11R0004 Past Perf Sheets.docx

VOLUME I – TAB D

PROPOSAL DATA SHEET

FACILITIES MAINTENANCE SERVICES

DLA DISTRIBUTION WARNER ROBINS GA

1. Name of Firm:

Address

Phone:

Fax:

E-mail:

Duns # (used for accessing CCASS)

If a joint venture or contractor-subcontractor association of firms, list the individual firms and briefly describe the nature of the association. Provide DUNS number for each firm.

Firm 1:

Firm 2:

Firm 3:

Nature of Association:

2. 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).

Name and Title of Person Authorized to Negotiate:

Negotiator's Address:

Negotiator's Telephone:

Negotiator’s E-mail:

VOLUME II – TAB H

PROJECT INFORMATION SHEET

FACTOR 1: CORPORATE RELEVANT SPECIALIZED EXPERIENCE.

Project Title:

Project Description

Location:

Contract number:

Nature of involvement in this project, i.e. General Contractor, subcontractor, designer:

Procuring activity:

Procurement point of contact and telephone number:

List date of completion or percent completion if underway:

Address of project(s):

Address and telephone number of owner:

Indicate type of project (private sector, Government, etc.):

General characteristics:

Total cost:

Project Relevance

VOLUME II – TAB J

PAST PERFORMANCE INFORMATION SHEET

FACTOR 2: OFFEROR PAST PERFORMANCE INFORMATION

1. On an attached sheet, provide information for three (3) projects completed, or substantially completed in the past five years of similar scope and complexity to this project to be used for reference and evaluation purposes and provide a questionnaire to the Point of Contact for each project listed. These should be the same projects for which questionnaires have been provided to the Procurement Point of Contact. If the offeror is made up of separate companies that have combined for this project, then this item must be completed twice (once for each company), for a total of six projects. For each project provide the information shown. Failure to provide this minimum information may result in lower ratings.

2. For each project provide the following information:

Project Title:

Location:

Contract number and Title:

Procuring activity:

Procuring activity point of contact, telephone number, and electronic e-mail address:

List date of completion or percent completion if underway:

Address of project(s):

Address and telephone number of owner:

Indicate type of project (private sector, Government, planned, etc.):

General character:

Copy of the performance evaluation or client letter of recommendation for this project:

Total cost:

Total cost of all modifications:

3. TERMINATED PROJECTS. On an attached sheet, list any projects within the last five years that have been terminated. Provide an explanation.

4. GOVERNMENT PROJECTS. On an attached sheet, list all contracts with the Government within the last five years. Indicate Government contract number and contracting agency (with contact names and telephone numbers).

VOLUME II – TAB J

SAMPLE TRANSMITTAL LETTER

Date: _________________

To: ______________________________________

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, Charleston 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. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e) (4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Furthermore, a questionnaire has also been sent to ____________________ of your organization. Only one response from each office is required. If at all possible, we request that you individually answer this questionnaire and then coordinate your responses with that of ________________________, to develop a consensus on one overall response from your organization.

Please send your completed questionnaire to the following address to arrive NOT LATER THAN the date and time proposals are due:

Physical/Mailing Address:

US Army Corps of Engineers, Charleston District CECT-CT-PC (Laurie Infinger) 69A Hagood Avenue Charleston, SC 29403

TITLE: Facilities Maintenance Services, DLA Distribution Warner Robins GA

The questionnaires can also be e-mailed to Laurie.S.Infinger@usace.army.mil. If you have questions regarding the attached questionnaire, or require assistance, please contact Laurie Infinger at (843) 329-8081. Thank you for your assistance.

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

FACILITIES MAINTENANCE SERVICES

DLA DISTRIBUTION WARNER ROBINS GA

Upon completion of this form, please send directly to the US Army Corps of Engineers in the enclosed addressed envelope Attn: Laurie Infinger, or email to Laurie.S.Infinger@usace.army.mil. Do not return this form to our offices. Thank you.

1. Contractor/Name & Address (City and State):

2. Type of Contract: Fixed Price ________ Cost Reimbursement ________ Other (Specify) ________________________________

3. Contract Number: _____________________________________________________________________

4. Description of Work: (Attach additional pages as necessary)

5. Complexity of Work: High ________ Mid _________ Routine __________

6. Location of Work:______________________________________________

7. Date of Award: ________________________

8. Status: Active _________ (provide percent complete)

Complete __________ (provide completion date)

9. Name, address and telephone number of Contracting Officer’s Technical Representative:

10. QUALITY OF SERVICES:

Evaluate the contractor's performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

Outstanding Quality

Above Average Quality

Satisfactory Quality

Marginal Quality

Unsatisfactory or Experienced Significant Quality Problems

Remarks: __________________________________________________________________

11. TIMELINESS OF PERFORMANCE:

To what extent did the contractor meet the contract and/or individual task order schedules if the contract was an indefinite delivery type contract?

Completed Substantially Ahead of Schedule (Outstanding)

Completed Ahead of Schedule (Above Average)

Completed on Schedule with Minor Delays Under Extenuating Circumstances (Satisfactory)

Completed Behind Schedule (Marginal)

Experienced Significant Delays without Justification (Unsatisfactory)

12. CUSTOMER SATISFACTION:

To what extent were the end users satisfied with:

Quality

Cost

Schedule

Exceptionally Satisfied (Outstanding)

Highly Satisfied (Above Average)

Satisfied (Satisfactory)

Somewhat Dissatisfied (Marginal)

Highly Dissatisfied (Unsatisfactory)

13. SUBCONTRACTOR MANAGEMENT

How well did the contractor manage and coordinate subcontractors, suppliers, and the labor force?

Outstanding management and coordination of subcontractors

Above Average management and coordination of subcontractors

Satisfactory management and coordination of subcontractors

Marginal management and coordination of subcontractors

Unsatisfactory management and coordination of subcontractors

14. IF GIVEN THE OPPORTUNITY, WOULD YOU WORK WITH THIS CONTRACTOR AGAIN?

Yes ___________ No ____________ Not Sure ____________

15. OTHER REMARKS:

Use the space below to provide other information related to the contractor's performance. This may include the contractor's selection and management of subcontractors, flexibility in dealing with contract challenges, their overall concern for the Government's interest (if applicable), project awards received, etc.