Section 00 21 16 Attachments A_B_C in MS Word format.docx

ATTACHMENTS

Attachment A

EXPERIENCE INFORMATION

(To be completed by Contractor) If the Offeror is in a Joint Venture, identify which contractor in the Joint Venture Completed the contract.

Offeror’s Name:

Address:

DUNS:

CAGE Code:

Contract / Task Order(TO) Number:

Contract / TO Award Amount:

Final Contract Price:

Award Date (mm/dd/yy): Period of Performance:

Original Completion Date: Percent Complete: ______%

Actual Completion Date (with time extensions):

Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) If subcontractor, who was the prime (Name/Phone #):

Percent of work self-performed: Specification Type: |_| Design-Build |_| Design-Bid-Build |_| Work Plan Construct

Contract Title and Location (city, state):

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

Type of construction (office building, barracks, warehouse, housing, hangars, road work, site improvement, etc.):

Contract Description. Include the role of the contractor on the contract and specific responsibilities of the contractor in performance of the effort (civil, architectural, structural, electrical, security, historical, communications, etc.):

Type / scope of work and percent performed by the Offeror:

Type / scope of work and percent performed by Subcontractors:

Quality Awards, Letters of Appreciation, etc.

Project Owner or Project Manager for the Client – provide:

Name:

Address:

Telephone Number and E-mail:

Attachment B

Design Project Information Sheet

Name of Offeror (offeror on this RFP): ____________________________

Name of Designer (firm that did the design work for this project): _____________________________

Indicate if the design on this project was completed by the Offeror, Joint Venture Teaming Member (on this RFP, shown in a signed Joint Venture Agreement), or by the Offeror’s proposed design subcontractor (on this RFP), as the Designer of Record (DOR):

Provide information for relevant projects to be used for Design Experience evaluation purposes. For each project, provide the following information (use additional sheets as necessary):

a. Type of project (check one):

_____Design-Bid-Build _____ Design-Build

b. Contract Number, Task Order Number and Project Title:

c. Location (where the project was or will be constructed):

d. Identify the Designer of Record for the project. Also, if the Offeror was involved in the project, identify the nature of the offeror’s involvement in the project.

e. Cost of Project Estimated construction cost: _____________________ Design amount: ___________________________

f. General Scope of Project:

g. Identify key work disciplines the design company/firm employed on this project:

h. Period of Performance:

Start Date: _______________________ Date Completed: _______________________

i. Provide 2 Points of Contact for Client/Agency (if client is the U.S. Government, provide name and address of contracting office, contract number, name and telephone number of Contracting Officer):

If unable to provide two (2) points of contact, provide at least one (1) point of contact.

(1) Name _______________________________ Telephone No. ___________________________ Fax No. ________________________________ E-mail: _______________________________________ Address: ___________________________________________________________

(2) Name _______________________________ Telephone No. ___________________________ Fax No. ________________________________ E-mail: _______________________________________ Address: ___________________________________________________________

SAMPLE TRANSMITTAL LETTER AND PAST PERFORMANCE QUESTIONAIRE

To: Date:

We have listed your firm as a reference for work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the U.S. Army Corps of Engineers, Honolulu District. In accordance with Federal Acquisition Regulations (FAR), an evaluation of our firm’s past performance will be completed by the Corps of Engineers. Your candid response to the attached questionnaire will assist the evaluation team in this process.

We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Please respond in time for us to include the questionnaire with our proposal, which is due on ___________. Only one response from each office is required. If at all possible, we suggest that you individually answer this questionnaire and then coordinate your responses with that ________________, to forge a consensus on one overall response from your organization. Please return completed questionnaires to the following:

If you would prefer to respond directly to USACE, your completed questionnaire may be sent to the following address:

U.S. Army Corps of Engineers, Honolulu District Contracting Division (Tracy N. Tenholder) Building 230, Otake Street Fort Shafter, Hawaii 96858-5440

The questionnaires can also be e-mailed to Tracy.N.Tenholder@usace.army.mil

Attachment C

USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of contract 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:

How is this contract relevant to contract 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 contract:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: 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 ITS 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.

ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

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.

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.

contract.

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.

unsatisfactory rating.

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVAL RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

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

3. CUSTOMER SATISFACTION:

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

4. MANAGEMENT/ PERSONNEL/LABOR

5. COST/FINANCIAL MANAGEMENT

PLEASE CIRCLE THE ADJECTIVAL RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

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)

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.

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).

VG

S

M

U

N

c) Would you hire or work with this firm again? (If no, please explain below)

Yes

No

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):

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