W912PL-17-R-0011_Amendment0002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICAITON NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicble)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICIATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offers 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 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 your 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 APPROPIRATION DATA (If required)

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

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

CHECK ONE 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.

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

0002 Apr 24, 2017

W912PL

CONTRACTING DIVISION

915 Wilshire Blvd

LOS ANGELES, CA 90053-2325

SEE ITEM 6

W912PL-17-R-0011

Mar 24, 2017

FY 16 F-35 Airfield Pavements, Nellis AFB, Nevada

1. Replace SECTION 00 22 00 in its entirety(Format Update only).

2. Amendment 0001 SF-1442 Block 13A: Change the number of Copies from 3 to 4.

3. Amendment 0001 SF-1442 Block 10: Delete "Lowest Price Technically Acceptable (LPTA)" and replace with "BEST VALUE".

Sandra Oquita

CONTRACTING OFFICER

INSTRUCTIONS

Instructions for items other than those that are self-explanatory, are as follows:

Item 1 (Contract ID Code) . Insert the contract type identification code that appears in the title block of the contract being modified.

Item 3 (Effective date) .

(1)

(2)

(3)

(4)

(5)

For a solicitation amendment, change order, or administrative change, the effective date shall be the issue date of the amendment, change order, or administrative change.

For a supplemental agreement, the effective date shall be the date agreed to by the contracting parties.

For a modification issued as an initial or confirming notice of termination for the convenience of the Government, the effective date and the modification number of the confirming notice shall be the same as the effective date and modification number of the initial notice.

For a modification converting a termination for default to a termination for the convenience of the Government, the effective date shall be the same as the effective date of the termination for default.

For a modification confirming the contacting officer's determination of the amount due in settlement of a contract termination, the effective date shall be the same as the effective date of the initial decision.

(a)

(b)

(c)

(d)

(e)

(f)

Item 6 (Issued By) . Insert the name and address of the issuing office. If applicable, insert the appropriate issuing office code in the code block.

Item 8 (Name and Address of Contractor) . For modifications to a contract or order, enter the contractor's name, address, and code as shown in the original contract or order, unless changed by this or a previous modification.

Item 9, (Amendment of Solicitation No. - Dated), and 10, (Modification of Contract/Order No. - Dated ). Check the appropriate box and in the corresponding blanks insert the number and date of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data) .

When appropriate, indicate the impact of the modification on each affected accounting classification by inserting one of the following entries.

(2) Accounting classification Net decrease $

Include subject matter or short title of solicitation/contract where feasible.

Item 16B . The contracting officer's signature is not required on solicitation amendments. The contracting offier's signature is normally affixed last on supplemental agreements.

(i)

NOTE: If there are changes to multiple accounting classifications that cannot be placed in block 12, insert an asterisk and the words "See continuation sheet".

Item 13 . Check the appropriate box to indicate the type of modification. Insert in the corresponding blank the authority under which the modification is issued. Check whether or not contractor must sign this document. (See FAR 43.103.)

Item 14 (Description of Amendment/Modification) .

Organize amendments or modifications under the appropriate Uniform Contract Format (UCF) section headings from the applicable solicitation or contract. The UCF table of contents, however, shall not be set forth in this document Indicate the impact of the modification on the overall total contract price by inserting one of the following entries:

Total contract price increased by $

Total contract price decreased by $

Total contract price unchanged.

State reason for modification.

When removing, reinstating, or adding funds, identify the contract items and accounting classifications.

When the SF 30 is used to reflect a determination by the contracting officer of the amount due in settlement of a contract terminated for the convenience of the Government, the entry in Item 14 of the modification may be limited to --

A reference to the letter determination; and

A statement of the net amount determined to be due in settlement of the contract.

(g)

(h)

(i)

(ii)

(1)

(2)

(3)

(4)

(5)

(6)

(i)

(ii)

(iii)

STANDARD FORM 30 (REV. 10-83) BACK

(1) Accounting classification Net increase $

FY16 F-35 Airfield Pavements Nellis AFB, NV

W912PL-17-R-0011

Amendment 0002

TABLE OF CONTENTS - 1

TABLE OF CONTENTS

SF-1442 Solicitation, Offer and Award Am1 Am2

DIVISION 00 – BIDDING REQUIREMENTS, CONTRACT FORMS AND CONTRACT

CONDITIONS

00 01 05 Certification Page (Corporate Principal) 00 10 00 Solicitation Contract Line Item (CLIN) Schedule 00 20 00 Instructions for Procurement 00 21 16 Instructions to Proposers Am1 00 22 00 Supplementary Instructions Am2 00 22 16 Supplementary Instructions to Proposers Am1 00 45 00 Representations and Certifications 00 70 00 Conditions of the Contract 00 73 00 Supplementary Conditions Am1 00 73 46 Wage Rates

