A.09.03_Solicitation_Amendment_Q&A_(01AUG2018).pdf

0011076853

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 purpose for this amendment is to change names of responsibiliy for Solicitation W91YTZ18R0025, respond to questions posed by potential offerors, and edit the past performance survey.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 15

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

16C. DATE SIGNED

BY 01-Aug-2018

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 W91YTZ-18-R-0025

X 9B. DATED (SEE ITEM 11)

18-Jul-2018

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 is extended, X 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 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

01-Aug-2018

CODE

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

W91YTZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W91YTZ-18-R-0025

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

SOLICITATION QUESTIONS&ANSWERS

Questions & Answers

(Received by the Q&A closing, 30 July 2018, 10am EST) Solicitation W91YTZ18R0025, USARC Credentialing

1. Question: Can an Offeror submit a bid on an individual line item number only?

Answer: No, proposals must offer a firm-fixed price for each Contract Line Item (Solicitation page 115).

2. Question: Extending the deadline for the Technical/Management/Price enables us to fully consider all efforts to ensure that we and our partners are in compliance.

Would the government amend the solicitation to Responsibility Determination IAW FAR 9.1 instead Past Performance being an evolution factor?

Answer: No. Past performance shall be an evaluation factor for all offerors.

3. Question: Are key personnel resumes required, and if so, does the government require written notice of any changes to personnel after contract award?

Answer: Reference solicitation (page 117). Offerors shall provide an executive summary that introduces the contractor team, subcontractors, key personnel and how the personnel are utilized in the performance of the work as specified in PWS 4.12.3.

4. Question: Who is the current incumbent performance the work?

Answer: Contract W91YTZ-14-C-0228

5. Question: Is this a new requirement?

Answer: No. This is a follow-on requirement.

6. Question: Does the government require resumes?

Answer: Reference solicitation (page 117). Offerors shall provide an executive summary that introduces the contractor team, subcontractors, key personnel and how the personnel are utilized in the performance of the work as specified in PWS 4.12.3.

7. Question: “Contractor is responsible to obtain all licenses and keep them current.” What kind of licenses does the Government anticipate will be required for the performance of the contract IAW the PWS?

Answer: All certifications and/or licenses are required per the PWS to remain current for the life of the contract.

Reference PWS 1.2.1.5. Certification/License/Recertification: All certification/license required elsewhere in this performance work statement shall remain current during the life of the contract.

Reference PWS 1.2.1.6. Support Personnel Labor Categories Reference PWS 1.3.6.3.1. Driver’s Licenses

8. Question: Will the government please provide the current contract number?

Answer: Contract W91YTZ-14-C-0228

9. Question: Will the government please provide the number of FTEs for each LCAT on the current contract?

Answer: No. The Government has estimated 40 FTEs total. The Contractor, in the technical, is to provide the Government with a plan on how they will complete the required tasks and how many FTEs they propose it will take. Please refer to pages 126 - 128 of the solicitation.

10. Question: Will the government please detail the amount of hours required per LCAT so that Offerors may formulate the number of FTEs required?

Answer: No. The Contractor is required in the technical to provide the Government with a plan on how they will complete the required tasks and how many FTEs it will take. Please refer to pages 126 – 128 of the solicitation.

The following have been modified:

52.212-1 ADDENDUM

52.212-1 ADDENDUM

Para (b) Submission of Offers: The following supplements this paragraph with respect to the information and documents required for submission in response to this solicitation.

(1) ELECTRONIC OFFERS: Offerors may submit electronic offers in response to this solicitation. All offerors will submit proposals for evaluation no later than the closing date and time noted on the SF 1449 to Ms. Donna Blossom, Donna.l.blossom.civ@mail.mil AND Contracting Officer Cheryl Ricker, Cheryl.a.ricker2.civ@mail.mil.

Proposals must be submitted by 5 PM EST on the closing date. Proposals will not accepted after the closing date and time.

