Exhibits A - D

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PRE PROPOSAL INQUIRY FORM N62742224R6706

Exhibit A.

OFFEROR NAME: DATE:


ADDRESS:
PHONE NUMBER:
EMAIL:

Question No. Reference (Sect/Para/Page) QUESTION GOVERNMENT RESPONSE

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104


D/B UFC Renovation of C2 Fusion Center, Basa Air Base N6274224R6706
Floridablanca, Pampanga, Philippines Exhibit B
Page 1 of 1

EXHIBIT B - OFFEROR EXPERIENCE PROJECT DATA SHEET

Provide the following information on projects to demonstrate past experience on recent, relevant
construction projects. Use continuation sheets, if needed.

PLACE PHOTO HERE

Offeror Name: ______________________________

Contract Number: ___________________________


Project Title/Location: ________________________
Short Project Description: ________________________

Effort involved Design Build:


___Yes, self-performed as the Prime contractor
___Yes, subcontracted and managed by the Prime contractor
___No, did not include DB

Contract Amount: __________________

Original Contract Completion Date: __________________


Final Contract Completion Date: __________________
Date Completed: __________________

Percentage of Work Performed: __________________

Prime or Subcontract Work: __________________

Customer/Client: __________________

Customer/Client Contact Information: (include for each POC: NAME, PHONE NUMBER, EMAIL
ADDRESS, AND MAILING ADDRESS)
D/B UFC Renovation of C2 Fusion Center, Basa Air Base N6274224R6706
Floridablanca, Pampanga, Philippines Exhibit C
Page 1 of 5
EXHIBIT C – PAST PERFORMANCE QUESTIONNAIRE

1. The NAVFAC Form PPQ shall be utilized for all evaluations that require a Past Performance
Questionnaire (PPQ).

2. Offerors should submit the PPQ with their offer. If the offeror is unable to obtain a completed PPQ
from a client for a project(s) before proposal closing date, the offeror should complete and submit with
the proposal the first page of the PPQ, which will provide contract and client information for the
respective project(s). Offerors should follow-up with clients/references to ensure timely submittal of
questionnaires. If the client requests, questionnaires may be submitted directly to the Government’s point
of contact, Artitar Udit via email at artitar@state.gov prior to proposal closing date.

3. Offerors should provide PPQs with their proposal as required by RFP. Offerors shall not incorporate
by reference into their proposal PPQs previously submitted for other RFPs. However, this does not
preclude the Government from utilizing previously submitted PPQ information in the past performance
evaluation."
D/B UFC Renovation of C2 Fusion Center, Basa Air Base N6274224R6706
Floridablanca, Pampanga, Philippines Exhibit C
Page 2 of 5

EXHIBIT C
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)


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 REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT
THE COMPLETED QUESTIONNAIRE TO NAVFAC WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON NAVFAC
SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE
SUBMITTED DIRECTLY TO NAVFAC. PLEASE CONTACT THE OFFEROR FOR NAVFAC POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY
AND ALL INFORMATION ON THIS FORM.
D/B UFC Renovation of C2 Fusion Center, Basa Air Base N6274224R6706
Floridablanca, Pampanga, Philippines Exhibit C
Page 3 of 5
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 An Exceptional rating is appropriate


and exceeds many to the Government/Owner’s when the Contractor successfully
benefit. The contractual performance of the performed multiple significant events
element or sub-element being assessed was that were of benefit to the
accomplished with few minor problems for Government/Owner. A singular benefit,
which corrective actions taken by the however, could be of such magnitude that
contractor was highly effective. it alone constitutes an Exceptional rating.
Also, there should have been NO
significant weaknesses identified.
(VG) Very Good Performance meets contractual requirements A Very Good rating is appropriate when
and exceeds some to the the Contractor successfully performed a
Government’s/Owner’s benefit. The significant event that was a benefit to the
contractual performance of the element or sub- Government/Owner. There should have
element being assessed was accomplished with been no significant weaknesses identified.
some minor problems for which corrective
actions taken by the contractor were effective.
(S) Satisfactory Performance meets minimum contractual A Satisfactory rating is appropriate when
requirements. The contractual performance of there were only minor problems, or major
the element or sub-element contains some problems that the contractor recovered
minor problems for which corrective actions from without impact to the contract.
taken by the contractor appear or were There should have been NO significant
satisfactory. 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.
(M) Marginal Performance does not meet some contractual A Marginal is appropriate when a
requirements. The contractual performance of significant event occurred that the
the element or sub-element being assessed contractor had trouble overcoming which
reflects a serious problem for which the impacted the Government/Owner.
contractor has not yet identified corrective
actions. The contractor's proposed actions
appear only marginally effective or were not
fully implemented.
(U) Unsatisfactory Performance does not meet most contractual An Unsatisfactory rating is appropriate
requirements and recovery is not likely in a when multiple significant events occurred
timely manner. The contractual performance of that the contractor had trouble
the element or sub-element contains serious overcoming and which impacted the
problem(s) for which the contractor's Government/Owner. A singular problem,
corrective actions appear or were ineffective. 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 Rating will be neither positive nor
contract negative.
D/B UFC Renovation of C2 Fusion Center, Basa Air Base N6274224R6706
Floridablanca, Pampanga, Philippines Exhibit C
Page 4 of 5
Contractor Information (Firm Name): ________________________________________________
Client Information (Name): ________________________________________________________