DIVISION 01 – GENERAL REQUIREMENTS

01 00 00 General Requirements 01 32 01 Project Schedule 01 33 00 Submittal Procedures 01 33 29 Sustainability Reporting 01 35 13 Special Project Procedures Airfield Safety 01 35 26 Governmental Safety Requirements 01 42 00 Sources for Reference Publications 01 45 00 Quality Control 01 45 00.10 Quality Control System QCS 01 50 00 Temporary Construction Facilities and Controls 01 57 20 Environmental Protection Am1 01 57 23 Temporary Storm Water Pollution Control 01 74 19 Construction and Demolition Waste Management 01 78 00 Closeout Submittals 01 78 23 Operation and Maintenance Data

DIVISION 02 – EXISTING CONDITIONS

02 41 00 Demolition

W912PL-17-R-0011

Amendment 0002

TABLE OF CONTENTS - 2

DIVISION 03 – CONCRETE

03 30 53 Miscellaneous Cast-In-place Concrete 03 42 13 Plant-Precast Concrete Products for below Grade Construction

DIVISION 26 – ELECTRICAL

26 20 00 Interior Distribution System 26 56 00 Exterior lighting 26 56 20 Airfield and Heliport Lighting and Visual Navigation Aids

Division 31 – EARTHWORK

31 00 00 Earthwork

DIVISION 32 - EXTERIOR IMPROVEMENTS

32 01 19 Field Molded Sealants for Sealing Joints in Rigid Pavements 32 11 16 Subbase Course 32 11 23 Aggregate Base Course 32 12 10 Bituminous Tack Coats 32 12 15.13 Hot-Mix Asphalt Airfield Paving 32 13 11 Concrete Pavement for Airfield and other Heavy-Duty Pavements 32 13 73 Compression Joint Seals for Concrete Pavements 32 15 00 Aggregate Surface Course 32 17 24 Pavement Markings 32 31 13 Chain Link Fences and Gates

DIVISION 33 – UTILITIES

33 11 00 Water Distribution 33 30 00 Sanitary Sewers 33 40 00 Storm Drainage Utilities 33 71 02 Underground Electrical Distribution 33 82 00 Telecommunications Outside Plant Osp

DIVISION 34 – TRANSPORTATION

34 73 13 Mooring and Grounding Points for Aircraft

W912PL-17-R-0011

Amendment 0002

TABLE OF CONTENTS - 3

DRAWINGS

- Civil Sheets –

- Electrical Sheets

DESIGN ANALYSIS – 100% PHASE

- Design Analysis No: 229-11-704

- Drawing File No: 229-25-706

- Specification No 2070

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NUMBER 2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED PAGE OF PAGES

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

4. CONTRACT NUMBER 5. REQUISITION/PURCHASE REQUEST NUMBER 6. PROJECT NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO

9. FOR INFORMATION CALL

A. NAME B. TELEPHONE NUMBER (Include area code) (NO COLLECT CALLS)

SOLICITATION

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

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying number, date):

11. The Contractor shall begin performance within calendar days and complete it within calendar days after receiving award, notice to proceed. This performance period is mandatory, negotiable. (See .)

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

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

12B. CALENDAR DAYS

YES NO

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and copies to perform the work required are due at the place specified in Item 8 by (hour) local time (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers 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 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 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212

Designed using Perform Pro, WHS/DIOR, Oct 96

1442-103 STANDARD FORM 1442 (REV. 4-85) (EG)

Prescribed by GSA - FAR (48 CFR) 53.236-1(d)Amendment 0001

W912PL-17-R-0011

X

Mar 24 2017 1 OF 2

USACE, Los Angeles District Contracting Division, East Region Branch 915 Wilshire Blvd Los Angeles, CA 90017

See Item 7

Jimmy L. Barton (213) 452-3251

Design-Bid-Build FY 16 F-35 Apron Airfield Pavements, Nellis AFB, Nevada Construct airfield pavements using 86,100 SM of 15 to 18-inches (medium load design) 700 PSI flex-strength Portland Cement Concrete for aircraft parking ramp; includes 66,100 SM of asphalt shoulders, base and sub-base, drainage systems, apron lighting, edge lighting, pavement marking, earthwork and grading, utilities, pre-formed compression joint seals, aircraft tie-downs and grounding points, replace satellite fire station parking lot, AGE yard, road relocation, spall repair, concrete apron and joint seal replacement, and all other work as necessary. Facilities will be designed as permanent construction in accordance with the DoD Unified Facilities Criteria (UFC) 1-200-01.