(2) The offeror shall provide a proposal which includes total pricing for the base year and all options. Award will be made to the offeror with the lowest price provided its technical proposal which conforms to the requirements of the solicitation; it has an acceptable record of past performance; price is determined to be fair and reasonable by the contracting officer; and the contracting officer determines the offeror is responsible.

(3) The Government will not be responsible for any failure of transmission or receipt of the offer, or any failure of the offeror to verify receipt of the emailed offer.

(4) The Government intends to award a firm-fixed price non-personal services contract under the authority of FAR Part 12 and FAR Part 15. Proposals must offer a firm-fixed price for each Contract Line Item.

(5) All questions with respect to this solicitation shall be submitted in writing via email not later than 10AM EST on 30 July 2018. Submit questions to the Contracting Officer, Ms. Cheryl A Ricker (cheryl.a.ricker2@civ.mail.mil) and the Contract Specialist, Ms. Vickie Grant (Vickie.l.grant.civ@mail.mil).

Responses will be posted on the Federal Business Opportunies (FedBizOpps) website through amendments posted to FedBizOpps. Potential offerors are encouraged to subscribe to real-time e-mail for notifications when information has been posted to the website for this solicitation. No telephone inquiries or requests regarding this solicitation will result in a response.

(6) BASIS FOR AWARD. The Government will make a Lowest Price Technically Acceptable (LPTA) award consistent with the evaluation criteria discussed in FAR 52.212-2 and the Addendum to FAR 52.212-2. This acquisition will utilize LPTA procedures to obtain the best value to the Government. The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror’s initial offer should contain the offeror’s best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received. Factors to be evaluated are listed below.

Please note that your offer must include all of the following information. The solicitation shall be submitted in four (4) volumes:

Volume I - General Volume II - Technical (Mission Capability) Subfactor 1: Management Organization and Quality Control Plan Subfactor 2: Certifications and Qualifications Subfactor 3: Facility Clearance Subfactor 4: Transition Plan (Phase-In/Phase-Out) Subfactor 5: Compensation Plan Volume III: Past Performance Volume IV: Price

Volume I: General

Offerors are required to submit a completed Standard Form (SF) 1449 (Solicitation/Contract/Order for Commercial items) (including acknowledge of Commercial items). All final monetary extensions shall be no more than two decimal places. Extensions beyond two decimal places will not be used in price calculation. Failure to follow the below Contract Proposal preparation instructions may cause your proposal to be deemed unacceptable by the government. The General Volume shall be organized as follows and contain the identified information.

SF 1449 - The SF1449 shall be submitted fully completed. The offeror is cautioned that the SF 1449 must contain an original signature in block 30A of the form. The Contractor shall acknowledge any amendments to the RFP in accordance with the instructions on the SF 1449 and with FAR Clause 52.212-1, Instructions to Offerors - Commercial Items. The Offeror shall provide the name, title and telephone number of the company/division point of contact regarding decisions made with respect to your proposal and who can obligate your company contractually. Also, identify those individuals authorized with the Government.

Completed FAR Clause 52.212-3 Alt 1 Offeror Representations an Certifications for Commercial Items shall be completed with all blocks in each certification representation completed trustfully and completely.

Executive Summary - Provide an executive summary that introduces the contractor team and proposal submission, to include a list of team members and subcontracts and the task areas they are designated to provide support. The summary shall also include a list of the proposal package contents and identify the proposal's point of contract (POC) to include their name, email address, and phone number.

Volume II - Technical Approach.

