Am_0003.pdf

DATA SHEET FOR PERFORMANCE SURVEY

PURPOSE: Performance information relevant to RFP# W912P8-08-R-0075 for the acquisition of a Multiple Award Task Order Contract, New Orleans, LA. Government RFP Point of Contact (POC):

Michelle Dalmado, email: michelle.r.dalmado@usace.army.mil or Rick Torres, email:

rick.torres@usace.army.mil. Commercial Phone: (504) 862-2874 or (504) 862-1649. Fax Number: (504) 862-1557

INSTRUCTIONS TO PRIME OFFEROR: Offerors shall complete one of these attachments for yourself and one for each division(s), major subcontractor(s), teaming partner(s), joint venture partner(s), or key person(s) the offeror wants the government to consider in the performance evaluation. YOUR NAME AND ADDRESS, AS THE PRIME OFFEROR, MUST APPEAR IN BLOCK 1 BELOW. Enter the name and address of the firm or individual you want surveyed in Block 2. If no name appears, only the firm or individual in Block 1 will be surveyed.

NOTE 1: Offerors shall complete a separate data sheet for each contract for itself (up to a maximum of 10) and each additional entity the offeror wants the government to consider (up to a maximum of 5 for each entity). *For Key Personnel to be evaluated project information in the same format below shall be provided--resumes will not be evaluated.

NOTE 2: Offerors shall submit this information with Volume I, Tab 2 of their proposal.

Offerors are encouraged, but not required, to provide copies to the Contracting Officer before the RFP closing date.

NOTE 3: Subcontractor consent release shall be completed for every major subcontractor(s), teaming partner(s), joint venture partner(s) or key person(s) whose performance the offeror wants the government to consider during the evaluation. Failure to complete the subcontractor consent form may result in information not being evaluated.

1. Name and address of Prime Contractor

REQUIRED

OFFEROR INSERT RESPONSES HERE

2. Name and address of subcontractor, team partner, joint venture or key person to be surveyed. INSERT

“NONE” IF ONLY PRIME CONTRACTOR WILL

BE SURVEYED.

3. Name and address of agency holding the contract

4. Name and title of person to contact at the agency

5. Telephone number of POC in Block 4

6. Fax number of POC in Block 4

7. E-mail address of POC in Block 4, if known

8. Exact Contract/Project Title, Contract Number, and Contract Type (Firm Fixed Price, IDIQ, Cost Type, Cost plus Fixed Fee, MACC, MATOC, etc.)

9. Brief project description including discussion as to its relevancy to this acquisition (may be expressed as a percentage of the work to be performed (i.e. 30% mowing, 40% waste removal, etc.)

10. Dollar amount of project in Block 8 (include base price plus all options)

11. Period of performance and final contract completion date of project

SUBCONTRACTOR CONSENT:

We are currently participating as a (circle one): subcontractor, teaming partner, joint venture or key person with the prime contractor identified above in response to the referenced RFP. We understand the government is placing increased emphasis on performance in order to obtain best value. In order to facilitate the performance evaluation process, we are signing this consent form to allow you to discuss our performance with the prime contractor.

___________________________ (signature) _______________________ (Name and Title) (Signature and Title of individual who has the authority to sign for and legally bind the company)

Non-Federal Pump Station construction work including, but not limited to, heavy construction, repairs of existing pump stations, Storm proofing, installing new pumps, constructing buildings, structural retrofitting and upgrading, pump station construction or enlargement. The location of the proposed work is the Greater New Orleans Area or Southeast LA.

THIS ACQUISION IS 100% SET-ASIDE FOR SERVICE DISABLED VETERAN OWNED SMALL BUSINESS FIRMS.

This RFP shall result in award of a Multiple Award Task Order Contract (MATOC). The resultant contract will consist of a base period of twelve (12) months and two, 12-month option periods. The MATOC will have a maximum ceiling value of $100,000,000.00, including options.

The Government intents to award up to eight (8) contracts from this solicitation to the responsible offeror(s) whose offer conforms to the solicitation requirements and will provide the best value to the government. The guaranteed minimum value for this acquisition is $500,000.00, to be divided equally between all contract awardees.

This RFP shall also result in award of Task Order One - Plaquemines Parish Pumping Station Repairs – West Pointe-A-La-Hache and Diamond Pump Stations. The estimated magnitude of Task Order One is between $1,000,000.00 and $5,000,000.00.

*BLOCK 11 and 12B WILL BE DETERMINED BY TASK ORDER.

Michelle R Dalmado 504 862-2874

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS

NEGOTIATED

01 Oct 2008

(RFP)

(IFB)

X

CALL:

B. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

See Item 7

2. TYPE OF SOLICITATION

SEALED BID

3. DATE ISSUED

9. FOR INFORMATION A. NAME

SOLICITATION

NSN 7540-01-155-3212 1442-101 STANDARD FORM 1442 (REV. 4-85)

Prescribed by GSA FAR (48 CFR) 53.236-1(e)

11. The Contractor shall begin performance within ___*____calendar days and complete it within ____*____calendar days after receiving award, X notice to proceed. This performance period is X mandatory, negotiable. (See _________________________52.211-10

12 A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.)

X YES NO

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and __________ 3 copies to perform the work required are due at the place specified in Item 8 by ___________ local time __19 NOV 08 (date). If this is a sealed bid solicitation, offers must be publicly opened at that time.

shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee X is, is not required.

C. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than _______ 30 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NO.

IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

4. CONTRACT NO.

7. ISSUED BY CODE

USACE, CONTRACTING DIVISION

ATTN: HPO CT - ROOM 184

7400 LEAKE AVE.

NEW ORLEANS LA 70118-3651

W912P8

PAGE OF PAGES

1 OF

CODE

(Title, identifying no., date):

12B. CALENDAR DAYS

02:00 PM (hour) Sealed envelopes containing offers

5. REQUISITION/PURCHASE REQUEST NO. 6. PROJECT NO.

8. ADDRESS OFFER TO (If Other Than Item 7)

FAX: TEL: TEL: FAX:

W912P8-08-R-0075