This project will comply with DoD antiterrorism/force protection requirements per UFC 4-101-01.

The solicitation will be prepared in accordance with FAR 15, and include evaluation factors, developed in accordance with FAR 15.304.

THIS IS AN UNRESTRICTED PROCUREMENT. This will be a Competitive Request for Proposal(RFP),using BEST VALUE TRADE-OFF procedures, resulting in a firm fixed price contract. The estimated cost range of this procurement is $25,000,000.00 - $50,000,000.00.

10 see 007300

X X *Section 00 73 00

X 10

4 2 PM

May 9, 2017

X

OFFER (Must be fully completed by offeror)

STANDARD FORM 1442 BACK (REV. 4-85)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NUMBER (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

CODE FACILITY CODE

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing within calendar days after the date offers are due. (Insert any number equal or greater than the minimum requirement stated in 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print) 20B. SIGNATURE 20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

24.SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM 25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

10 U.S.C. 2304(c) ( ) 41 U.S.C. 253(c) ( )

26. ADMINISTERED BY 27. PAYMENT WILL BE MADE BYCODE

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to the issuing office.) Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and

(c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

29. AWARD. (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN

(Type or print)

30B. SIGNATURE 30C. DATE

31A. NAME OF CONTRACTING OFFICER (Type or print)

31B. UNITED STATES OF AMERICA 31C. AWARD DATE

BY

Amendment 0001

DUNS NO.: TAX ID NO.:

CAGE CODE NO.:

( ) - ; FAX ( ) -

SEE PRICING SCHEDULE

FY16 F35 Airfield Pavements W912PL-17-R-0011 Nellis AFB, NV Amendment 0002

SECTION 00 22 00-1

AMENDMENT 0002

SECTION 00 22 00 - SUPPLEMENTARY INSTRUCTIONS

GENERAL SUBMISSION REQUIREMENTS:

GENERAL INSTRUCTIONS:

SPECIFIC INSTRUCTIONS FOR THE PRICE PROPOSAL (VOLUME I):

SPECIFIC INSTRUCTIONS FOR THE TECHNICAL PROPOSAL (VOLUME II):

PROPOSAL COVER SHEET:

PERFORMANCE ASSESSMENT REPORT

SMALL BUSINESS PARTICIPATION PLAN (FORM)

I. (Title) (Date)

SAMPLE COVER LETTER

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

SECTION 00 22 00-2

GENERAL SUBMISSION REQUIREMENTS:

In order to effectively and equitably evaluate all offers, the Contracting Officer must receive sufficiently detailed information that clearly responds to the technical evaluation factors listed in Section 00 22 16.

Proposers shall submit their proposal packages in accordance with the instructions outlined in Section 00 21 00, 52.0000-4001-Directions for Submitting Offers.

Each Proposer must submit their responses to the technical evaluation factors in a Technical Proposal (Original Plus 4 copies) and Price Proposal (Original only). The Technical Proposal and Price Proposal must be submitted as separate distinct volumes. Both the Price Proposal (Volume I) and the Technical Proposal (Volume II) must be received by the closing date and time set for receipt of proposals.

No dollar amounts or pricing information from the Price Proposal are to be included in the responses to the technical evaluation factors.

All information intended by the Proposer to be evaluated must be submitted as part of the Technical Proposal.

GENERAL INSTRUCTIONS:

All written portions: Use only 8 ½ by 11 inch paper, unless another size is specifically authorized elsewhere in this section for a particular submission. Do not use 11” X 14” or 11” X 17” size sheets (e.g. fold-outs) unless specifically authorized in this section for a particular submission. Do not use a font size smaller than 10, an unusual font style such as script, or condensed print.

Three-ring binders are preferred. Do not use spring clamps or exceed the recommended capacity of the fastener or binder. Do not use plastic multi-hole/spiral binding systems, heat binding systems, or other systems which do not facilitate the ready insertion of additional pages.

