Attachment 4 PREAWARD SURVEY 22 Jun 06.pdf

PREAWARD SURVEY OF PROSPECTIVE CONTRACTORS

CONSTRUCTION CONTRACTS

It is the general policy of the Department of Defense that contracts shall be awarded only to contractors determined to be responsible in accordance with Part 9 of the Federal Acquisition Regulation (FAR).

No contract shall be awarded to any person or firm unless the Contracting Officer first makes an affirmative determination that the prospective contractor is responsible within the meaning of the FAR, Part 9.

Before making a determination of responsibility, the Contracting Officer shall have in his/her possession or obtain information sufficient to satisfy himself/herself that a prospective contractor currently meets the minimum FAR Part 9 standards.

In order to make the required determination and also to expedite the contract award, the following information must be submitted by the Contractor as directed (see Section 00100, 52.0209-4501):

A. COMPLETED CONTRACTOR EXPERIENCE DATA FORM WITH SUPPLEMENTAL SCHEDULES A-D

(ATTACHED).

B. LATEST FINANCIAL STATEMENTS. IF THE FINANCIAL STATEMENT IS MORE THAN 60 DAYS

OLD, SUBMIT A CERTIFICATE STATING THAT THE FIRM'S FINANCIAL CONDITION IS

SUBSTANTIALLY THE SAME, OR, IF NOT THE SAME, STATE THE CHANGES THAT HAVE

TAKEN PLACE.

C. PROVIDE LETTERS FROM BANKS OR OTHER FINANCIAL INSTITUTIONS WITH WHICH THE

CONTRACTOR CONDUCTS BUSINESS. THE LETTERS SHOULD CONTAIN INFORMATION ABOUT

YOUR FIRM'S ACCOUNTS, LOANS, LINES OF CREDIT, ETC., PROVIDING INFORMATION

LEADING TO A DETERMINATION THAT YOUR FIRM IS "RESPONSIBLE" AS DEFINED IN THE

FEDERAL ACQUISITION REGULATION, PART 9, "HAS THE FINANCIAL RESOURCES TO

PERFORM THE CONTRACT OR THE ABILITY TO OBTAIN THEM". THE GOVERNMENT IS

INTERESTED IN FINANCIAL STABILITY, TIMELY PAYMENTS, THE LENGTH AND NATURE OF

THE RELATIONSHIP BETWEEN THE FIRM AND THE FINANCIAL INSTITUTION, ETC. WHICH

REVEALS THE FIRM'S FINANCIAL ABILITY TO PERFORM THE CONTRACT. THE LETTERS

SHOULD ALSO PROVIDE THE NAME AND TELEPHONE NUMBER OF THE BANK REPRESENTATIVE

THE GOVERNMENT MAY CONTACT.

BE SURE TO INCLUDE IN YOUR PREAWARD SURVEY, INFORMATION ON ANY CONTRACTS YOU

HAVE HAD WITH THE SACRAMENTO DISTRICT, CORPS OF ENGINEERS, WITHIN THE LAST 12

MONTHS.

THESE DOCUMENTS SHALL BE TREATED BY THE GOVERNMENT AS CONFIDENTIAL.

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Attachment 4 W91238-10-B-0005

CONSTRUCTION CONTRACTOR EXPERIENCE DATA

DATE:

Firm Name and Telephone Number Main Office Address (Street, City, and State)

Branch Offices Services Rendered Construction Design Consultant

Organization Individual Joint Venture Partnership Corporation

Date Organized Date Incorporated:

State:

Names of Officers and Other Key Personnel

I – PRESENT PAYROLL PERSONNEL (List Number of Each Category Below)

Remainder: Partners:

Officers:

Other Key:

Total:

Subtotal Permanent:

Maximum Personnel at Any Time:

Date:

II—EQUIPMENT OWNED

III—FINANCIAL DATA AS OF

(DATE):

Present Value ($) Current Assets:

Current Liabilities: Acquisition Cost ($) Net Worth:

IV—TOTAL VALUE OF CONSTRUCTION AND DEMOLITION

WORK IN PAST 6 YRS EXCLUSIVE OF JOINT VENTURE

(LIST MOST RECENT FIRST)

V—LARGEST JOB EVER

CONTRACTED

(If Other Than in Past Six Years)

$ LARGEST JOB IN PAST 6 YRS

Avg. Annual Income

Contract Amount:

Date:

Description:

Owner:

Contract Amount:

Date:

Description:

Owner:

VI—TYPE OF WORK IN WHICH FIRM SPECIALIZES

NAME AND POSITION/TITLE OF PERSON SIGNING

SIGNATURE

NOTE: Use reverse side for explanations or detailed description of item(s) reported above.

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SCHEDULE A

EXISTING COMMITMENTS: (List below the construction projects your firm has under way on this date, including those on which you are presently low bidder but have not received an award.)

CONTRACT NUMBER PERCENT PERCENT

AND AMOUNT DESCRIPTION OF WORK FOR WHOM PERFORMED* COMPLETE SUBLET

* PROVIDE NAME OF ORGANIZATION, POINT OF CONTACT AND TELEPHONE NUMBER FOR

CONTACT.

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SCHEDULE B

EXPERIENCE DATA: (List below the principal construction projects your firm has completed within the past six (6) years.)

PERCENT

CONTRACT NO. AMOUNT DESCRIPTION/LOCATION CONTACT PERSON/PHONE NO. SUBLET

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SCHEDULE C

CONSTRUCTION AND/OR TECHNICAL EOUIPMENT: (List total equipment and facilities owned for performing the work and present status as to whether or not it is committed to existing contracts.)

YEARS OF PRESENT

QUANTITY DESCRIPTION CONDITION SERVICE STATUS

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