forms SSP .docx

PHASE ONE - TAB A

PROPOSAL DATA SHEET ATTACHMENT 1

1. Project and Solicitation number:

2. Name of Firm: Address:

Phone and Fax:

E-mail:

DUNS # (used for accessing the Construction Contractor Appraisal Support System (CCASS) or A-E Contractor Administration Support System (ACASS) Database) also provide any other assigned number that identifies the member firm(s) in the ACASS or CCASS databases. If a separate DUNS has been created for a joint venture (J-V) it must also be submitted. Provide a DUNS number for each company identified in any proposed Contractor-subcontractor association of firms. If the firm is a joint venture or contractor-subcontractor association of firms, list the individual firms and briefly describe the nature of the association. Provide DUNS for each.

Firm 1:

Firm 2:

Firm 3:

Nature of Association:

3. AUTHORIZED NEGOTIATORS. FAR 52.215-11. The Offeror represents that the following persons are authorized to negotiate on its behalf with the Government in connection with this Request for Proposals (RFP). [List names, titles, and telephone number of the authorized negotiator.]

Name of Person (s) Authorized to Negotiate: Negotiator's Address:

Negotiator's Telephone:

COMPANY SPECIALIZED EXPERIENCE - CONSTRUCTION OR PRIME CONTRACTOR

ATTACHMENT 2

Provide the following information to show examples of projects your company constructed within the last ten years indicating experience with projects of similar type and scope. Use one form per project. Use additional space as needed.

1. Type of Project Represented

2.

3. Project Name and Contract Number

4. Location of Project

5. Owner

6. General Scope of Construction Project

7. Describe how this project is relevant to the elements of the solicited project

8. Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self- Performed :

9. Construction Cost:

10. Extent and Type of Work You Subcontracted Out

11. Dates Construction: Began Completed Percentage of Completion

12. Your Performance Evaluation by Owner and Awards and Recognitions (if any)

13.

an Explanation)

14.

15. Current Telephone Number of Owner Reference

16. Owner email address

COMPANY SPECIALIZED EXPERIENCE - DESIGN FIRM OR IN-HOUSE DESIGN CAPABILITY- ATTACHMENT 3

Provide the following information to show examples of projects your design firm or in- house designers designed within the last ten years indicating experience with design considerations and development of designs for Relevant Specialized Experience. Use one form per project. Use additional space as needed.

1. Type of Project Represented

2.

3. Project Name and Contract Number

4. Location of Project

5. Owner

6. General Scope of Design and Construction Project

7. Describe how this project is relevant to the elements of the solicited project

8. Summary of Your Role in Design of this Project

9.

10. Extent and Type of Work You Subcontracted

11. Dates Design: Began Completed Percentage of Completion_

12. Dates Construction: Began Completed Percentage of Completion_

13. Your Performance Evaluation, Awards and Recognitions (if any)

14. Were You Terminated?

15.

16. Current Telephone Number of Owner Reference

17. Owner email address

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE

ATTACHMENT 4 (Form PPQ-0) FOR INFORMATION ONLY

CONTRACT INFORMATION

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:

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:

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

PLEASE PROVIDE THE ADJECTIVE RATING WHICH BEST REFLECTS

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)

VG

S

M accomplish tasks identified in the contract

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)

VG

S

M

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

VG

S

M

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

VG

S

M

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes

E

VG

S

M

U

N

5. COST/FINANCIAL MANAGEMENT

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E

VG

S

M

U

N

c) If this is/was a Government cost type contract, please 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 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.)

VG

S

M

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

END OF QUESTIONNAIRE

KEY PERSONNEL RESUME ATTACHMENT 5

Provide information, listed below, on separate sheets showing qualifications of the Project Manager, Electrical Engineer Designer of Record, Construction Quality Control Manager, and General Superintendent. Use a continuation sheet, if needed. NOTE: Match the positions on this page to the list of key personnel in the narrative submission requirements and evaluation criteria. Provide information of experience during the construction of projects similar to Relevant Specialized Experience for the On-Site Construction Quality Control Manager and General Superintendent. Provide the position held and dates for projects (month and year) so the required number of years of experience are clearly demonstrated.

Your Name and Title

Your Assignment on this Project Name of Your Firm

Describe Your Specific Experience and Qualifications Relevant to this Project (Include dates and your role on the projects used to describe your Specific Experience and Qualifications):

LETTER OF COMMITMENT FOR KEY PERSONNEL ATTACHMENT 6

TO: Name of Offeror

SUBJECT: Letter of Commitment for Proposed Contract for _ Dear Sir or Madam:

I hereby make the unequivocal commitment that, in the event of an award of a contract to (Fill in name of Proposer), that I will fulfill the duty of (Job Title or Type of Work).

Sincerely, (prospective employee signs)

Date:

LETTER OF COMMITMENT FOR DESIGN FIRM (USE COMPANY LETTERHEAD) ATTACHMENT 7

TO: Name of Offeror

SUBJECT: Letter of Commitment for Proposed Contract for _ Dear Sir or Madam:

I hereby make the unequivocal commitment that, in the event of an award of a contract to (Fill in name of Proposer), that (insert name of design firm) will fulfill the duties of (state role on a project)

Sincerely, (Authorized Official)

Date:

LETTER OF COMMITMENT OF KEY SUBCONTRACTOR

ATTACHMENT 8

TO: Name of Offeror SUBJECT: Letter of Commitment for Proposed Contract for _ Dear Sir or Madam:

I hereby make the unequivocal commitment that, in the event of an award of a contract to (Fill in name of Proposer), that (insert name of firm) will fulfill the duties of (state role on a project)

Sincerely, (Authorized Subcontractor Official) Date:

*r image4.png image5.png image6.png image7.png image8.png image9.png image10.png image11.png image12.png image13.png image14.png image15.png image16.png image17.png image18.png image19.png image20.png image21.png image22.png image23.png image24.png image25.png image26.png image27.png image28.png image29.png image30.png image31.png image32.png image33.png image34.png image35.png image36.png image37.png image38.png image39.png image40.png image41.png image42.png image43.png image44.png image45.png image46.png image47.png image48.png image49.png image50.png image51.png image52.png image53.png image54.png image55.png image56.png image57.png image58.png image59.png image60.png image61.png image62.png image1.png image63.png image64.png image65.png image66.png image67.png image68.png image69.png image2.png image3.png