“Confidential” projects cannot be submitted to demonstrate capability unless all of the information required for evaluation as specified herein can nonetheless be provided to the Government as part of the Proposer’s Technical Proposal. Proposers that include in their proposals information that they do not want disclosed to the public for any purpose, or used by the Government except for evaluation purposes, must be clearly marked in accordance with the instructions at FAR 52.215-1, “Instructions to Proposer—Competitive Acquisition”, paragraph (3), “Restriction on disclosure and use of data”.

The Corps of Engineers recognizes that submittals by the Proposer may contain confidential or proprietary information; however, the Government reserves the right to make inquiries into the information disclosed. The submission of false or misleading information may be grounds for disqualification of the proposal.

Proposer(s) shall submit their proposal packages to the Los Angeles District Corps of Engineers (COE) in accordance with Section 00 21 00 of the solicitation.

SPECIFIC INSTRUCTIONS FOR THE PRICE PROPOSAL (VOLUME I):

SECTION 00 22 00-3

Number of Sets of the Price Proposal: Submit One (1) original only.

Format and Contents of the Price Proposal/List of Tabs:

The Price Proposal shall be appropriately labeled as such and shall be organized as indicated in the following chart.

TAB CONTENTS OF THE PRICE PROPOSAL

TAB #1 SF 1442 Acknowledgement Sheet

TAB #2

CLIN Schedule (See Section 00 10 00) and Completed

Corporate Principal (See Section 00 01 05)

TAB #3 Bid Bond

TAB #4 Representations & Certifications

TAB #5 Joint Venture/Teaming Agreement (If Applicable)

TAB #6 Small Business Subcontracting Plan (If Applicable)

SPECIFIC INSTRUCTIONS FOR THE TECHNICAL PROPOSAL (VOLUME II):

Number of Sets and Pages of the Technical Proposal: Submit original and four (4) additional sets of the written Technical Proposal, with each set separately packaged. In addition, submit one complete copy of the technical proposal on Compact Disk (CD) using a searchable “.pdf” file format. The Technical Proposals shall be in 8-1/2" x 11" format, bound as a single document, with single-sided or double-sided pages being acceptable. Condensed print is not permitted. The Proposals shall be separated with section tabs, and the tabs shall clearly identify the contents of each section. The Maximum number of pages for the Technical Proposal is fifty (50) pages single sided or twenty-five (25) pages double sided. The following items will not count against the page count: Table of Contents, Section Tabs, letters of appreciation and similar correspondence, up to 1 page per resume for each proposed team member (required from Factor 4) (single sided) of Resumes, CCASS/ACASS, PAR, CPARS and the Past Performance Questionnaires (PPQs). Material contents of Technical Proposals that exceed fifty (50) pages will not be evaluated after page fifty (50). Each page shall be sequentially numbered for that section.

Format and Contents of the Technical Proposal/List of Tabs: The original and all copies of the technical proposal will be appropriately labeled as such. Each set shall be organized using the tabs specified in the chart below. The tabs directly correlate to the evaluation factors identified in Section 00 22 16.

SECTION 00 22 00-4

TAB CONTENTS OF VOLUME II TECHNICAL PROPOSAL

TAB #1 FACTOR 1: EXPERIENCE ON SIMILAR CONTRACTS

TAB #2

FACTOR 2: TECHNICAL APPROACH, METHODS AND

PROCEDURES

TAB #3

FACTOR 3: PAST PERFORMANCE ON RECENT AND

RELEVANT CONTRACTS

TAB #4 FACTOR 4: CORPORATE MANAGEMENT STRUCTURE

TAB #5 FACTOR 5: SCHEDULE

TAB #6 FACTOR 6: SMALL BUSINESS PARTICIPATION PLAN

Detailed Submission Requirements for the Technical Proposal: Submit detailed responses to the evaluation factors under each of the tabs. Specifics for the required information to be submitted are described in detail in Section 00 22 16.

FACTOR #1 EXPERIENCE ON SIMILAR CONTRACTS

FACTOR #2 TECHNICAL APPROACH, METHODS AND PROCEDURES

FACTOR #3 PAST PERFORMANCE ON RECENT AND RELEVANT CONTRACTS

FACTOR #4 CORPORATE MANAGEMENT STRUCTURE

FACTOR #5 SCHEDULE

FACTOR #6 SMALL BUSINESS PARTICIPATION PLAN

SECTION 00 22 00-5

PROPOSAL COVER SHEET:

Format for the Proposal Cover Sheet:

The proposal cover sheet is required by FAR 52.215-1(c) (i)-(v). This provision, titled “Instructions to Proposers—Competitive Acquisition,” has been provided in full text in Section 00 21 16. The format is as follows:

PROPOSAL COVER SHEET

1. Solicitation Number: W912PL-17-R-0011

2. The name, address, and telephone and facsimile numbers of the Proposer and electronic address (if available):

3. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation and agreement to furnish any or all items upon which prices are offered at the price set opposite each item.

4. Names, titles, and telephone and facsimile numbers (and electronic addresses if available) of persons authorized to negotiate on the Proposer’s behalf with the Government in connection with this solicitation:

5. Name, title, and signature of person authorized to sign the proposal. Proposals signed by an agent shall be accompanied by evidence of that agent’s authority, unless that evidence has been previously furnished to the issuing office.

SECTION 00 22 00-6

PERFORMANCE ASSESSMENT REPORT

(To be completed by Proposer)

1. Contractor (Firm being evaluated):

Name: Address:

2. Contract Number: Task Order (TO) Number if Applicable:

3. Solicitation Type: Negotiated or Sealed Bid

4. Contract/TO Type: Fixed-Price Cost, Reimbursement, Hybrid (explain)

5. Routine Difficult (low to high) Complexity of Work 1 2 3 4 5

6. Contract/TO Dollar Value:

7. Contract/TO Status: Active Complete Completion Date (w/ extensions):

8. Description, location & relevancy of work:

9. Problems encountered and how resolved:

10. Name, Address, Telephone Number and E-mail of the Procuring Contracting Officer and/or the Contracting Officer’s Representative (COR) (and other references, e.g., Administrative Contracting Officer, if applicable):

11. Check one of the following blocks:

A written performance evaluation was received for this project and is attached.

A written performance evaluation was not received for this project. A Past Performance Questionnaire (PPQ) has been sent to the reference(s) listed in

Block 10, with a letter requesting that the completed questionnaire be returned directly to the U.S. Army Corps of Engineers by the closing date for this solicitation.

SECTION 00 22 00-7

SMALL BUSINESS PARTICIPATION PLAN (FORM)

(1) Check the applicable size and categories for the PRIME Offeror -- Check all applicable boxes:

{ } Large Prime or

{ } Small Business Prime; also categorized as a { } Small Disadvantaged Businesses { } Woman-Owned Small Business { } HUB Zone Small Business { } Veteran Owned Small Business { } Service Disabled Veteran Owned Small Business { } HBCU/MIs

(2) Submit the total combined percentage (must equal 100%) of work to be performed by both large and small businesses (include the percentage of work to be performed both by Prime and Sub-contractors):

Example: If Prime proposes a price of $1,000,000 (including all options), and small business(es) will provide $250,000 in services/supplies as a prime or subcontractor, the % planned for small businesses is 25%; and 75% for large business equaling 100%.

Percentage of Total Contract Dollars/Price

Total Percentage planned for Large Business(es) _______% Total Percentage planned for Small Business(es) _______%

(3) Please indicate the total percentage of participation to be performed by each type of small business.

The percentage of work performed by Small Businesses that qualify in multiple small business categories may be counted in each category:

Example: Victory Prop Mgt (WOSB and SDVOSB) performing 2%; and Gentleman Concierge (HubZone) and WOSB) performing 3%. Results equate to: HubZone 3%; WOSB 5%; SDVOSB

2%; VOSB 2%);.

SDVOSBs are also VOSBs automatically; however VOSBs are not automatically SDVOSBs.

Small Disadvantaged Businesses _________% HUB Zone Small Business _________% Woman Owned Small Business _________% Service Disabled Veteran Owned SB _________% Veteran Owned Small Business _________% HBCU/MIs _________%

(4) List principle supplies/services to be performed by Small Businesses:

SECTION 00 22 00-8

Example: If a Small Business qualifies also as a WOSB and a SDVOSB, and you can add them to each category below in which they qualify.

