RFP_Atch_3_-_Self_Assessment.pdf

ATTACHMENT 3

“SELF ASSESSMENT” -- PAST PERFORMANCE WORKSHEET

(To be completed BY EACH OFFEROR for each project or JOC submitted as experience on Attachments 1, 1a, 2, 2a)

FOR ATTACHMENT # _____, PROJECT # _____ OR JOC # ______

Offeror:

Project and Location:

Owner:

Owner’s Point of Contact (Full Name): Telephone:

Email Address:

Awarded Cost: Final Cost:

Explain Cost Growth, if any:

Date of Award: Original Completion Date: Revised Completion Date:

Explain Time Growth, if any:

General Scope of Work:

Explain Offeror’s Role:

Work Your Company Self-Performed: Extent and Type of Work You Subcontracted Out:

Describe Relevancy of this project by checking all applicable boxes below and provide any additional narrative below each box to support relevancy assessment; address scope, magnitude and complexity as compared to the scope of this RFP. Higher relevancy will be assessed based on ability to meet multiple relevancy criteria listed below.

(1) Job Order Contracts, Saber Contracts, IDIQ type contracts - Contracts identified as JOS, Saber or IDIQ contracts may increase the factor rating for Factor 1 Provide narrative here; use next page as necessary:

(2) Construction, Repair, Renovation, SRM type contracts of at least $2 Million

(3) Concurrent Construction on Multiple Projects performed simultaneously

Your Performance Evaluation by Owner, if known – Describe your rating for this project; provide narrative here; use additional pages as necessary: