EXHIBIT_A_-_Performance_Relevancy_Questionnaire.pdf

Solicitation W911XK-17-R-0006 FY17 MacArthur Lock Embedded Gate Anchorage Replacement

EXHIBIT A

PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 1: EXPERIENCE INFORMATION FORM – PRIME CONTRACTOR

Prepare three (3) to five (5)

Provide the following information requested in this format for each of the three to five projects/contracts being described. Projects may be on going and cannot have been completed any earlier than 10 years from 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. Role (Check One): ______ Prime Contractor or ______ Subcontractor

2. Project/Contract Identification Number: __________________________________________

3. Project/Contract Name:______________________________________________________

4. Contract Value: $_____________________(initial) $_____________________(final)

If value changed from initial to final, primary reason for change:

5. Completion Date: ________________(planned) ________________(actual/forecast)

If value changed from planned to actual, primary reason for change:

6. Primary cause for Contract Modifications:

D. Provide a detailed description of the work performed under the contract, to include but not limited to: similarity of the construction methods; size; project scope; cost magnitude and complexity of work performed to those required for the proposed effort. Also discuss similarity of the client type and/or location at which work was performed to the location(s) at which work will be performed and the key personnel of the referenced project to the performance under the proposed contract.

In addition address the following

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and if those same subcontractors will be used on this project. If you intend to use these subcontractors please list name and principal areas of work they will perform.

3. Address any technical areas about this project you consider uniquely relevant to this project.

4. If you intend to use any of the same key personnel on this solicitation’s project indicate by name and position those personnel occupied on the referenced contract. (Project Manager, Site Superintendent, Safety Officer, Quality Control Manager). Indicate what position they will have on this solicitation’s contract.

5. Describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. (see Section 00120 for information.) (Use as much space as necessary)

E. List point of Contact for Owner/Government agency Contracting Officer and or inspector;

include a current phone number and facsimile number. Email address is also desired.

End of Experience Information Form