CHUUKSTATEPROJECT lVIANAGEMENT OFFICE (PlVIO)
P.O. Box 1659, Weno

Tel. ~Jo. :{6!U)330-3069

Chuuk96942

www.chuukpmo.org

May 08, 2020
Request For
Qualifications (RFQ)
A/E Services for Design of Three Schools and Two Dispensaries
Chuuk State, Federated States of Micronesia
The Chuuk State Government, through the PMO office is hereby soliciting Statement of
Qualification from individuals or firms to provide A/ E Services for the design of Three (3)Schools and Two (2) Dispensaries, namely:
SI.
No.
1.

2.
3.
4.
5.

location

Description
Lekinioch Elementary School
Lekinioch Junior High School
Lekinioch DispensaryMortlock High School
Mortlock Dispensary

Lekinioch Island, Mortlock Region

Satawan Island, Mortlock Region

The submission of SOQs for the Design Services for the above Schools andDispensaries will be received until 4:00pm Chuuk time on Thursday, June 15, 2020, at
the Chuuk State PMO Office, Weno, Chuuk, FSM. Shortly thereafter all submitted SOQs
will be opened by the Selection Committee. Any SOQ received after the closing time
will not be accepted and will be returned to the Consultant unopened . It is the
responsibility of the Consultant to see that any SOQ submitted shall have sufficient time tobe received by the Chuuk State Government PMO office to the SOQ's opening day andtime. All SOQs must bear company authorized signature. Interested individuals or firms
must fill up and submit A/E Qualifications and Past Performance Questionnaire (Seeattached).
All interested individuals I firms(s) shall submit their SQQ to:

T. H. Lt. Gov. Mark Mailo
State Contracting Officer/ IPIC Chairman

PMO RFQ#2020-007 DESIGN OF THREE SCHOOLS AND TWO DISPENSARIES
1

The SQQ submitted shall be labeled:
Re: PMO RFQ #2020-007: Design of Three (3) Schools and Two Dispensaries,
Mortlock Region, Chuuk State, FSM
General:The Chuuk State PMO Office is currently seeking qualified professional Architects I
Engineers to provide Services for the design of Three (3) schools and Two (2)Dispensaries, funded under the US Compact infrastructure Sector Grant for the State of
Chuuk, FSM. Outlined below are the requirements, selection process and documentationnecessary to respond to this Request for Qualifications (RFQ).
Should you require additional information and I or clarifications regarding the preparation of
the SOQ, contact Mr. Sasha Savich, P.E., Project Manager Chuuk State PMO at(691) 330 - 3069 or sasha@engrinc.com . Oral responses made by Chuuk State PMO
Office employees or representatives should not be relied upon as definitive.
This Request for Qualifications does not commit Chuuk State PMO Office to award acontract, to pay any costs incurred in the preparation of a proposal based on this request,or to procure or contract for services. The Chuuk State reserves the right to refuse or reject
any or all SOQs and to waive any or all formalities or technicalities and to accept the SOQ
deemed most advantageous to the Chuuk State PMO for A/E Services for the design ofThree (3) Schools and Two (2) Dispensaries.
A map showing the locations of the project sites is attached for ready reference.
Chuuk State PMO Office can hold the SOQs for a period of 60 days without taking any action.

Date:
Mailo
er and IPIC Chairman

PMO RFQ#2020-007 DESIGN OF THREE SCHOOLS AND TWO DISPENSARIES
2

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SATOWANArchitectural and Engineering Services
for the Design of Three Schools and Two Dispensaries(Lekinioch Elementary School, Lekinioch Junior High School, Lekinioch Dispensary,
Mortlock High School, Mortlock Dispensary)for the Project Management Office (PMO), Chuuk State, Federated States of Micronesia
SOLICITATION NUMBER: PMO RFQ#2020-007

NOTICE DETAILS
Solicitation #: PMO-RFQ-2020-007
PROCUREMENT TYPE:
Combined Synopsis/Solicitation
DATE POSTED:
May 08, 2020
TITLE:
Architectural and Engineering Services, Three Schools and Two Dispensaries (Lekinioch E/S,
Lekinioch J/HS, Lekinioch Dispensary, Mortlock H/S and Mortloch Dispensary) for the ProjectManagement Office (PMO), Chuuk State, Federated States of Micronesia
RESPONSE DATE:
June 15, 2020, 4:00 pm, Chuuk Time
PRIMARY POINT OF CONTACT:Mr. Sasha Savich, P.E.
Project Manager
Chuuk State Project Management Office (PMO)
P.O. Box 1659, Weno, Chuuk State, FSM 96942
sasha@engrinc.com
Tel #: (691)330-3069
SECONDARY POINT OF CONTACT:Mr. Sanjata M. Basu, P.E.
Contract Specialist
Chuuk State Project Management Office (PMO)
P.O. Box 1659, Weno, Chuuk State, FSM 96942
sanjata.basu@gmail.com
Tel #: (691)330-3069
DESCRIPTION
Architectural and Engineering Services for the Architectural, Structural, Surveying, Geotechnical,
Civil, Mechanical, Fire Protection, and Electrical Engineering Design for Three Schools and Two
Dispensaries (Lekinioch E/S, Lekinioch JH/S, Lekinioch Dispensary, Mortlock H/S and
Mortloch Dispensary), located in Chuuk State, Federated States of Micronesia.
CONTRACT INFORMATION:
Architectural and Engineering Services, to include but not limited to Architectural, Structural, Civil,
Mechanical, Survey, Electrical, Fire Protection, and Geotechnical Services and FAR Part 36.