Name of Company Identify Type of Service/Supply

Small:

Small Disadvantaged Businesses:

Women-Owned Small:

HUB Zone Small:

Veteran Owned Small:

Service Disabled Veteran Owned Small:

HBCU/MI:

(5) Describe the extent of commitment to use small businesses (for example, what types of commitments if any are in place for this specific acquisition either -- written, verbal, enforceable, non-enforceable, joint venturing, mentor-protégé, etc.)

SECTION 00 22 00-9

(6) Large Business Subcontracting Past Performance: Describe the extent to which you attained applicable goals for contracts that required you to submit a Subcontracting Plan. You may include copies of up to three ISRs (Individual Subcontracting Reports) to validate your past performance. You may also submit an explanation of your efforts, where you failed to meet goals.

Additional Important Note for Large Businesses only.

Small Business Sub-Contracting Plans (FAR 52.219-9)

Separate from the Small Business Participation Plan, large business offerors must also submit a Subcontracting Plan (Individual Contract Plan) as required by FAR 52.219-9. Large businesses will not be eligible for award if they fail to submit an acceptable Subcontracting Plan.

Subcontracting Plans shall reflect and be consistent with the commitments offered in the Small Business Participation Plan. In accordance with DFARS 215.304(c), when an evaluation assesses the extent that small businesses are specifically identified in proposals, the small businesses considered in the evaluation shall be listed in any subcontracting plan submitted.

SECTION 00 22 00-10

SUBCONTRACTING PLAN

(SAMPLE ONLY; PLEASE READ VERY CAREFULLY. YOU MAY FILL IN THE BLANKS AND SUBMIT AS IS)

(TO BE SUBMITTED BY LARGE BUSINESSES)

(CONTRACTOR’S NAME)

(ADDRESS)

Solicitation or Contract Number

(Title of the Project)

(Location)

(Date Prepared)

CONCUR/NON-CONCUR:

Small Business Specialist Date

ACCEPTED/NON-ACCEPTANCE:

Procuring Contracting Officer Date

Total Dollar Value of the Contract: $ __

SECTION 00 22 00-11

SUBCONTRACTING PLAN

The following, together with any Attachments, is submitted as a Subcontracting Plan to satisfy the application requirements of Public Law (PL) 95-507 as implemented by OFPP Policy letter 80-2 and Supplement No. 2 to 80- 2 and PL 100-180 Section 806. The following percentage goals established for the Base Period and/or all Bid Items are applicable to the contract cited above.

1. The total dollars value of the proposal $ (base period if solicitation involves option years)

2. The total estimated dollar value of all planned $ subcontracting to all businesses, regardless of size

3. Estimated Dollar ($) value of subcontracting by size of business, and Percentage (%) goals assigned to each.

a. Large Businesses (LB) $ %

b. Small Businesses (SB) $ %

(1) Small Disadvantaged Businesses (SDB) $ %

(2) Women-Owned Small Businesses (WOSB) $ %

(3) Historically Underutilized Business Zone $ %

Small Businesses (HUBZone SB) $ %

(4) Veteran-Owned Small Businesses (VOSB) $ %

(5) Service-Disabled Veteran-Owned Small Businesses (SDVOSB) $ %

(6) Historically Black Colleges and Universities/ Minority Institutions (HBCU/MI) $ %

(7) *Javits-Wagner-O'Day (National Industry for the Severely Handicapped) (JWOD-NISH) $ %

*Per DFARS 219.703, subcontracts awarded to qualified non-profit agencies for the blind or severely disabled may be counted toward small business subcontracting goal.

NOTES:

1. The sum of lines 3.a and 3.b must equal line 2.

2. Lines 3.b.(1) through 3.b(7) identify various categories of small businesses under the main small business (SB) group. Subcontracts to companies that qualify in multiple categories must be reported under each category.

For example: if you are planning to subcontract $100,000 to ABC, a woman-owned small disadvantaged business that is also a certified HUBZone small business, you

SECTION 00 22 00-12

will report $100,000 on line 3.b. (SB), line 3.b. (1) SDB), line 3.b. (2) WOSB and line 3.b.(3) HUBZone SB.

4. The following principle types of products, supplies and/or services are anticipated to be subcontracted under this contract to Large Businesses, Small Businesses, Small Disadvantaged Businesses, Women-Owned Small Businesses, HUBZone Small Businesses, Veteran-Owned Small Businesses, and Service Disabled Veteran- Owned Small Businesses:

For example: Provide listing of subcontractors, their business size, and amount to be subcontracted.

