W912GY-17-R-0012-_Amendment.pdf

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The reason for the amendment is to change specifications in the Performance Work Statement as a requirements contract and include the PM schedule IAW the Manufacturer's Standards. This solicitation w ill be extended.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 27

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 23-Jun-2017

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W912GY-17-R-0012

X 9B. DATED (SEE ITEM 11)

25-May-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

22-Jun-2017

CODE

SIERRA ARMY DEPOT

CONTRACTING OFFICE

74 C STREET BUILDING 60

HERLONG CA 96113

W912GY 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912GY-17-R-0012

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 26-Jun-2017 10:00 AM to 13-Jul-2017 10:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

Description: Base Year Polaris Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING BASE YEAR. Polaris Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based on service hours plan is detailed in the Preventative Maintenance Standards..

CLIN 0002

Description: Base Year Kawasaki Mule ATV Preventative Maintenance IAW the performance work statement.

Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING BASE YEAR. Kawasaki Mule Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based on service hours plan is detailed in the Preventative Maintenance Standards..

CLIN 0003

Description: Base Year John Deere Gator ATV Preventative Maintenance IAW the performance work statement.

Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING BASE YEAR. John Deere Gator Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 0004

Description: Base Year ATV Maintenance for parts and repair as needed IAW the performance work statement. Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service.

To:

Description: ORDERING BASE YEAR. ATV Maintenance for parts and repair as needed IAW the performance work statement. Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service..

CLIN 1001

Description: Option Year 1 Polaris Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 1 Polaris Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based

CLIN 1002

Description: Option Year 1 Kawasaki Mule ATV Preventative Maintenance IAW the performance work statement.

Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 1 Kawasaki Mule ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based on service hours plan is detailed in the Preventative Maintenance Standards. .

CLIN 1003

Description: Option Year 1 John Deere Gator ATV Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 1 John Deere Gator ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 1004

Description: Option Year 1 ATV Maintenance for parts and repair as needed IAW the performance work statement.

Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service.

To:

Description: ORDERING YEAR 1 ATV Maintenance for parts and repair as needed IAW the performance work statement. Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service..

CLIN 2001

Description: Option Year 2 Polaris Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 2 Polaris Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based

CLIN 2002

Description: Option Year 2 Kawasaki Mule ATV Preventative Maintenance IAW the performance work statement.

Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 2 Kawasaki Mule ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 2003

Description: Option Year 2 John Deere Gator ATV Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 2 John Deere Gator ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 2004

Description: Option Year 2 ATV Maintenance for parts and repair as needed IAW the performance work statement.

Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service.

To:

Description: ORDERING YEAR 2 ATV Maintenance for parts and repair as needed IAW the performance work statement. Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service..

CLIN 3001

Description: Option Year 3 Polaris Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 3 Polaris Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based

CLIN 3002

Description: Option Year 3 Kawasaki Mule ATV Preventative Maintenance IAW the performance work statement.

Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 3 Kawasaki Mule ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 3003

Description: Option Year 3 John Deere Gator ATV Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 3 John Deere Gator ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 3004

Description: Option Year 3 ATV Maintenance for parts and repair as needed IAW the performance work statement.

Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service.

To:

Description: ORDERING YEAR 3 ATV Maintenance for parts and repair as needed IAW the performance work statement. Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service..

CLIN 4001

Description: Option Year 4 Polaris Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 4 Polaris Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based

CLIN 4002

Description: Option Year 4 Kawasaki Mule ATV Preventative Maintenance IAW the performance work statement.

Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 4 Kawasaki Mule ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the Manufacturer based on service hours plan is detailedin the Preventative Maintenance Standards..

CLIN 4003

Description: Option Year 4 John Deere Gator ATV Preventative Maintenance IAW the performance work statement. Period of performance is for a 12 month service. Quote preventative maintenance cost. Contractor shall also provide preventative proposal based on service hours plan.

To:

Description: ORDERING YEAR 4 John Deere Gator ATV Preventative Maintenance. Period of performance is for a 12 month service. Quote preventative maintenance cost. Preventative Maintenance specifications per the

CLIN 4004

Description: Option Year 4 ATV Maintenance for parts and repair as needed IAW the performance work statement.

Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service.

To:

Description: ORDERING YEAR 4 ATV Maintenance for parts and repair as needed IAW the performance work statement. Bid will reflect the contractor's hourly rate. Period of performance is for 12 month service..

The following have been added by full text:

PREVENTATIVE MTN STANDARDS

***Service Interval based on start meter hours of each unit

John Deere Gator 825i/ HPXDSL

Procedure Every 50hrs

Every 100hrs

Every 200hrs

Every 400hrs

Every 800hrs

Every 1000hrs

Check brake fluid level, lines, and connections x x x x x x

Lubricate drive line (two locations) x x x x x x

Check 4WD front differential oil level x x x x x x

Check transaxle oil level x x x x x x

Inspect driveline CV boots for tears or punctures x x x x x x

Inspect park brake for proper function x x x x x x

Grease cargo box tailgate strikers x x x x x x

Change engine oil and filter x x x x x

Change fuel filter x x x x

Change spark plugs x x x x

Change air cleaner element x x x x

Check air cleaner dust unloading valve x x x x

Clean radiator x x x x

Check drive belt condition x x x x

Clean primary drive clutch x x x x

Inspect battery, clean if necessary x x x x

Inspect alternator belt x x x x

Grease front and rear suspension bushings x x x x

Check toe-in x x x x

Check brake pad wear x x x x

Check park brake oil level x x x x

Check and tighten wheel bolts to correct torque x x x x

Check/clean spark arrestor if equipped x x x x

Check and tighten all hardware x x x x

Inspect cargo box lanyards x x x x

Change engine coolant x x

Test or replace radiator cap x x

Inspect suspension bushings for play x x

Inspect wheel bearing for play x x

Inspect timing belt x x

Inspect timing belt idler/bearing x x

Inspect alternator belt x x

Change transaxle oil x

Change 4WD front differential oil x

Replace drive belt x

Flush and refill brake fluid x

Inspect shocks and struts for leaks x

Kawasaki Mule 4010

50hrs

Every 250hrs

Every 500hrs

Every 1 Year

Every 2 Years

Every 4 Years

Inspect throttle pedal play x x x

Inspect idle speed x x x

Clean air cleaner element x x x

Drain air cleaner housing (Dust or water) x x x

Inspect Fuel hoses or pipe and connections x x x

Inspect evaporative emission control system (CAL Model) x x x

Clean radiator x x x

Inspect valve clearance x x x

Clean spark arrester x x

Clean converter air cleaner element x x x

Drain converter (Dust or water) x

Inspect converter drive belt x x

Inspect converter drive belt deflection x x

Inspect converter driven pulley shoe x

Replace oil filter x x x

Inspect wheel nut tightness x x x

Inspect tire wear x x x

Inspect Brake fluid level x x x

Inspect brake pedal play x x x

Inspect brake hose and pipe x x x

Inspect brake wear x x

Inspect parking brake lever x x x

Inspect steering x x x

Inspect steering and axle shaft join dust boots x x x

Inspect seat belt x x

Inspect spark plug (Clean and gap if necessary) x x

Inspect brake light switch x x x

Perform general lubrication x x

Inspect bolts, nuts, and fastener tightness x x x

Inspect water hoses and connections x x x x

Change engine oil x x x

Change transmission oil x x x x

Change front final gear case oil x x x

Change coolant x

Change brake fluid x

Replace brake master cylinder cup and dust seal x

Replace brake wheel cylinder assembly x

Replace fuel hoses x

Replace brake hose x

Polaris 4x4/6x6

25hrs

Every 50hrs

Every 100hrs

Every 200hrs

Every 300hrs

Every 500hrs

Front gear case lubricant: Inspect level;

change yearly; change demand drive fluid every 25hrs if exposed to extreme x x x x x x use

Mid gear case lubricant: Inspect level;

change yearly x x x x x x

Rear gear case lubricant: Inspect level;

change yearly x x x x x x

Transmission lubricant: Inspect level;

change yearly x x x x x x

Engine breather filter (If equipped):

Inspect; replace if necessary x x x x x x

General lubrication: Lubricate all grease fittings, pivots, cables, etc.