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
E VG S M U N
customer guidance
d) Adequacy/effectiveness of quality control program and adherence to
contract quality assurance requirements (without adverse effect on E VG S M U N
performance)
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
a) Compliance with contract delivery/completion schedules including any
significant intermediate milestones. (If liquidated damages were assessed or E VG S M U N
the schedule was not met, please address below)
b) Rate the contractor’s use of available resources to accomplish tasks
E VG S M U N
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; E VG S M U N
responsiveness to administrative reports, businesslike and communication)
c) To what extent was the contractor cooperative, businesslike, and concerned
E VG S M U N
with the interests of the customer?
d) Overall customer satisfaction E VG S M U N
4. MANAGEMENT/ PERSONNEL/LABOR
a) Effectiveness of on-site management, including management of
E VG S M U N
subcontractors, suppliers, materials, and/or labor force?
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
E VG S M U N
priority, including planning, execution and response to Government changes
h) Effectiveness of overall management (including ability to effectively lead,
E VG S M U N
manage and control the program)
5. COST/FINANCIAL MANAGEMENT
a) Ability to meet the terms and conditions within the contractually agreed
E VG S M U N
price(s)?
D/B UFC Renovation of C2 Fusion Center, Basa Air Base N6274224R6706
Floridablanca, Pampanga, Philippines Exhibit C
Page 5 of 5

Contractor Information (Firm Name): ________________________________________________


Client Information (Name): ________________________________________________________

b) Contractor proposed innovative alternative methods/processes that reduced


E VG S M U N
cost, improved maintainability or other factors that benefited the client
c) If this is/was a Government cost type contract, please rate the Contractor’s
timeliness and accuracy in submitting monthly invoices with appropriate back-
up documentation, monthly status reports/budget variance reports, compliance E VG S M U N
with established budgets and avoidance of significant and/or unexplained
variances (under runs or overruns)
d) Is the Contractor’s accounting system adequate for management and
Yes No
tracking of costs? If no, please explain in Remarks section.
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
Yes No
terminations? Indicate if show cause or cure notices were issued, or any
default action in comment section below.
f) Have there been any indications that the contractor has had any financial
Yes No
problems? If yes, please explain below.
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?
E VG S M U N
(Includes: following the users rules, regulations, and requirements regarding
housekeeping, safety, correction of noted deficiencies, etc.)
b) Contractor complied with all security requirements for the project and
E VG S M U N
personnel security requirements.
7. GENERAL
a) Ability to successfully respond to emergency and/or surge situations
(including notifying COR, PM or Contracting Officer in a timely manner E VG S M U N
regarding urgent contractual issues).
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
E VG S M U N
contractor.

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):
N6274224R6706
Exhibit D.