Contractor Size Type of Work $ or % ABC Landscaping SB/SDB Landscape $15,000 XYZ Plumbing Hubz/SDB/SDVOSB Plumbing $20,000 FOX Testing WOSB soil testing $18,500 AX Equipment Service LB equipment rental $30,000 Smith’s Environmental SB Consultant $ 9,500 BECK’S Janitorial Svc. SB/VOSB Janitorial $22,000

5. The following method was used to develop above subcontracting goals. Include a statement explaining how the products and services to be subcontracted were determined; how much subcontracting to the various types of businesses were determined and how their capabilities were determined. (Use Attachment 2 if additional space is required)

6. What source lists was utilized in making the determinations in 5 above.

7. Indirect and overhead costs have have not been included in the goals specified in paragraphs

3. and 4. Above. If it is included, please explain the methodology used and the amount of the indirect and overhead costs.

8. The following named employee will administer the Subcontracting Plan.

Name:

Title:

Address:

E-mail Address:

Telephone Number:

Fax Number:

This individual’s specific duties, as they relate to the firm’s Subcontracting Plan, are as follows:

General overall responsibility for this company’s Small Business Program, the development, preparation, and execution of this Subcontracting Plan and for monitoring performance relative to contractual subcontracting requirements contained in the Plan, including, but not limited to:

Developing and maintaining bidder lists of SB, SDB, WOSB, HUBZone, VOSB, SDVOSB, JWOD, and HBCU/MI concerns (small business community) for all possible sources.

Ensuring that procurement packages are structured to the small business community to participate to the maximum extent possible.

Assuring inclusion of the small business community in all solicitations for products and services that they are capable of providing.

SECTION 00 22 00-13

Reviewing solicitations to remove statements, clauses, etc. which may tend to restrict or prohibit small business community participation.

Ensuring periodic rotation of potential subcontractor on bidder lists.

Ensuring that the bid proposal review board documents its reasons for not selecting low bids submitted by the small business community.

Ensuring the establishment and maintenance of records of solicitations and subcontract award activity.

Attending, or arranging for attendance of company counselors, at Business Opportunity Workshops, Minority Business Enterprise Seminars, Trade fairs, etc.

Conducting, or arranging for the conduct of, motivational training for purchasing personnel pursuant to the intent of P.L. 95-507.

Monitoring attainment of proposed goals.

Preparing and submitting required periodic subcontracting reports.

Coordinating contractor’s activities during the conduct of compliance reviews by Federal agencies.

Coordinating the conduct of contractor’s activities involving its small business- subcontracting program.

Additions to the duties specified above are as follows:

9. The following efforts will be taken to assure that the small business community will have an equitable opportunity to compete for subcontracts.

(For example: Outreach sources will be identified from the SBA database, business Development organizations; participate in small business trade fairs, matchmaking, etc.)

a. Outreach efforts will be made as follows:

b. Automated data base sources to be used, other than Dynamic Small Business Search at http://SAM.GOV , are as follows:

c. The following internal efforts will be made to guide and encourage buyers:

(1) Workshops, seminars, and training programs will be conducted.

(2) Activities will be monitored to evaluate compliance with this Subcontracting Plan. (3) Arrange interviews with the small business community.

(4) Describe how source lists, past performance history, and other data will be maintained and utilized by buyers in soliciting subcontract; e.g. rotation of firms in the data base, keeping database current, etc.

10. The contractor agrees that the clause 52.219-8, Utilization of Small Businesses, be included in all subcontracts which offer further subcontracting opportunities. All subcontractors, (except small business concerns) who receive subcontracts in excess of $650,000 ($1,500,000 for construction) will be required to adopt and comply with a Subcontracting Plan similar to this one. Such plans will be reviewed by comparing them with the provisions of PL 95-507 and assuring that all minimum requirements of an acceptable Subcontracting Plan have been satisfied. The acceptability of percentage goals shall be determined by a case-by-case basis depending on the supplies/services involved, the availability of potential firms in the small business community, and prior experience. Once approved and implemented, Plans will be monitored through the submission of periodic reports and/or as time and availability of funds permit, periodic visits for on-site reviews of the progress of the subcontracting program.

11. The contractor agrees to submit such periodic reports and cooperate in any studies or surveys as may be required by the Contracting Agency or the Small Business Administration in order to determine the extent

SECTION 00 22 00-14

of compliance by the contractor with the Subcontracting Plan and with clause 52.219-8.

