C-5__Solicitation_Attachments_13-R-0018.docx

Project Name

X

a) Projects located within Latvia.

b) Design-build experience.

c) Demonstrate experience in construction practices of repairing and renovating interior walls; leveling concrete floor slabs; tile flooring installation; acoustical suspended ceiling installation; removal and installation of doors and windows; and interior plumbing systems, including fixtures, drains, and piping.

d) .Demonstrate experience in the installation and repair/replacement of mechanical systems and HVAC; mechanical rooms, including piping, radiators, hot water storage systems, electrical systems, and panel boards; and communications systems, including, telephone system and LAN equipment, electrical systems with backup power generation.

e) Demonstrate experience in the installation of oil/water separators, asphalt and concrete paving, and vehicle garage facilities.

f) Demonstrate experience in exterior building repair and renovation to include paint, plaster, windows and doors, insulation, and stairs and steps.

ATTACHMENT 1 Krasts Ambulance Support Center

EXPERIENCE INFORMATION SHEET

PROJECT NO. _____, Page 1 No more than three (3) projects will be evaluated Project Name and Location:

Experience:

1. The location work was performed, work performed in Country will be considered more relevant: ___________________________________

2. The day, month, and year work was completed; work must be completed within the last five (5) years. For work still ongoing, the work must be at least 50% complete:__________________________

3. The final cost of this project, must be between $100,000 and $1,000,000: $____________________

4. Is this project more than 50% complete? ____ Yes ____ No If “No” explain percentage of completion, if not 50% complete for any reason, rating may be lower

5. Indicate whether the work was performed as the prime contractor, a subcontractor, or as a partner of a Joint Venture (JV). If work was performed as a subcontractor or JV partner, clearly describe what part of the work the firm for which the experience information is submitted performed (in both magnitude and description of the work performed).

6. Projects considered relevant shall be completed or at least 50% complete; performed in country of work; performed within the last five (5) years; between $100,000 and $1,000,000 and in the following trades:

Please provide a detailed explanation of the construction work for the submitted project. Offerors demonstrating multiple projects with experience in the categories listed above will be considered more relevant than Offerors submitting one (1) example.

Do not provide a listing of existing or previous contracts, but rather provide detailed information of construction work for projects in at least one of the following categories, but work in more than one category may receive a higher rating:

EXPERIENCE INFORMATION SHEET

PROJECT NO. _____ Page 2 Offeror: A contractor and/or company submitting a proposal for this solicitation.

Prime Contractor: A contractor that performed at least 20% of the work, and managed all other work for the project.

Sub Contractor: A contractor that performed part of the project work, but did not manage the entire project.

Joint Venture: More than one contractor with a legal binding agreement to work together.

Key Subcontractor: A contractor that has signed a letter of commitment to perform work for the duration of the contract for the Offeror, and the Offeror is allowed to take credit for the Key Subcontractor’s experience the project.

6. Mark one of these selections:

Work was completed as the ____ Prime ____ Subcontractor ___ Joint Venture __ Key Subcontractor

a. No additional information is required for work performed as the Prime other than what is on Page 1 of this form.

b. If work was as a Joint Venture, explain the relationship of the company, which company performed the work, and how the work performed and the relationship provides an added benefit for experience.

c. If work was performed as a Key Subcontractor, explain how the work performed as a Key Subcontractor provides an added benefit for experience:

d. If work was as a Subcontractor, explain how the work performed as a Subcontractor is a benefit for experience such as, responsible for the work performed and managed the portion of work performed including submittals:

e. Ensure you provide a letter signed by both the Offeror and the Key Subcontractor in order to take credit for the project work. Besides the signed letter, no additional information is required other than what is on Page 1 of this form

ATTACHMENT 2

Krasts Ambulance Support Center

USACE PAST PERFORMANCE QUESTIONNAIRE ATTACHMENT 3

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name:

Address:

Phone Number:

Email Address:

DUNS Number:

2. Work Performed as: ❑ Prime Contractor Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

❑ Other (Please specify):

Contract Type: ❑ Firm Fixed Price ❑ Cost Reimbursement 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:

6. Describe the client's role in the project:

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 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

ATTACHMENT 3

Krasts Ambulance Support Center

TO BE COMPLETED BY CLIENT - ATTCHMENT 3

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR'S PERFORMANCE.

E = EXCELLENT, VG = VERY GOOD, S = SATISFACTORY, M = MARGINAL,

U = UNSATISFACTORY, N= NOT APPLICABLE

1. QUALITY:

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

3. CUSTOMER SATISFACTION:

4. MANAGEMENT PERSONEL/LABOR:

5. COST/FINANCIAL MANAGEMENT

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

YES

NO

6. SAFETY/SECURITY

7. GENERAL

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 (attach additional pages if necessary):

PHASE II

KEY PERSONNEL RESUME

Provide information, listed below, on separate sheets showing qualifications of: prime contractor’s project manager responsible for design and construction, and the Designers of Record. 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.

(a) Your Name and Title:

(b) Your Assignment on this Project:

(c) Name of Your Firm:

(d) No. of Years: With this Firm__________ With other Firms____________

(e) Education: Degree(s)/Year/Specialization:

(f) MUST COMPLETE: Active Registration/Certification, if any: No._______, State(s) ______, Countries_______, First Year/ Current Year ______/______, N/A, please describe how designs will be registered/certified in order to meet the solicitation requirements.

(g) Describe Your Specific Experience and Qualifications Relevant to this Project:

ATTACHMENT 4

Combat Dive Center, Lithuania

PHASE II

LETTER OF COMMITMENT FOR KEY PERSONNEL

(FOR SUBCONTRACTORS, TEAM MEMBERS, JOINT VENTURE PARTNER)

TO: Contracting Officer 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).

Sincerely, (prospective employee signs)

Date: ________