DATE SUBMITTED

BILL OF QUANTITY (BOQ)


ACTIVITY AND LOCATION: CONSTRUCTION CONTRACT NUMBER:
NAVAFC ROICC Philippines N62742 24R6706

PROJECT TITLE: CONTRACTOR:


D/B UFC Renovation of C2 Fusion Center, Basa Air Base
QUANTITY MATERIAL COST LABOR COST
ITEM DESCRIPTION
NUMBER UNIT UNIT COST TOTAL UNIT COST TOTAL TOTAL, USD

CLIN 1 - BUILDING REPAIR AND SECURITY IMPROVEMENTS


B20 EXTERIOR CLOSURE
B2010 Exterior Walls- restoration SQM
B201007 EXTERIOR SOFFITS SQM
B2020 Exterior windows, sealing & weather EA
stripping
B2030 Exterior doors, sealing & weather EA
stripping
C30 INTERIOR FINISHES
C3020.a Floor Finishes - Repair of baseboards LS
C302011 Raised Access Flooring SQM
D30 HVAC - deep cleaning and refrigerant EA
recharge
D50 ELECTRICAL
D5010 Electrical Service and Distribution - LS
assessment of existing conditions and
electrical system upgrade
D5030 Communications & Security - CCTV EA
system
E20 FURNISHINGS
E2010 Fixed Furnishings - combi blinds EA
Z GENERAL REQUIREMENTS
Z01 Construction and utility permits SQM
Z02 Predesign Surveys; and incidentals LS
Z03 Detailed Engineering Design, project LS
rendering
Z03 Mobilization/Demobilization LS
OTHER ITEMS (List/Specify)

SUBTOTAL CLIN 0001

CLIN 2 - CONSTRUCTION OF GUARD SHACK, SECURITY FENCE, GATE, COVERED WALKWAY AND EXTERIOR SECURITY UPGRADE
A10 FOUNDATIONS
A1020 Slab on Grade SQM
B10 SUPERSTRUCTURE
Structural Frames LS
B1010 Floor construction sqm
B1020 Roof construction, structural frame, SQM
guard shack
Roof canopies - walkway SQM
B20 EXTERIOR CLOSURE
B2010 Exterior Walls SQM
B2020 Exterior Windows EA
B2030 Exterior Doors EA
B3010 Roof Coverings & Roof Drains SQM
C10 INTERIOR CONSTRUCTION
C103005 Lockers EA
C103006 Shelving EA
C103007 Fire Extinguisher Cabinets EA

FOR OFFICIAL USE ONLY


# SBU - CONTRACTING AND ACQUISITIONS 1 of 2
N6274224R6706
Exhibit D.

QUANTITY MATERIAL COST LABOR COST


ITEM DESCRIPTION
NUMBER UNIT UNIT COST TOTAL UNIT COST TOTAL TOTAL, USD
C103008Counters LM
C103009Cabinet LM
C30 INTERIOR FINISHES
C3010 Wall Finishes SQM
C3020 Floor Finishes SQM
C3030 Ceiling Finishes SQM
D20 PLUMBING
D2040 Rainwater Drainage EA
D30 HVAC
D3030 Cooling Generating Systems EA
D3070 Systems Testing & Balancing EA
D40 FIRE PROTECTION
D4010 Fire Alarm and Detection JOB
D50 ELECTRICAL
D5010 Electrical Service and Distribution SQM
D5020 Lighting & Branch Wiring SQM
D5030 Communications & Security
telephone and data outlets EA
intercom system SYS
D5090 Other Electrical Services - lightning EA
protection
E10 EQUIPMENT
CCTV monitoring equipment EA
G10 SITE PREPARATION
G1010 Site Clearing SQM
G1020 Site Demolition & Relocations SQM
G1030 Site Earthwork SQM
G20 SITE IMPROVEMENTS
G2030 Pedestrain Paving - WALKWAY SQM
G2040 Exterior Furnishings
G204001 Perimeter chainlink fence LM
G204001 Vehicular sliding gate, 7-meter wide EA
G204001 Turnstile gate EA
G40 SITE ELECTRICAL UTILITIES
G4010 Electrical Distribution LS
G4020 Exterior Lighting Fixtures and Controls EA
G4030 Site Communication & Security; CCTV EA
and telephone
G90 OTHER SITE CONSTRUCTION LS
Z GENERAL
Z01 Construction and utility permits SQM
Z01 Predesign Surveys LS
Z02 Detailed Engineering Design LS
Z03 Mobilization/Demobilization LS
OTHER ITEMS (List/Specify)

SUBTOTAL CLIN 0002

TOTAL COST

CONTRACTOR AUTHORIZED SIGNATORY


(Sinature above printed name)

DATE: _________________________

NOTES:
* Provide/Insert additional line items for OTHER items as deemed necessary if there are items not already
included in the BOQ form

FOR OFFICIAL USE ONLY


# SBU - CONTRACTING AND ACQUISITIONS 2 of 2

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