Attachments_1_thru_7.pdf

East Branch Cutoff Wall Construction Project

Solicitation W911WN-13-R-0002

Attachments 1 thru 7

SOLICITATION: W911WN-13-R-0002

ATTACHMENT 1:

PAST PERFORMANCE QUESTIONNAIRE

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information

Firm Name: CAGE Code:

Address: DUNs Number:

Phone Number:

Email Address:

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 the prime (Name/Phone #):

3. Contract Information

Contract Number:

Delivery/Task Order Number (if applicable):

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

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract 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 this project relevant to project of 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 (mm/dd/yy):

8. Client’s Signature:

NOTE: NAVFAC/USACE REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO USACE WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON USACE SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO USACE. PLEASE CONTACT THE OFFEROR FOR USACE POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL

INFORMATION ON THIS FORM.

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

E VG S M U N

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).

ATTACHMENT 2:

SMALL BUSINESS PARTICIPATION PLAN

All Offerors (both large and small businesses) are required to complete a Small Business Participation Proposal.

Offerors should propose the level of participation of small businesses (as a small business prime and/or small business subcontractors) in the performance of the acquisition relative to the objectives/goals set forth in the evaluation of this area.

(a) Check the applicable size and categories for the PRIME offeror only -- Check all applicable boxes:

{ } Large Prime or

{ } Small Business Prime; also categorized as a

{ } Small Disadvantaged Business (SDB)

{ } Woman-Owned Small Business (WOSB)

{ } Historically Underutilized Zone (HUB Zone) Small Business

{ } Veteran Owned Small Business (VOSB)

{ } Service Disabled Veteran Owned Small Business (SDVOSB)

(b) Submit the total combined percentage of work to be performed by both large and small businesses (include the percentage of work to be performed both by Prime and Subcontractors):

Example: If Prime proposes a price of $1,000,000 (including all options), and small business(es) will provide $250,000 in services/supplies as a prime or subcontractor, the % planned for small businesses is 25%; and 75% for large business equaling 100%.

Total Percentage planned for Large Business(es) _______% = $ _______

Total Percentage planned for Small Business(es) _______% = $ _______

(Total Percentage of Large and Small Business must equal 100%)

(c) Please indicate the total percentage of participation to be performed by each type of subcategory small business. The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category:

Example: Victory Prop Mgt (WOSB and SDVOSB) performing 2%; and Williams Group (SDB, HubZ and WOSB) performing 3%. Results equate to: SDB 3%; HubZone 3%; WOSB 5%; SDVOSB 2%; VOSB 2%;). SDVOSBs are also VOSBs automatically; however VOSBs are not automatically SDVOSBs.

Small Disadvantaged Business _________%

HUB Zone Small Business _________%

Woman Owned Small Business _________%

Service Disabled Veteran Owned SB _________%

Veteran Owned Small Business _________%

(d) List principle supplies/services to be performed by Small Businesses:

Example: If a Small Business qualifies also as a WOSB and a SDVOSB, and you can add them to each category below in which they qualify.

Name of Company Identify Type of Service/Supply

Name of Company Identify Type of Service/Supply

Small Business (SB):

Small Disadvantaged Business (SDB):

Women-Owned Small Business (WOSB):

Historically Underutilized Business Zone (HUB Zone):

Veteran Owned Small Business (VOSB):

Service Disabled Veteran Owned Small Business (SDVO):

(e) Describe the extent of commitment to use small businesses (for example, what types of commitments if any are in place for this specific acquisition either – small business prime, written contract, verbal, enforceable, non-enforceable, joint venturing, mentor-protégé, etc.)

(f) Large Business Subcontracting Past Performance: Describe the extent to which you attained applicable goals for contracts that required you to submit a Subcontracting Plan. Provide an explanation of your efforts where you failed to meet goals. (insert some blank lines)

Additional Important Note for Other Than U.S. Small Businesses ONLY.

Small Business Subcontracting Plan is Required (FAR 52.219-9)

Separate from Small Business Participation Plan, other than U.S. Small Business offerors must also submit a subcontracting plan meeting the requirements of FAR 52.219-9 and DFARS 252.219-7003 (or DFARS 252.219- 7004 if the offeror has a comprehensive subcontracting plan). Other than U.S. Small Businesses must submit acceptable subcontracting plans to be eligible for award. Subcontracting Plans shall reflect and be consistent with the commitments offered in the Small Business Participation Plan.

ATTACHMENT 3:

PAST UTILIZATION OF SMALL BUSINESS PARTICIPATION INFORMATION COLLECTION SHEET

INFORMATION COLLECTION SHEET

PROJECT: East Branch Dam Cutoff Wall Project

Past Utilization of Small Business Participation Plan Information Collection Sheet - Completed Federal Contracts (Submit this sheet with your Small Business Participation Plan

TO BE COMPLETED BY THE OFFEROR. SUBMIT A SEPARATE SHEET FOR EACH REFERENCE.