x x x x x

Shift linkage: Inspect, lubricate, adjust x x x x x

Steering: Lubricate (If applicable) x x x x x

Front suspension: Lubricate (If applicable) x x x x x

Mid suspension: Lubricate (If applicable) x x x x x

Rear suspension: Lubricate (If applicable) x x x x x

Throttle cable/Throttle pedal: Inspect;

adjust; lubricate; replace if necessary x x x x x

Drive belt: Inspect ducts for proper sealing/air leaks x x x x x

Cooling system: Inspect coolant strength seasonally; pressure test system yearly x x x x x

Parking brake cable adjustment:

Inspect; adjust; replace as needed x x x x

Engine Oil Change: Replace filter with oil change x x x x

Fuel system: Check for leaks at tank cap, fuel lines, fuel pump, and fuel rail;

replace fuel lines every 2 years x x x x

Radiator: Inspect; clean external surfaces x x x x

Cooling hoses: Inspect for leaks x x x x

Engine Mounts: Inspect x x x x

Exhaust Silencer/Pipe: Inspect x x x x

Spark Plug: Inspect; replace as needed x x x x

Wiring: Inspect for wear, routing, security; apply dielectric grease to connectors subjected to water, mud, etc x x x x

Clutches (Drive/Driven): Inspect; clean;

replace worn parts x x x x

Front wheel bearings: Inspect; replace as needed x x x x

Shocks: Visually inspect shock seals x x x x

Brake fluid: Change every 2 years

(DOT 4)

x

Spark arrestor: Clean out x

Shocks (Walker Evans): Change shock oil and replace seals x

Toe adjustment: Inspect periodically;

adjust when parts are replaced

Headlight aim: Adjust as needed.

52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders in the quantities described as "estimated'' or "maximum" in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

(f) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after the fourth ordering year’s expiration date.

(End of clause)

252.216-7006 ORDERING (MAY 2011)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the contract schedule.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c)(1) If issued electronically, the order is considered ``issued'' when a copy has been posted to the Electronic Document Access system, and notice has been sent to the Contractor.

(2) If mailed or transmitted by facsimile, a delivery order or task order is considered ``issued'' when the Government deposits the order in the mail or transmits by facsimile. Mailing includes transmittal by U.S. mail or private delivery services.

(3) Orders may be issued orally only if authorized in the schedule.

(End of Clause)

The following have been modified:

CONTRACT DATA REQUIREMENT LIST

DD FORM 1423, FEB 2001

CONTRACT DATA REQUIREMENT LIST Form Approval OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 5001 D. SYSTEM/ITEM:

B. EXHIBIT: E. CONTRACT/PR NO.:

C. CATEGORY: TDP ____ TM ____ OTHER ____ F. CONTRACTOR:

1. DATA ITEM NO: A001

2. TITLE: Preventative Maintenance (PM)Service Report

3. SUBTITLE:

4. AUTHORITY:

5. CONTRACT REFERENCE: para 1.3

6. REQUIRING OFFICE: Motorpool

7. DD250 REQ: No

8. APP CODE:

9. DIST. STATEMENT REQ:

10. FREQUENCY: monthly per period of performance on each task order executed

11. AS OF DATE: Contract Award

12. DATE OF FIRST SUBMISSION: 2017 Base

13. DATE OF SUBS. SUBMISSION: Ordering Years 2018-2022

14. DISTRIBUTION:

A. ADDRESSEE: COR

B. COPIES:

DRAFT:

FINAL:

REG: 1 REPRO:

15. TOTAL COPIES: 1

16. REMARKS: Contractor will deliver a preventative maintenance (PM’s) report performed on each unit either in person or sent via email immediately after completion of PM. PM’s shall include preventative maintenance performed, the unit’s hours the PM was performed at, date of performance and whether there was any issues with the PM to SIAD Directorate of Public Works. For required information see PWS para 1.3.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE: Not Seperatley Priced (NSP)

G. PREPARED BY:

H: DATE:

I: APPROVED BY:

J: DATE:

PAST PERFORMANCE QUESTIONNAIRE

Past Performance – The Offeror must submit at least three (3), but not more than five (5) references. It is the responsibility of the contractor to send the questionnaires to their customers and to ensure that they are received on time. Failure to submit surveys will result in non-responsiveness and proposal will not be evaluated.

