MATOC EXHIBITS A-B.docx

IDIQ MATOC RFP W901UZ-22-R-0001

EXHIBIT A - PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 1: Prepare not more than five (5) Part 1 forms for general construction.

Provide the following information requested in this format for each of the projects/contracts being described. Projects may be on going and cannot have been completed any earlier than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required.

A. Offeror (Your) Name (Company/Division): ______________________________________________

B. Project/Contract Title: _______________________________________________________________

C. Contract Specifics:

1. Description of Effort as ___________Prime Contractor or _________Subcontractor

2. Contract Number__________________________________________________________

3. Original Contract $ Value _____________ Current/Final Contract $ Value ____________

4. If amounts in 3 above are different, provide a brief description of the reason:

5. Completion Date:

i. Original Date: ________________________________________________________

ii. Current Scheduled Completion Date( if ongoing): ___________________________

iii. Estimate/Final Completion Date:_________________________________________

iv. Primary cause for Contract Modifications__________________________________

v. If IDIQ Number of Task Orders issued:____________________________________

**If reference is for an IDIQ Contract provide items 1-3 above, contract completion date and number of task/delivery orders issued. The Basic Contract will not count as one of 5 contracts/projects. The basic contract alone will not be considered for relevancy. The proposal must discuss relevant task order(s ) complete to 90%. Count each TO discussed as a single project/contract.**

Task Order Number: _____________________________________________________ Title: __________________________________________________________________ Original TO $ Value: _____________ Current/Final $ Value: _____________________ If amounts above are different, provide a brief description of the reason:

Task Order Completion Date:

1. Original Date: _____________________________________________

2. Current Schedule if ongoing _________________________________

3. Estimate/Final Completion Date:_______________________________

4. Primary cause for Contract Modifications________________________

D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. Also discuss similarity of the client type, United States Green Building Council (USGBC) (LEED®) or similar sustainability requirements. Use as much space below as necessary to provide this description.

Additionally, please address the following items:

End of Part 1- Questionnaire Requirements – Prepare and send Exhibit C Package to the reference(s) for each of the five (5) General Construction projects.

EXHIBIT A - PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 2: Provide the following information one time.

Additional offeror information required, but not project specific. This information need only be provided once in your submission package.

2A. Applicable to all offerors - Describe your Compliance with the requirements of FAR clause 52.219-8, Utilization of Small Business Concerns (Oct 2014). Describe below the methods you have used to comply with this policy on prior federal contracts. Include any evidence, or a point of contact to verify this information, if available.

Even if you are a Small or Small Disadvantaged Business, this clause in Federal Contracts applies. It is the policy of the United States that 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 shall have the maximum practicable opportunity to participate in performing contracts let by any Federal agency, including contracts and subcontracts for subsystems, assemblies, components, and related services for major systems.) It is also policy to establish procedures to ensure the timely payment of amounts due pursuant to the terms of their subcontracts.

2B. Name subcontractors and/or Teaming Partners to be utilized on this contract. Multiple subcontractors may be named for the same discipline, but are limited to a maximum of three (3) subcontractors per discipline. As a minimum, provide the name(s) of subcontractors to be utilized in the following areas:

Electrical:

Mechanical:

Roofing:

Horizontal disciplines: (include paving and civil site work)

Each major subcontractor and/or Teaming Partner must also complete an Exhibit B, “Subcontractor Information and Consent Form” to be considered. Offerors shall have major subcontractors identify on the Exhibit B three references, owners (if they were the Prime) or other Prime contractors they have worked for. References for subcontractors from the proposing offeror are not acceptable. See Exhibit “B” format for information to be provided. Written references for subcontractors may be included and are encouraged. However, subcontractors do not need to send out Exhibit C questionnaires.

2C. Discuss assessment of liquidated damages on any contracts within the last five years. (frequency, circumstances, severity of problem, etc.)

2D. Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.

2E. Adequacy of implementation of safety plan; acceptable safety history; and the Experience Modification Rate (EMR).

IDIQ MATOC RFP W901UZ-22-R-0001

EXHIBIT B - SUBCONTRACTOR INFORMATION AND CONSENT FORM

Subcontractor and/or Teaming Partner Consent for the Release of Past Performance Information to the Prime Contractor and Reference Information

Past performance information concerning subcontractors and teaming partners cannot be disclosed to a private party without the subcontractor’s or teaming partner’s consent. Because a prime contractor is a private party, the Government will need that consent before disclosing subcontractor/teaming partner past and present performance information to the prime during exchanges. In an effort to assist the Government in assessing your past performance relevancy we request that the following consent form be completed by the major subcontractors/teaming partners identified in your proposal. The completed consent forms should be submitted to the offering contractor for submission with past performance volume.

___________________(Name of Firm) is currently planning on participating as a (subcontractor and or a teaming partner) with ___________________(prime contractor or name of entity providing proposal) in responding to the Request for Proposal No. W901UZ-22-R-0001 for IDIQ Multiple Award Task Order Contract (MATOC) for construction projects issued by the ND USPFO Contracting Office for the 119th Wing, Air National Guard, Fargo, ND.

We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

Company Name: ________________________ Telephone #____________________

Address: ______________________________

City/State/Zip Code:______________________ Date:_____________________

Reference List (required):