluated. If more than five (5) projects are submitted, only the first five (5) projects will be evaluated. Data presented shall be limited to two pages per project described. Use the following format to provide project information:

a. Project Title, Contract Number and Location.

b. Project Contract Type (for example, Indefinite-Delivery, Indefinite-Quantity; Design-Bid-Build, Firm Fixed-Price, Cost Plus; Construction Manager at Risk, etc.)

c. Total Dollar Amount

d. Start and Completion Dates (Month/Year)

e. Role of Firm (address type of work performed, and percentage of work, as applicable) (also include any proposed team members that were directly involved in this project, including work performed, roles and responsibilities)

f. Brief Description of Project (address how this relates to this solicitation) Be sure to include:

i. Significant provisions taken to work in high security restricted areas by Offeror as a prime

Contractor or as a significant subcontractor.

ii. Please list the types of high security access and/or instances where you were permitted to work in high security restricted areas particularly for the Department of Defense.

iii. Examples of delays due to working in a high security area that your firm has experienced, and how you handled those delays effectively to keep the schedule and finish the work within the prescribed period of performance.

g. Customer Point of Contact (name, relationship to project, agency/firm affiliation, city, state, current phone number, and e-mail address)

h. Awards or recognition received, where applicable.

The offeror shall describe any previous teaming experience between current team members, if not described in the project list. The Government will evaluate the extent of recent, related experience of the prime contractor and team members as relevant to their role on this project. If Corporate Experience is provided for the teaming member, instead of the prime construction contractor, a letter of commitment is required for it to be acceptable.

Evaluation Criteria

The Government will evaluate the offeror’s Corporate Experience based on the below evaluation criteria:

To receive an Acceptable rating for this factor the offeror must demonstrate all of the minimum requirements:

1. Minimum of 3 and no more than 5 construction projects (design for construction is not acceptable).

2. Projects must include repair/remodel and modernize mechanical systems of military buildings or similar commercial construction.

3. Similar Project Locations – i.e. Military Installations

4. Demonstrated familiarity with applicable codes and local conditions.

5. Minimum construction contract cost of $1M, maximum $5M.

6. Completed or substantially completed (90%) within the last 5 years. If the project is not complete, offeror must provide a narrative that justifies 90% complete (i.e. construction schedule, interim CPARS, etc.)

TECHNICAL ACCEPTABLE/UNACCEPTABLE RATINGS

Rating Definition Acceptable Proposal meets minimum requirements of the solicitation.

Unacceptable Proposal does not meet the minimum requirements of the solicitation.

VOLUME 1 - FACTOR 2: PAST PERFORMANCE

Submission Requirements

For each of the Factor 1 Projects, one or more completed Past Performance Questionnaires (PPQ) and/or a final Contractor Performance Assessment Reporting System (CPARS) should be submitted with your proposal. Past performance for each Factor 1 project is required to be acceptable. While the Government may elect to consider data from other sources, the burden of providing detailed, current, accurate and complete past performance information rests with the offeror.

Ensure correct phone numbers and email addresses are provided for the client point of contact. Completed PPQs should be submitted with your proposal. If the offeror is unable to obtain a completed PPQ from a client for a project(s) before the proposal closing date, the offeror may have the client provide the PPQ. Offerors should follow-up with clients/references to ensure timely submittal of questionnaires. At the client requests, questionnaires may be submitted directly to the Government’s point of contact, Joseph Weber at Joseph.Weber.7@us.af.mil. Offerors shall not incorporate by reference into their proposal PPQs previously submitted for other RFPs. However, this does not preclude the Government from utilizing previously submitted PPQ information in the past performance evaluation.

Past performance information shall be obtained from any other sources available to the Government, to include, but not limited to Contractor Performance Assessment Reporting System (CPARS), Federal Awardee Performance and Integrity Information System (FAPIIS), Electronic Subcontract Reporting System (eSRS), or other databases;

interviews with Program Managers, Contracting Officers, and Fee Determining Officials; and the Defense Contract Management Agency.

To improve accuracy of database searches, the offeror will also provide the CAGE Codes for the prime contractor and all teaming partners, i.e. Joint Venture Partners, whose experience is relevant under Factor 1. The Government may contact and interview points of contact on the Past Performance Questionnaires. The Government reserves the right to interview other individuals acting for the listed references, if the listed reference is not available.

Offerors with no past performance information will not be rated favorably or unfavorably and will receive a neutral rating.

At no time during this process, nor during the debriefing, nor after award, will the names of the individuals providing additional reference information about an offeror’s past performance be revealed to the offerors or to any other party. If discussions are held, offerors may be afforded the opportunity to respond to adverse comments made by references in accordance with guidelines identified in FAR Part 15.3. In this case, comments will be extracted and provided to the offeror. Copies of the questionnaires will not be furnished to the offeror and will remain confidential.

Evaluation Procedures

PERFORMANCE CONFIDENCE ASSESSMENT

The past performance evaluation will result in an assessment of the offeror’s probability of successfully meeting the solicitation requirements. The past performance evaluation considers each offeror's demonstrated recent and relevant record of performance in supplying construction services that meet the contract requirements. One performance confidence assessment rating is assigned for each offeror after evaluating the offeror's recent past performance, focusing on performance that is relevant to the contract requirements. In reviewing each past performance effort by the offeror, the SST will first evaluate the relevancy and recency of the projects.

An offeror’s past performance effort will be considered recent and relevant if it meets the minimum requirements for Technical Factor 1, Corporate Experience. Each past performance effort will be assigned one of the levels of relevancy shown in Table 1:

Table 1: Past Performance Relevancy Ratings Rating Definition Relevant Past performance effort involved essentially the same scope and magnitude of effort and complexities for the Corporate Experience factor.

Not Relevant Past performance effort involved little or none of the scope and magnitude of effort and complexities for the Corporate Experience factor.

For each past performance effort, the SST will then evaluate how well the contractor performed on the contracts (Quality of Performance). The past performance evaluation will not establish, create, or change the existing record and history of the offeror’s past performance on past contracts. The Overall Rating for the performance record must be above a Marginal Rating to be Acceptable.

In conducting the performance confidence assessment, the offeror shall be assigned one of the ratings in Table 2.

Table 2: Past Performance Evaluation Ratings

Past Performance Evaluation Ratings Rating Definition

Confidence/Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort.

No Confidence/Unacceptable Based on the offeror’s performance record, the Government does not have a reasonable expectation that the offeror will be able to successfully perform the required effort.

*Offerors without past performance will receive a rating of Neutral (Thus Acceptable)

VOLUME 2 - FACTOR 3: PRICE PROPOSAL

Submission Requirements

Offerors shall submit the Price Proposal consistent with the CLINS included in the solicitation (Price Proposal Schedule). The Price Proposal Schedule consists of the original signed Standard Form 1442 “Solicitation, Offer, and Award”; providing a price for all line items in the corresponding bid schedule; and acknowledgement of all amendments to the solicitation. Proposed prices must be entered for all items of the Price Proposal Schedule.

Evaluation Criteria

Price will not be rated or scored, but will be evaluated for fairness and reasonableness through the use of price analysis. The SSEB will evaluate the reasonableness of the price proposal using their expert judgment. The SSEB will also evaluate for unbalanced pricing. In the event, during the course of the analysis, the SSEB has reason to question the reasonableness of a price proposal, the SSEB may conduct such additional fair and reasonable analysis as it requires in order to complete a thorough price analysis. Because the evaluation of the price proposal will represent a portion of the total evaluation, it is possible that an offeror might not be selected because of an unreasonable price proposal. The price proposal will also be evaluated for completeness; all price information required by the RFP must be submitted.

SAMPLE TRANSMITTAL LETTER

PAST PERFORMANCE QUESTIONAIRE

Date_______________

To: _________________________________

We have listed your firm as a reference for work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Kansas Air National Guard. In accordance with Federal Acquisition Regulations (FAR), an evaluation of our firm’s past performance will be completed by the Kansas Air National Guard. Your candid response to the attached questionnaire will assist the evaluation team in this process.

We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Please respond in time for us to include the questionnaire with our proposal, which is due on _____________. Only one response from each office is required. If at all possible, we suggest that you individually answer this questionnaire and then coordinate your responses with that of _________________, to forge a consensus on one overall response from your organization. Please return completed questionnaires to the following:

If you would prefer to respond directly to KSANG, your completed questionnaire may be sent to the following address:

Kansas Air National Guard ATTN: Joseph Weber 5920 SE Coyote Dr.

Topeka, Kansas 66619-1429

The questionnaires can also be e-mailed to joseph.weber.7@us.af.mil.

PAST PERFORMANCE QUESTIONNAIRE

NAVFAC PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information:

Firm Name:

Address:

Phone 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 Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Title:

Location:

Award Date (mm/dd/yy):

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 the project relevant to project 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:

8. Client’s Signature:

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable No information or did not apply to your contract

Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance

E VG S M U N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E VG S M U N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract

E VG S M U N

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project? E VG S M U N

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

E VG S M U N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

E VG S M U N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes

E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program)

E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)?

E VG S M U N

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG S M U N

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance

E VG S M U N

with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.

Yes No

e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Yes No

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

Yes No

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements.

E VG S M U N

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this contractor.

E VG S M U N

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):

(End of Summary of Changes)