Additional Government Past Performance Information

The Government reserves the right to obtain past performance information through random checks of provided contract references or through information maintained in the Government’s past performance database. Should this information be sufficient to negatively impact the Offeror's chance of being awarded a contract under this solicitation, the Government will provide this negative information to the Offeror and provide an opportunity for rebuttal, explanation, or clarification.

Offerors may identify federal, state, or local government or commercial contracts that were similar in nature to the current acquisition. References are limited to those for which services have been performed, in whole or in part, within the past five (5) calendar years. Any references not meeting this condition will not be evaluated. The Government will randomly check the provided past performance history, and may check and consider performance on tasks not identified by the Contractor.

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

Army Contracting Command – Warren Sierra Army Depot, CA

The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to W912GY-17-R-0012 – Sierra Army Depot (SIAD) ATV Preventative Maintenance. The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).

a. Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.

b. Include the contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.

c. Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.

d. Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient.

e. Due to time constraints, it is important that the questionnaire be completed and returned by the date proposal is due Thursday July 13th 2017 by 1000 AM PST. Please FAX or e-mail your response to the Contract Specialist whose number and address is shown at the bottom right corner of the questionnaire.

Thank you for your time and participation.

PAST PERFORMANCE QUESTIONNAIRE

YOUR NAME & TITLE

YOUR ORGANIZATIONAL NAME AND ADDRESS

TEL NO.

FAX :

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER: CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT TYPE:

FIXED PRICE COST + FEE

COMPETITIVE NON-COMPETITIVE

SET-ASIDE

SEALED BID NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT

RATING

1 2 3 4 5 6 NA

1. Contractor demonstrated a thorough understanding of technical requirements of the contract/task.

Comments:

2. Contractor anticipated/identified and resolved problems effectively.

3. Contractor managed and directed resources (i.e.

personnel, subcontractors, equipment, etc.)

effectively.

4. Rate the Contractor’s use of available resources to accomplish tasks identified in the contract.

Comments:

5. Contractor was responsive to most questions, inquiries and general communication.

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE ELEMENT

RATING

1 2 3 4 5 6 NA

6. Contractor met scheduled contract delivery dates.

7. Contractor provided accurate, complete and high quality service.

8. Contractor complied with the terms of the contract.

9. Contractor was actively efficient at tracking work performed to meet completion date(s).

10. I would recommend award to this contractor again.

1 0 – 25% of the time Strongly Disagree PLEASE RETURN COMPLETED

RESPONSE TO:

Army Contracting Command-Warren Sierra Army Depot Contracting Office ATTN: Melissa Kaarbo 74 Currant Street Building 60 Herlong, CA 96113

E-MAIL:

Melissa.m.kaarbo.civ@mail.mil

FAX: 530-827-4722

2 26 – 40% of the time Disagree

3 41 – 55% of the time Somewhat Disagree

4 56 – 70% of the time Somewhat Agree

5 71 – 85% of the time Agree

6 86 – 100% of the time Strongly Agree

NA No Knowledge of This Element

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

PERFORMANCE STATEMENT OF WORK

PERFORMANCE WORK STATEMENT

ATV MAINTENANCE REQUIREMENTS CONTRACT

1.1 PART I – GENERAL

1.2 General: The contractor shall provide all labor, material, equipment and professional supervision necessary to provide factory inspection, maintenance services and repairs on the equipment listed in 1.1.1, in accordance with (IAW) manufacturer’s standards, where applicable, for Sierra Army Depot (SIAD). Contractor must demonstrate in their past performance evaluation questionnaire capability of conducting all maintenance on the equipment listed in paragraph 1.2.2. All work shall be conducted on

SIAD.

1.2.1 Equipment Listing: 2012 Polaris 800EFIX2 ATVs; 2010 Polaris MS100 6X6 ATVs; 2009 Kawasaki

Mule 610 4X4 ATVs; 2010 Kawasaki Mule 4010 4X4 ATVs; 2009 John Deere Gator HPXDSL ATV, 2014 John Deere Gator HPXDSL ATV, 2012 John Deere Gator 825I 4X4 ATVs and 2015 John Deere Gator 825I S4 4X4 ATVs. Model numbers may change.