The purpose of this sheet is to collect information regarding compliance with FAR 52.219-8 in previous contracts. The categories of interest are: small business (SB), small disadvantaged business (SDB), veteran-owned small business (VOSB), service-disabled veteran-owned small business (SDVOSB), HUBZone small business, and women-owned small business (WOSB). Definitions for all terms except small business concern can be found at FAR 2.101. The definition of small business concern can be found at FAR 19.001. For this collection sheet, any concern unable to meet the definition for small business concern shall be considered “other than small business” concern. A SB concern may also qualify in one or more of the other categories. Small businesses may count themselves as part of the small business compliance. When completing the sheet, the offeror should check all categories that apply.

1. Your firm’s name: 2. Contract number of referenced project:

3. Date completed____________. (Do not submit information for an active contract.)

4. Contract price: $___________________

5. Total amount subcontracted: $______________ Amount subcontracted to: LB:

$_________________ SB (in this total include all awards to SB, SDB, HUBZone SB, VOSB, SDVOSB, and WOSB): $_________________

6. Of the total amount subcontracted to SB, how much was subcontracted to: SDB:

$________________ HUBZone SB:

$_________________ VOSB: $________________

SDVOSB: $_________________ WOSB:

7. Contracting Officer’s name and telephone number:

8. In blocks below enter dollar amount for work performed by your firm and by each listed subcontractor:

Name of Firm: Offeror CHECK EACH CATEGORY THAT APPLIES

Phone: L B

S B

SD B HUBZONE

SB

VOS

B

SDVO

SB

WO

SB

Amount: $

Name of Firm: CHECK EACH CATEGORY THAT APPLIES

Phone: L B

S B

SD B HUBZONE

SB

VOS

B

SDVO

SB

WO

SB

Amount: $

Name of Firm: CHECK EACH CATEGORY THAT APPLIES

Phone: L B

S B

SD B HUBZONE

SB

VOS

B

SDVO

SB

WO

SB

Amount: $

Name of Firm: CHECK EACH CATEGORY THAT APPLIES

Phone: L B

S B

SD B HUBZONE

SB

VOS

B

SDVO

SB

WO

SB

Amount: $

Name of Firm: CHECK EACH CATEGORY THAT APPLIES

Phone: L B

S B

SD B HUBZONE

SB

VOS

B

SDVO

SB

WO

SB

Amount: $

Name of Firm: CHECK EACH CATEGORY THAT APPLIES

Phone: L B

S B

SD B HUBZONE

SB

VOS

B

SDVO

SB

WO

SB

ATTACHMENT 4:

PROPOSAL DATA SHEET

1. IDENTIFICATION OF OFFEROR

Name of Firm: ______________________________________________________________________

Address:___________________________________________________________________________

Phone:_____________________________________________________________________________

Fax:_______________________________________________________________________________

E-mail:_____________________________________________________________________________

Data Universal Numbering System (DUNS)#: _____________________________________________

(DUNS # is used for accessing the CCASS or ACASS.)

2. IDENTIFICATION OF JOINT VENTURE PARTICIPANTS

Provide any other assigned number that identifies the member firm(s) in the ACASS or CCASS databases. If a separate DUNS has been created for a joint venture, it must also be submitted. Provide a DUNS number for each company identified in any proposed Contractor-subcontractor association of firms. If the firm is a joint venture or contractor-subcontractor association of firms, list the individual firms and briefly describe the nature of the association. Provide DUNS # for each.

Firm 1:_____________________________________________________________________________

DUNS#:____________________________________________________________________________

Firm 2:_____________________________________________________________________________

DUNS#: ____________________________________________________________________________

Firm 3:______________________________________________________________________________

DUNS#:_____________________________________________________________________________

Nature of Association:__________________________________________________________________

3. AUTHORIZED NEGOTIATORS

Reference FAR 52.215-1. The Offeror represents that the following persons are authorized to negotiate on its behalf with the Government in connection with this RFP.

Name of Person Authorized to Negotiate:___________________________________________________

Negotiator's Address:___________________________________________________________________

Negotiator's Telephone:_________________________________________________________________

Negotiator’s E-mail:____________________________________________________________________

ATTACHMENT 5:

SAMPLE KEY PERSONNEL EXPERIENCE TABLE

EXAMPLE

Project A Project B Project C Project D

Employee 1 Job Title X

Employee 2 Job Title Y

John Smith Concrete Specialist

ATTACHMENT 6:

OFFEROR’S EXPECTED FUNDING PROFILE

FY13

01 October 2012 thru 30 September 2013

FY14

01 October 2013 thru 30 September 2014

FY15

01 October 2014 thru 30 September 2015

FY16

01 October 2015 thru 30 September 2016

FY17

01 October 2016 thru 30 September 2017

FY18

01 October 2017 thru 30 September 2018

$___$3M____

ATTACHMENT 7: