ExhibitA.doc

EXHIBIT A - PERFORMANCE INFORMATION FORM

W91ZRS-08-R-0003

Geothermal HVAC System, Bradley

EXHIBIT A PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 1: Prepare not more than 5 of these documents as the offeror or construction contractor as applicable. Contractors should select their projects carefully because the quality of the contractor’s relevant performance is more important than the quantity of projects submitted.

Note: If the A&E firm is the offeror, this should be completed by the major subcontractor you plan on using for construction. A&E firms must provide a completed SF 330.

Provide the following information requested in this format for each of the projects/contracts being described. Projects may be on-going complete to 75%. Completed projects must be completed within 5 years from the solicitation issue date. Contractors should select their projects carefully because the quality of the contractor’s relevant performance is more important than the quantity of projects submitted. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

DB ___Yes ___No

1. Description of Effort as ___________Prime or _________Subcontractor

2. Contract Number

3. Original Contract $ Value _____________ Current/Final Contract $ Value ____________

4. If amounts in 3 above are different, provide a brief description of the reason:

5. Completion Date:

1. Original Date: ______________

2. Current Schedule____________________

3. Estimate/Final Completion Date:________________________________

4. Primary cause for Contract Modifications__________________________________

D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. Consider the past performance relevancy criteria detailed in the solicitation section 00110. (Use as much space as necessary)

In addition address the following

a. Describe the specific elements of the work performed by your firm.

b. Indicate what elements of work were performed by your major subcontractors and if those same subcontractors will be used on this project. If you intend to use these subcontractors please list name and principal areas of work they will perform.

c. Address any technical areas about this project you consider uniquely relevant to this project.

E. Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired. Affirmatively indicate that you have sent them and Exhibit C questionnaire. DO NOT include what you sent in your proposal.

End of Part 1- Questionnaire Requirements – Prepare and send Exhibit C Package to the reference(s) for each of these projects.

PART 2 : Provide the following information one time.

Additional offeror information required, but not project specific. This information need only be provided once in your submission package.

2 A. Applicable to all offerors - Describe your Compliance with the requirements of FAR clause 52.219-8, Utilization of Small Business Concerns (Oct 2000). (Even if you are a Small or Small Disadvantaged Business this clause in Federal Contracts applies. It is the policy of the United States that small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns shall have the maximum practicable opportunity to participate in performing contracts let by any Federal agency, including contracts and subcontracts for subsystems, assemblies, components, and related services for major systems. It is also policy to establish procedures to ensure the timely payment of amounts due pursuant to the terms of their subcontracts. (FAR Clause 52-219-8) Describe below the methods you have used to comply with this policy on prior federal contracts? Include any evidence, or a point of contact to verify this information, if available.

2B. Applicable to large businesses offerors only - Discuss Compliance with Small Business

Subcontracting Plan requirements (FAR 52.219-9) on previous federal contracts, if applicable. For each contract, state if a small business or disadvantaged business plan or goal was required. If so, identify in terms of a percentage the planned versus achieved goal during the contract. Provide contract number, Point of Contact (POC) and current phone number or email address for POC for verifying data.

2C: Offerors are strongly encouraged to include with their proposals information on problems encountered on relative projects and the specific corrective actions taken to remedy the problem(s).

2D: List any projects within the last five (5) years that have been assessed Liquidated damages, or Government Claims for Design defects (Applicable to A&E) Provide an explanation. If none have been assessed make a positive statement to that effect.

2E: List any projects within the last five (5) years that have been terminated, for any reason. Provide an explanation . If none make a positive statement to that effect.

2F. Other Past Performance Considerations (OPTIONAL) Information, if provided, shall be limited to the period starting 5 years prior to the solicitation release date.

Effectiveness of value engineering (VEC) proposals you submitted on prior contracts. (Provide a brief description; impact on cost, schedule, efficiency or quality; contract number; name and phone number of customer benefiting from the VEC).

Professional/Industry awards (Identify award type, date of award and copy of certificate if applicable), Letters of appreciation, recognition or commendations.

Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and provide supporting information for verification).

End of Questionnaire Requirements