(1) The Technical Approach Volume shall be clear, concise, and include sufficient detail for effective evaluation and for substantiating the validity of stated claims in the Offeror’s proposal. Legibility, clarity and coherence are very important. Your responses will be evaluated against the Technical Approach factor defined in the Evaluation Factors for Award. The proposal should not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale to address how the offeror intends to meet these requirements. Statements that the offeror understands, can, or will comply with the Performance Work Statement (including referenced publications, technical data, etc.); statements paraphrasing the Performance Work Statement or parts thereof (including applicable publications, technical data, etc.); and phrases such as “standard procedures will be employed” or “well known techniques will be used,” etc., will be considered unacceptable. Offerors shall assume that the Government has no prior knowledge of their facilities and experience, and will base its evaluation on the information presented in the offeror's proposal. Elaborate brochures or documentation, binding, detailed art work, or other embellishments are unnecessary and are not desired.

(2) The Technical Approach Volume shall, at a minimum, be prepared in a form consistent with the Performance Work Statement (PWS) and the evaluation criteria for award set forth in this solicitation. The section shall be prepared in an orderly format and in sufficient detail to enable the Government to make a thorough evaluation of the contractor’s technical competence and ability to comply with the contract task requirements specified in the PWS.

The offeror shall address as specifically as possible the actual methodology you would use for accomplishing the PWS tasks. The volume shall be organized according to the following general outline:

-Table of Contents

-Exceptions/Assumptions (Identification and explanation of any exceptions or deviations). -- Additionally, identify any assumptions used in preparing the proposal.

-Technical Capability Factors

The Technical Proposal shall not exceed 30 pages; All technical sub-factors are included in the 30 page limitation. Additional pages will not be reviewed or evaluated.

(3) Technical Capability Factors - Offerors shall provide a proposal that clearly and comprehensively demonstrates the ability to perform, manage, and monitor the Credentialing services as specified in the PWS. The assessment, at a minimum, will be based upon the following technical requirements.

FACTOR 1: Technical (Mission Capability) Subfactor 1: Management Organization and Quality Control Plan Subfactor 2: Certifications & Qualifications Subfactor 3: Facility Clearance Subfactor 4: Transition Plan (Phase-In/Phase Out) Subfactor 5: Compensation Plan

Management Organization and Quality Control Plan: Offerors shall provide an executive summary that introduces the contractor team, subcontractors, key personnel and how the personel are utilized in the performance of the work as specified in PWS 4.12.3. Offeror shall include a chart showing lines of authourity and the proposal's point of contract (POC) to include their name, email address, and phone number.

The Offeror shall submit a copy of an effective Quality Control Plan (QCP) in compliance with the PWS and solicitation requirements. The (QCP) shall consist of organizational plans, procedures, and steps necessary to perform the services in compliance with all aspects of the Performance Work Statement (PWS). Procedures for tracking preparatory, initial, and follow-up control phases, verification, and acceptance phases shall include documentation associated with these processes. Plan shall include a mitigation plan for Conflict of Interest as specified in PWS 1.3.4.4.

Certifications & Qualifications: Qualifications for personnel are specified in the PWS. Proposal shall provide evidence of qualifications and/or certifications for personel identified as the key performers in compliance with the

PWS.

Facility Clearance: Offeror shall demonstrate an understanding of the security requirements for working on a secure military installation by submitting current status of Contractor's facility clearances and/or planned facility clearances. Offerror must describe plans and procedures for obtaining and retaining facility clearance. Offeror shall demonstrate plans and procedures to obtain and retain facility clearance for the life of the contract.

Phase-In/Phase-Out: Offerors shall submit a preparation and implementation plan for employees and services to identify specific steps to be accomplished, upon award of contract, for a smooth transition to full contract operation without interruption of existing services. The plan shall include time lines, personnel requirements, hiring strategies, equipment and property considerations, and development and dissemination of operating instructions. Phase-In shall be no longer than 14 calendar days. Any necessary Phase-Out effort shall occur during the performance period of this contract and should be included in the cost of this contract. Services provided under this contract are vital to Government's overall efforts and continuity must be maintained at a consistently high level without interruption upon expiration of this contract (refer to FAR52.237-3 Continuity of Services). Offerors shall demonstrate an understanding of this requirement by describing anticipated process for transfer of services to either the Government or a SUCCESSOR. Any transition period may involve a gradual lessening of the amount of work and duties performed by the successful offeror and its employees.