1.2.2 Current Equipment Quantities:

2012 Polaris 800EFIX2 - 1 2010 Polaris MS100 6X - 6 2010 Kawasaki Mule 4010 4X4 - 66 2015 John Deere Gator 825I S4 4X4 - 79 2014 John Deere Gator HPXDSL - 4 2012 John Deere Gator 825I 4X4 - 25 2009 John Deere Gator HPXDSL – 1

Equipment quantities may change prior to award. During the period of the contract, equipment quantities are subject to change depending on fleet demand. The government will update the awardee upon arrival of ATV vehicles.

1.3 Scope of Work Items: Contractor will inspect, maintain, and repair (if repair is found necessary, contractor will submit a repair order/quote to the administrative COR prior to work being performed for approval) to factory standards.

Note: In order to minimize costs associated with transportation of equipment to/from an off Depot maintenance/repair facility, all work will be conducted on SIAD to the maximum extent possible.

Be advised that space may not always be available and weather conditions (wind/rain/cold/snow) may favor the use of a portable “shop” setup. Contractor’s will have access to electrical and water.

Sierra Army Depot is a remote rural location. ATV units are used extensively with some hitting 50 hours of use monthly. We anticipate many machines needing the 50 or 100 hour service monthly.

Service: All work will be completed utilizing Manufacturer approved processes, parts and materials for service intervals recommended by the Manufacturer and may include packages such as a 50 Hour Service, 100 Hour Service, 200 hour Service, Basic Service (250 Hours), 400 hour Service, Full Service (500 Hours) and Converter Belt Service (Inspection Based). These service packages will be billed at a predetermined set cost. See Preventative Maintenace Standards per the manufacturer standard.

All preventative maintenance (PM’s) paperwork performed on each unit will be either physically brought to the COR or sent via email immediately after completion of PM. PM’s shall include preventative maintenance performed, the unit’s hours the PM was performed at, date of performance and whether there was any issues with the PM. Contract Data Requirement List (CDRL) A001 is required to be submitted at least on a monthly basis of each task order on this requirements contract.

Repair: Actions found necessary beyond the above listed services SHALL NOT be conducted without authorization from the Contracting Officer’s Representative (COR). All required repairs will be documented in a repair order/quote and outlined to include the problem, possible cause and effect, to include a detailed cost estimate of parts, materials, labor and such, and shall be submitted to the COR for review and final approval by the COR/Contract Specialist.

1.4 Applicable Documents:

1.4.1 SIAD Regulation 420-7 (Fire Prevention and Protection)

1.4.2 SIAD Regulation 385-1 (Safety)

1.4.3 All local, state and federal laws

1.5 Process/Material Approval: All repair processes and materials shall be approved by the Technical POC or administrative POC prior to commencing repair.

1.6 Submittals:

1.6.1 Inspection/Maintenance/Repair Timeline: Ten days prior to commencing contract work, contractor will work with the Motor Pool Supervisor to develop and submit an annual planned vehicle inspection/recurring maintenance schedule, by calendar month, listing vehicle by SIAD ID number, date interval/hours/mileage (as applicable), service to be conducted, predetermined estimated cost and estimated time required to conduct repairs. After initial inspection, if repairs are determined necessary, submit a document/schedule, identifying all discrepancies, outlining estimated repair cost/time.

1.7 Pre-Commencement Meeting: Prior to the commencement of work, a meeting will be held with the contractor and the government representatives to discuss matters of mutual interest concerning the contract. General conditions, work schedules and phasing, security, safety, depot siren, operations during, lightning/thunderstorm, character of work, operations & storage areas, housekeeping and clean-up, days of work, equipment, fire prevention, smoking areas, accidents, local rules and regulations, delays, quality assurance, inspections, digging permits, hazardous waste, debris disposal and other matters pertinent to work accomplishments will be discussed at this time.

1.8 Points of Contact: The Technical Point of Contact (TPOC) for this action will be Mr. Ron

Beauchman (530.827-4697), who is also the Motor Pool Supervisor. The administrative POC for this action will be Murray Schultz (530.827-5311) who is responsible for verifying that services have been rendered.

1.9 Work Coordination: Requests for repairs will be responded to in the form of a written cost estimate, within 24 hours of the initial call. All work shall be coordinated with the TPOC.

1.10 Work Commencement: Contractor shall commence work 10 days after receiving Notice to

Proceed (NTP). This may change for the convenience of the government.

1.11 Smoking Areas: Smoking will be permitted only at locations designated by the TPOC.

1.12 Safety:

1.12.1 Regulations: All installation safety regulations shall be followed.

1.12.2 Signage: Appropriate signs shall be provided by the contractor and placed to mark work areas.

1.12.3 Work Area Closures: The work areas shall be closed off to unauthorized personnel.

1.12.4 Accidents: All accidents shall be reported to the Safety Office through the POC. This is to be accomplished within the same shift, preferably as soon after the accident as is practical. An occupational Safety and Health Administration (OSHA) Form 101 shall be submitted to the Safety Office within three working days after an accident. In the event of serious injury or damage, work will stop and everything will be left in place exactly as it was at the time of the accident, excepting when the possibility of more damage or injury exists.

1.13 Housekeeping and Cleanup: After completion of each phase of the work, the contractor shall leave all work areas in a neat, clean and workmanlike condition satisfactory to the Point of Contact. After completion of the entire job, the contractor shall remove from the premises all tools, equipment, and materials.

1.14 Unscheduled Interruptions: Work operations are subject to unscheduled interruptions and contractor personnel may be required to immediately leave the designated work area or be denied access due to security operations. Mission requirements may necessitate suspension or cancellation of operations for that period. All incomplete work shall be rescheduled for completion at a later time/date mutually agreed upon by the QA personnel.

1.15 Working Area Verification: The contractor shall be responsible for the coordination and proper relationship of this work to the building premises, and thoroughly familiarize himself with all details of the work and working conditions, to verify all dimensions in the field, and advise the COR of any discrepancies before performing any work.

1.16 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance:

maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR will be responsible for notifying all internal customers of any contract change or cancellation.

Quality assurance procedures will be accomplished by:

1.16.1 Announced and unannounced spot checks.

1.16.2 Visual observations by the COR.

1.16.3 Evaluation of customer complaints and/or comments.

1.16.4 Communication with users.

1.16.5 Having a receiving type report signed by one of the TPOCs and one of the administrative POCs or COR.

1.17 Environmental Requirements:

Sec. 1- Compliance with Environmental Laws and Regulations:

Contractor shall comply with all applicable federal, state, and local environmental laws, statutes, regulations, executive orders, permits, Army regulations (with supplements), as well as Major Subordinate Command (MSC) and Sierra Army Depot (SIAD) regulation, policy, Host Tenant Agreement, Interagency Service Support Agreement, or Status-of-Forces Agreement. Contractor shall immediately report any conflicts between applicable federal, state, local environmental laws, statutes, executive orders, and provisions of Army Regulation 200-1, and any specifications within this contract to the Contracting Officer Representative (COR).

Sec. 2 - Compliance with Green Procurement Requirements:

Contractor shall follow Federal EPA Comprehensive Procurement guidelines (www.epa.gov/cpg) and Army Contracting Command Quick Guide (https://acc.aep.army.mil/accapps/ACCMAP/Documents/Quick-Guide-for-Sustainable-

Procurement.docx) for acquisition of building materials and products and select materials that have a long life cycle; the least toxic materials; recyclable materials; materials that are resource-efficient;

materials with the maximum recycled content; materials harvested on a sustained yield basis; and products causing the least pollution during their manufacture, use, and reuse.

Sec. 3 - Compliance with License and Certification Requirements:

Contractor shall obtain all license and certification required by Federal, State, and Local environmental laws and regulations necessary to adhere to the specifications of this contract. The Contractor shall submit all plans, notifications, reports, submittal documents, and fees required by Federal, State, and Local environmental laws and regulations to the appropriate Federal, State, and Local authority and/or agency as necessary to adhere to the specification of this contract. All required licenses and certifications required by Federal, State, and Local environmental laws and/or regulations shall be considered a contract deliverable upon award.

