W912DR-12-R-0012 - Attachments in Word.docx

Attachment A

CONTRACTOR’S TASK ORDER BASE CONTRACTS

Contractor’s Name: ______________________ _____________________________________________________

Contract Owners Point of Contact and Title: ________________________________________________________

Contract Owner’s Email: _______________________________________________________________________

Contract Owner’s Phone number: ________________________________________________________________

Type of Contract (SATOC, MATOCC, JOC, SABER, etc): __________________________________________

Capacity of Contract: $_________________________________________________________________________

Number of Task Orders Issued to Date: ____________________________________________________________

Available Capacity: $__________________________________________________________________________

Detailed Scope of Base Contract: _________________________________________________________________

Narrative on ability and success at managing multiple task orders concurrently: _____________________________

Attachment B

Task (Delivery) Orders Issued. Include the following information regarding each task order under the contract. You may put this information in a matrix or a table. Sample Matrix follows.

0. Task Order Number

0. Scope of Work

0. Dollar Value of Task order (initial award value and final value)

0. Period of Performance of Task Order (initial period and actual period)

0. Subcontractors used on task order, discipline and percent of work (to include AE)

0. Lost time accidents

0. Owner of the project

0. Additional information regarding the task order to include challenges, lessons learned, awards earned or any other information

Attachment C

CONTRACTOR’S PAST EXPERIENCE

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Contractor’s Name (Who performed the work?):

Project Name:

Project Location:

City, State

Project Owner: Point of contact information (owner name, POC name, address, and phone minimum) If Government Contract, additionally provide the contract number and contracting office)

Detailed Description: General scope and relevance. Provide a description of the project. Be sure to include features of this project that make it comparable in type or nature to the proposed project described in this request for proposal.

Detailed Explanation of Relevancy:

Problems encountered during performance and solutions to stated problems:

Lessons learned:

Schedule:

Start Date:

MM-DD-YYYY

Original Completion:

MM-DD-YYYY

Final Contract Completion:

MM-DD-YYYY

Beneficial Occupancy Date:

MM-DD-YYYY

Cost

Original Project Cost:

Final Project Cost:

Cost Difference

Original Subcontractor Cost:

Final Subcontractor Cost:

Cost Difference

Attachment D NAVFAC/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 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

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

3. CUSTOMER SATISFACTION:

4. MANAGEMENT/ PERSONNEL/LABOR

5. COST/FINANCIAL MANAGEMENT

6. SAFETY/SECURITY

7. GENERAL

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):