12. Periodic reports required by P.L. 95-507 are SF 294, Subcontracting Report for Individual Contract and SF 295, Summary Subcontract Report. Reports will be prepared in accordance with the instructions contained on the Electronic Subcontracting Reporting System/e-SRS) or www.esrs.gov web site. Regardless of the effective date of this contract, reports shall be submitted for the entire life of the contract on the following dates:

Period ending 31 March - Report submitted to arrive not later than 30 April Period ending 30 September - Report submitted to arrive no later than 31 October

NOTE: If the Prime contractor intends to subcontracts to lower tiered large business in excess of $650,000 for service or ($1.5 M for construction) are, also required to have a Subcontracting Plans completed and submitted to the Prime contractor. In addition the lower tiered larger business is also required to prepare and submit the SF294 and SF295 reports bi-annually via the Electronic Subcontracting Reporting System/e- SRS) or www.esrs.gov web site.

13. The contractor agrees that it will maintain at least the following types of records to document compliance with this Subcontracting Plan.

Source lists, guides, and other data, identifying firms in the small business community.

Organizations contracted to locate firms in the small business community.

On a contract-by-contract basis, records on all subcontract solicitations over $100,000 indicating for each solicitation:

(1) whether concerns in the small business community were solicited and if not, why not; and

(2) reasons for the failure of the solicited concerns in the small business community to receive the subcontract award.

Records to support outreach efforts; e.g. contacts with small business trade associations, business development enterprises, attendance at small business procurement conferences and trade fairs; frequency of accessing SBA's Pro-Net data base.

14. Provide a statement on how you will foster Historical Black Colleges/Universities and Minority Institutions and that you will give them equitable opportunity to compete on any of the subcontracting disciplines that may be applicable to Colleges, Universities, or Minority Institutions.

I, the undersigned, a designated officer of: _, do herewith assure that the requirement of this Subcontracting Plan will be satisfied.

(Company Name)

(Signature) (Type or Print Name)

I. (Title) (Date)

SECTION 00 22 00-15

SAMPLE COVER LETTER

Date

SUBJECT: NAVFAC/USACE Past Performance Questionnaire

Name and Address of Reference

Ladies and Gentlemen:

The U.S. Army Corps of Engineers, Los Angeles District, is conducting a review of our past performance history as part of an upcoming source selection acquisition.

Please complete the attached NAVFAC/USACE Past Performance Questionnaire to aid the Government in its evaluation of our past performance. If you prefer, you may provide the requested information by email to jimmy.l.barton@usace.army.mil

The Government is requesting receipt of this information five calendar days before proposal due date.

You are advised that it is Government policy that the identity of sources providing past performance information will not be released outside the Government.

We appreciate your efforts to help the Government fairly evaluate our record of past performance. Should you have any questions related to this matter, please contact Mr. Jimmy Barton at telephone (213) 452-3251.

Sincerely, Contractor

Attachment

SECTION 00 22 00-16

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name: CAGE Code:

Address: DUNs Number:

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:

4. Project Description:

Complexity of Work High Med Routine 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)

SECTION 00 22 00-17

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: NAVFAC/USACE REQUESTS THAT THE CLIENT COMPLETES THIS

QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE PROPOSER. THE

PROPOSER 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 PROPOSER.

HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO USACE.

PLEASE CONTACT THE PROPOSER FOR USACE POC INFORMATION. THE

GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL

INFORMATION ON THIS FORM.

SECTION 00 22 00-18

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating.

Also, there should have been NO significant weaknesses identified.

(VG) Very Good

Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

SECTION 00 22 00-19

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable

No information or did not apply to your contract

Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance

E VG S M U N

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)

E VG S M U N

b) Rate the contractor’s use of available resources to E VG S M U N

SECTION 00 22 00-20

accomplish tasks identified in the contract

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project?

E VG S M U N

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)

E VG S M U N

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

E VG S M U N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

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

E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort

E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel

E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines

E VG S M U N

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

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program)

E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)?

E VG S M U N

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

SECTION 00 22 00-21

c) If this is/was a Government cost type contract, please rat the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/o unexplained variances (under runs or overruns)

E VG S M U N

d) Is the Contractor’s accounting system adequate for 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.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements.

E VG S M U N

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).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues)

E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below)

Yes No

d) In summary, provide an overall rating for the work performed by this contractor.

E VG S M U N

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 (please attach additional pages if necessary).