Sec. 4 - Notification of Federal and State Regulators:

Contractor shall immediately notify the Designated Government Representative (DGR) and COR of the arrival on site of any Federal, State, local and/or DoD environmental regulator or enforcement agent and/or the receipt of any correspondence from above mentioned environmental regulatory agencies.

Sec. 5 - Inspections of Work Sites:

Contractor shall submit to potential Federal, State, Local, Army and installation work site environmental regulatory inspections and/or investigations into noncompliance, and fully cooperate with such inspections/investigations by providing the appropriate records and documentation.

Environmental regulatory agencies are authorized by law to inspect any work site for environmental compliance with regulatory requirements. If an inspection is conducted, it will not stop or disrupt ongoing contract activities. The inspection will only require the work site environmental officer, or supervisor/manager to answer questions and/or escort the inspector to specific work site areas with the potential to affect environmental quality.

Sec. 6 - Reporting Noncompliance:

Contractor shall immediately report any nonconformance and/or noncompliance with applicable Federal, State or Local environmental laws, Army and installation environmental regulations or policies to the COR and DGR.

Sec. 7 - Verification of National Environmental Policy Act Documents:

Contractor shall obtain and comply with AMC's National Environmental Policy Act Policy and 32 CFR 651 which addresses actions to be taken by contractor (copies available from the COR or DGR).

These documents include but is not limited to the analysis-associated decision document of an Environmental Impact Statement and Record of Decision; Environmental Assessment and Finding of No Significant Impact or Notice to Proceed; or Record of Environmental Consideration on the proposed contract actions prior to commencement of such actions.

Sec. 8 - Conformance with Environmental Management System (EMS):

Contractor shall take the necessary actions to identify, monitor, and control those contract operations and activities that pose risk of contamination, or can negatively impact the natural and/or human environment. SIAD currently operates and maintains an International Organization of Standards (ISO) 14001 certified program, “Fence to Fence”. Contractor shall comply with all EMS program requirements.

Sec. 9 - Assignment of Environmental Compliance Designee (ECD): N/A

Sec. 10 - Competency Training for Contractor Personnel:

Contractor shall not allow personnel to perform any activities and/or tasks on AMC installations (SIAD) without proper and adequate qualifications or job competency training. In the event of any identified noncompliance, the Contractor shall, if requested, provide proof of contract personnel training or qualification (individual name, training/qualification type, training/qualification certificate, and date of training/qualification) to perform those contract activities associated with the identified noncompliance.

Sec. 11 - Generation of Solid Waste:

Contractor shall dispose of all solid waste generated, which cannot be recycled, into the appropriately marked solid waste containers and roll-offs provided. Contractor shall comply with the SIAD Integrated Solid Waste Management Plan.

11.1. Contractor shall make every effort to divert construction, demolition debris, and all other solid waste to comply with the Army Integrated Solid Waste Management Policy.

11.2. The Contractor shall coordinate with the installation Qualified Recycling Program (QRP) and Solid Waste Managers, DGR, and COR to arrange for recyclable materials to be removed and diverted from the waste stream.

11. 3. Submit in writing the quantities of waste removed and recycled to the DGR and/or COR on a monthly basis. The submittal shall include the date of disposal/recycling, the disposal/recycling facility, the types of material disposed/recycled and the quantities of materials disposed/recycled by weight or volume.

11. 4. The Contractor shall promote cost-effective waste reduction in all operations and facilities covered by the contract. This includes collection, separation, and processing products or other materials recovered from solid waste streams for use in the form of raw materials.

11. 5. The Contractor shall make maximum effort to reduce and prevent waste.