Compensaton Plan: The compensation plan shall provide labor rates, to include hourly rates and fringe benefits to ensure to support the recruitment and rention of this requirement.

Volume III - Past Performance Offeror is required to submit information, on a single page, identifying federal, state and local government and private contracts performed within the past three years, which are similar in scope, type of work, and complexity to the effort described in this solicitation. If none, offeror should so state and provide information on references.

All offerors must submit a copy of the past performance questionnaire to each individual listed in the past performance proposal. The questionnaire should be emailed or faxed directly to Donna.l.blossom.civ@mail.mil AND Cheryl.a.ricker2@civ.mail.mil ON OR BEFORE the closing date of the solicitation. The offeror should instruct past performance references to send a copy back to the POC listed on the questionnaire only.

Information provided by the contractor shall state:

a) The type of service provided (should be similar to services being requested).

b) Name, telephone and fax numbers of a point of contact in the administering contracting office, -award/contract number, the term of the contract, the total amount, and number and types of personnel furnished.

It is the offeror’s responsibility to ensure that their references submit the Questionnaire to the Government. The Government is not responsible for the failure of any source to respond to a request for a past performance assessment on a timely basis.

The Past Performance evaluation will be accomplished by reviewing aspects of an Offeror's recent and relevant Past Performance, focusing on and targeting performance which is relevant to the effort. It shall be evaluated in accordance with FAR 15.305 and DFARS 215.305. However, the comparative assessment in FAR 15.305(a) (2) (i) does not apply. Therefore, past performance will be rated on an “acceptable” or “unacceptable” basis using the ratings below.

Volumn IV: Price

The offeror shall provide a fully burdened rate excel spreadsheet for the performance of this requirement which will specifically provide, by contract line item (CLIN) a breakout of the credentialing support staff's annual rate, houly rate, fringe benefits, as well as contractor's indirect costs. Please make sure that you show the total cost for the base, each optionyear, and total for all years combined. The spreadsheet shall contain contract line items to show how the price in Schedule B is determined. Contractor is responsible for to rounding to the nearest two digits.

Para (g) Contract award. This is amended to provide that the Government may conduct discussions prior to contract award at its sole discretion.

Para (j) Unique entity identifier (Data Universal Numbering System (DUNS) / CAGE Code). The offeror shall obtain these said Codes and registration in the System Award Management (SAM) and the Online Representations and Certifications. If you are a US firm the codes are mandatory. Award cannot and shall not be made to an offeror without these codes.

Para (m) Proposal Preparation Costs. The Government will not pay any costs incurred in the submission of an offer, in making any necessary studies for the preparation thereof, or for any visit(s) the Contracting Officer may request for the purpose of clarification of the offer.

Para (n) The offeror is responsible for ensuring that its proposal is complete. The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of any stated claims.

The proposal shall not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale to address how the offeror intends to perform the requirement. Offerors shall assume that the government has no prior knowledge of their experience and will base its evaluation solely on the information presented in the offeror's proposal.

Para (o) Protests received at a level higher than the contracting officer will be referred to the contracting officer.

Protestor may request a review by the contracting officer or an independent review at a level higher than the contracting officer. Requests for appeals or independent review will be addressed to the contracting officer for referral to the review authority. Questions on this process will be referred to the cognizant contracting officer identified in the solicitation.

Para (p) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

(End of Provision)

IRAPT

Invoicing, Receipt, Acceptance and Property Transfer (iRAPT) – formerly known as WAWF iRAPT is the authorized method to electronically process vendor request for payment. This application allows DOD vendors to submit and track Invoices and Receipt/Acceptance documents electronically. Contractor shall (i) register to use iRAPT at https://wawf.eb.mil and (ii) ensure an electronic business point of contract (POC) is designated in the System for Award Management at https://www.sam.gov within ten (10) calendar days after award of this contract/order.

iRAPT Instructions:

Questions concerning payments should be directed to the Defense Finance and Accounting Service (DFAS) location listed in Block 18a of your purchase order/contract. Please have your purchase order/contract number ready when calling about payments.