Sec. 12 - Generation of Hazardous Waste:

Contractor shall assign all hazardous waste management responsibilities to the appointed ECD or designated personnel. Contractor shall contact the DGR and/or COR to obtain technical assistance from the Environmental Office for assisting the ECD with achieving and maintaining compliance with hazardous waste storage and disposal requirements. Contractor shall properly identify all waste and how generated as part of this contract to determine if any waste is hazardous waste as defined by both Federal and State EPA (40 CFR and Title 22 CCR). Contractor shall accumulate and properly manage hazardous waste in a satellite accumulation point at or near the point of generation or in a less-than-90-day site, in accordance with Federal, State, Local, Army, and installation regulation, policy, Host Tenant Agreement, Interagency Service Support Agreement or Status-of-Forces Agreement. The Contractor shall properly package all hazardous waste. The contractor shall arrange for pickup or deliver, all hazardous waste generated by contract activities from the installation, to the Hazardous Waste Storage facility, B. 380 as required by SIAD. The DGR and Environmental Office shall assist contractors with hazardous waste generators training and on-site management of their waste upon request.

Sec. 13. - Use of Hazardous Materials:

Contractor shall assign all hazardous materials management responsibilities to the appointed ECD or designated personnel. Contractor shall contact the DGR or COR to obtain technical assistance from Environmental Office for assisting the ECD with achieving and maintaining compliance with hazardous material storage, issue, use, and disposal requirements. Contractor shall submit to the COR and/or DGR a hazardous material inventory. The hazardous material inventory will be submitted 30 days prior to commencement of work for contracts that exceed 180 consecutive days. The inventory list will contain the hazardous material type and maximum quantities of materials anticipated to be stored on-site. The hazardous material shall be properly identified and include any applicable identification number, such as National Stock Number or Special Item Number. The Contractor shall maintain copies of Safety Data Sheets for all hazardous materials used and stored on-site during performance of the contract. Contractor shall not supply or deliver any hazardous materials or chemicals to an installation that are listed on EPA toxic chemical list (33/50 Program - AKA 17 List) without prior written approval from DGR and/or COR.

Sec. 14. - Prevention of Storm Water Pollution:

The Contractor shall perform, track, participate, implement, and comply with storm water pollution prevention minimum control measures, protocols, and best management practices (BMP) and ensure that water quality standards are not violated in accordance with all regulations and policies as applicable to the National Pollutant Discharge Elimination System (NPDES) general permit requirements. Applicable permits may include, but not limited to:

1) The installation’s Small Municipal Separate Storm Sewer System (MS4) Permit;

2) The Multi-Sector General Permit for Storm Water Discharges Associated with Industrial Activities (MSGP); and,

3) All Construction Activity Storm Water permits minimum control measures include, but not limited to:

• Public Education and Outreach on Storm Water Impacts

• Public Involvement and Participation

• Illicit Discharge Detection and Elimination

• Construction Site Storm Water Run-off Control

• Post Construction Storm Water Management in New Development and Redevelopment

• Pollution Prevention/Good Housekeeping for Municipal Operations Contractors will comply with the MSGP permit when the activity is identified as a permitted industrial activity. BMPs include, but are not limited to:

• Practicing spill prevention and good housekeeping.

• Installing and managing erosion and sediment control.

• Meeting the requirements of the MS4 permit.

• Contractors will comply with obtaining permit coverage for construction activities disturbing over one acre of land (total acreage is cumulative across all portions of the project). BMPs include, but are not limited to:

• Preparing and implementing a site-specific Storm Water Pollution Prevention Plan (SWPPP) as outlined in the permit and prior to any soil disturbance.

• Installing and managing erosion and sediment control.

• Make available, upon request, permit associated documentation.

• Practicing spill prevention and good housekeeping.

• Meeting the requirements of the MS4 permit.

• Schedule inspections and provide corrective actions for noted deficiencies.

Sec. 15 - Storm Water Management Low Impact Design/Development (LID): N/A

Sec. 16 - Use of Pesticides: N/A

Sec. 17 - Protection of Work Site Resources: N/A

Sec. 18 - Prevention of Spills:

Contractor shall adopt the installation's Spill Prevention Control and Countermeasures Plan (SPCC) if transporting, processing, storing, or in any way managing hazardous waste, hazardous material, petroleum-oils-lubricants, or other restricted items. In case of a spill, the person in control of the spill site or their designated representative shall take appropriate action to protect workers and bystanders;

contain the spill (if it can be…