You can easily access payment and receipt information using the DFAS web site at http://www.dfas.mil/money/vendor . Your purchase order/contract number or invoice number will be required to inquire status of your payment.

The following codes and information will be required to assure successful flow of iRAPT documents.

Foreign Vendors will submit banking information in the Comments Tab of the iRAPT invoice.

TYPE OF DOCUMENT [X the appropriate block]

___ Invoice (Contractor Only)

___ Invoice and Receiving Report (COMBO)

_X__ Invoice as 2-in-1 (Services Only)

___ Receiving Report (Government Only)

CAGE CODE:

ISSUE BY DODAAC: W91YTZ

ADMIN BY DODAAC: W91YTZ

INSPECT BY DODAAC: W913LP

ACCEPT BY DODAAC: W913LP

SHIP TO DODAAC: W913LP

PAYMENT OFFICE FISCAL STATION CODE: HQ0490

EMAIL POINTS OF CONTACT LISTING: (Use Group e-mail accounts if applicable)

INSPECTOR Primary:

Alternate:

ACCEPTOR Primary:

Alternate:

RECEIVING OFFICE POC: Primary:

Alternate:

CONTRACT ADMINISTRATOR/ SPECIALIST: Ms. Donna Blossom, donna.l.blossom.civ@mail.mil Comm: 910-907-6851

CONTRACTING OFFICER: Ms. Cheryl A. Ricker, cheryl.a.ricker2.civ@mail.mil Comm: 910-907-9305

ADDITIONAL CONTACT:

Any modification requests must be in writing and submitted to: ADMIN DODAAC.

(End)

PAST PERFORMANCE

PAST PERFORMANCE QUESTIONNAIRE.

DEPARTMENT OF THE ARMY

United States Army Medical Command

Health Care Acquisition Activity 4-2817 Riley Road

Fort Bragg, NC 28310

Fort Bragg Cell

MCXC--CT

SUBJECT: Offeror Past Performance Assessment in Support of Solicitation Number W91YTZ-18-R-0025

Dear Sir/Ma’am;

The US Army Medical Command is currently conducting a competitive source selection to evaluate offerors on subject solicitation. As part of this evaluation, we have requested that the offerors provide information about their past performance on same or similar federal, state or local government or commercial contracts as compared to North American Industry Classification System (NAICS) 541990. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return to the Fort Bragg Cell 4-2817 Riley Road, Fort Bragg, NC 28310. Contracting must be in receipt of the questionnaire no later than 5pm EST, 9 August 2018. Your questionnaire may be submitted electronically to Ms. Donna L. Blossom, donna.l.blossom.civ@mail.mil AND the Contracting Officer, Ms. Cheryl A. Ricker at cheryl.a.ricker.civ@mail.mil.

PAST PERFORMANCE EVALUATION QUESTIONNAIRE FORM

Contractor:____________________ Contract No.:____________________________ Subcontract No. (if applicable):_________________________________ POC:________________________ Title:________________________ (Name) (E.G. PCO/ACO/TM) (Agency, Telephone No., E‐mail Address & Fax Number)

The following questions pertain to the contractor’s record of past (within the past three years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

Neutral / Unknown Performance Risk (N). No record of past performance.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E‐mail Address:

PART II. EVALUATION (To be completed by Point of Contact – Respondent)

PAST PERFORMANCE SURVEY QUESTIONNAIRE – Attachment Hello:

The offeror has identified you as a reference to validate the offeror’s past performance. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important. Please respond no later than the close of the solicitation date and time to Ms. Donna Blossom, donna.l.blossom.civ@mail.mil.

Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages. If contractor has held more than one contract with you, please note the information. Responses will be treated as "source selection sensitive information."

Contract Identification:

A. CONTRACTOR: ________________________________________________________

CONTRACT NUMBER: __________________________________________________

DELIVERY ORDER(s) (if applicable) _______________________________________

PERIOD OF PERFORMANCE:

__________________________ OPTIONS_________

TOTAL CONTRACT AMOUNT: $______________________________________________

DESCRIBE SERVICES acquired. Please include number and type of providers:

____________Competed? ___ Yes ___ No Type of Contract: Negotiated ________ Sealed Bid ________ Fixed Price ________ Other (specify) _________ Complexity of Work: __________ Difficult Routine _____________ Explain: ______________________________________________________________________

B. Please provide name, title, address and phone number of the person completing this questionnaire.

Name___________________________________________________________________ Title ________________________________________________________________________ Company/Government Address ___________________________________________________________

Phone: ______________________ Ext # ______________ Email Address: _________________________________________________________________________

Is there anyone else we should send this questionnaire to? Please identify by name, organization and phone number.

Past Performance Survey Questionnaire C. ASSESSMENT ELEMENTS. The following begins the survey questionnaire on Offeror’s (Contractor) performance.

Based on definitions at the end of the questionnaire, please assess offeror's performance regarding:

Offeror: _____________________________________Contract Number__________________________

1. Quality of Service. Assess the offeror's conformance to contract requirements, specifications, and standards of good workmanship. Did the service meet the required level of quality?

Performance Rating _______________________ Reason _____________________________________________________________

2. Schedule. Assess the offeror's adherence to contract schedules, including administrative aspects of performance, timeliness of completion of the contract, milestones, delivery schedules, administrative requirements.

Performance Rating _______________________ Reason _____________________________________________________________

3. Business Relations. Assess the integration and coordination of all activity needed to execute the contract, specifically the timeliness, anticipation of problems, completeness and quality of problem identification, corrective action plans, the offeror's history of reasonable and cooperative behavior in resolving issues, commitment to customer satisfaction, and management of subcontracts (if any).

Performance Rating _______________________ Reason _____________________________________________________________

4. Key Personnel. Assess the offeror's performance, experience in management, in retaining, supporting, and replacing, when necessary, key personnel.

Performance Rating _______________________ Reason _____________________________________________________________

5. Offeror's Cost Control. Did the contractor deliver at the agreed‐to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/under run, government‐imposed schedule changes, etc.)

Performance Rating _______________________ Reason _________________________________________________________________

6. Any reservations about recommending a future contract award to this offeror? No ___ Yes___, Why? (Good business relations, very organized, very responsive, etc.)

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS (JAN 2017)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF 1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show--

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with subpart 4.10 of the Federal Acquisition Regulation), or alternative commercial items for satisfying the requirements of this solicitation.

Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers:

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is “late” and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and--

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers.

Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to--GSA Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC 20407, Telephone (202) 619-8925, Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision.

Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (https://assist.dla.mil/online/start/).

(ii) Quick Search (http://quicksearch.dla.mil/).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point (DoDSSP) by--

(i) Using the ASSIST Shopping Wizard (https://assist.dla.mil/wizard/index.cfm);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone

(215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Unique entity identifier. (Applies to all offers exceeding $3,500, and offers of $3,500 or less if the solicitation requires the Contractor to be registered in the System for Award Management (SAM) database.) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation ``Unique Entity Identifier'' followed by the unique entity identifier that identifies the Offeror's name and address. The Offeror also shall enter its Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the Offeror to establish additional SAM records for identifying alternative EFT accounts (see subpart 32.11) for the same entity. If the Offeror does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Offeror should indicate that it is an offeror for a Government contract when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

(k) System for Award Management. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information on registration and annual confirmation requirements via the SAM database accessed through https://www.acquisition.gov.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

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