PMO RFQ#2020‐007 DESIGN FOR THREE SCHOOLS AND TWO DISPENSARIES1PROJECT INFORMATION:
Work primarily includes but is not limited to:
1.
2.
3.
4.
5.
6.
7.
8.

Complete architectural design.
Structural engineering and design, to include seismic and wind load analysis.
Surveying to include Cadastral and Topographic mapping.
Geotechnical Services to include soil borings, associated laboratory analysis for structuraland foundation design recommendations, as well as soil percolation analysis andrecommendations for design of leach field wastewater disposal system.
Civil engineering design to include site grading, drainage, and waste water disposal system (septictank and leach field).
Fire Protection design limited to fire/smoke alarms and fire extinguishers.
Mechanical engineering to include plumbing system, fixtures, water supply piping system,
ventilation and wastewater piping.
Electrical engineering to include solar power supply & battery system to provide power during
evenings and when the is cloud cover.

All engineering designs shall include complete plans, details, specifications, design analysis
calculation reports, cost estimates, and bill of quantities for the construction of the project.
Proposed project progress schedule for design of elementary and high school classroom
facilities and the dispensaries shall be submitted at the start of the project. The proposedconstruction of new school and dispensary projects are primarily in support for the improvement of
Chuuk State Department of Education and Department of Health.
All design and other engineering-related services must be performed by or under the directsupervision of licensed professional Engineers. All services shall be performed in accordance with allapplicable codes and criteria required for Government work (e.g. IBC) and all applicable laws, codes
and regulations pertinent to accessibility. The awarded contract will follow acquisition processes
included in the Federal Acquisition Regulation (FAR) (https://www.acquisition.gov/).
Scope of specific required Work will be provided in the Request for Proposal (RFP)
dissemination.
SELECTION CRITERIA:
The selection criteria for this solicitation is listed below in descending order of importance. Primary
criteria consist of (a) through (e). Criteria (a) and (b) are considered most important and of equal
importance; Criteria (c) (d) and (e) are of lesser importance and listed in descending order ofimportance.
Secondary criteria, (f) will be used only as tie-breakers among firms ranked technically equal using
the primary criteria.
(a) Specialized experience and technical competence (28%)(1) The evaluation will consider the extent of the offeror's specialized experience andtechnical competence of the prime firm and sub-consultants for engineering services
described in paragraph 2 "Project Information."
SF330 requirement: Provide within SF 330, Part I, Section F examples of not more than
5 projects completed within the last 5 years that best demonstrate specialized

PMO RFQ#2020‐007 DESIGN FOR THREE SCHOOLS AND TWO DISPENSARIES

2

experience and technical competency in the areas listed above in section 2. Project
information. Project experience where the Prime was the lead, and projects where theprime and significant subcontractors worked together, will be given more consideration.
Project examples submitted should be of completed projects. All projects cited shallidentify design start/complete dates as well as the project size (cost and scope). (SF330, Part I, Section F).
(2) The evaluation will consider the firm's management plan/structure and design quality

control procedures. The Management plan and organizational structure will be evaluatedto determine the sufficiency of oversight of how task orders will be managed to meetproject milestones. Design QC procedures will be evaluated to ascertain its
effectiveness in producing quality deliverables.
SF330 requirement: Provide management plan/structure and design quality control
procedures within Part I, Section H (Additional Information).

(b) Professional qualifications of the prime firm's staff and sub-consultants to be

assigned to the projects (28%)

The evaluation will consider the extent of the education, training, registration and overall
relevant experience of the key personnel identified below. This criterion primarily focuseson the qualifications of the key personnel for the contract and not the quantity of
personnel, which is addressed under the "capacity to accomplish the work" criterion.
SF330 requirement: Provide a maximum of Three (3) key personnel for the Architectural and
Structural Engineer disciplines. Provide a minimum of one (1) individual / up to a maximumof two (2) key personnel for the remaining disciplines identified below. Firms will not be
evaluated more favorably for identifying additional Key Personnel beyond those identified
here. Identified key personnel will be more highly evaluated if he or she participated in the
firm's sample projects submitted in the SF 330 Section F. Use a separate Section E for eachindividual. Do not generalize professional registrations or certifications but provide specificdetails. The lead architect or engineer in each discipline must be registered in theappropriate professional field. For purposes of selection criteria, the use of the term
"registered" means a Registered Architect or Professional Engineer registered to practicewithin the APEC economies. Key personnel are as follows:
PROJECT MANAGERS (Registered Architect or Engineer)
REGISTERED CIVIL ENGINEERS
REGISTERED ARCHITECTSREGISTERED STUCTURAL ENGINEERS
REGISTERED MECHANICAL ENGINEERS
REGISTERED FIRE PROTECTION ENGINEERS
REGISTERED ELECTRICAL ENGINEERS
REGISTERED ENVIRONMENTAL ENGINEERS
REGISTERED SURVEYORSREGISTERED GEOTECHNICAL ENGINEERS
COST ENGINEER (Degree in Engineering or Architecture with at least ten (10)years cost estimating experience.

PMO RFQ#2020‐007 DESIGN FOR THREE SCHOOLS AND TWO DISPENSARIES

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(c) Past Performance of the firm for similar work (15%)

Firms will be evaluated on past performance for quality of work products, compliance toproject schedules, and effectiveness of management. Performance evaluations for any
significant sub-consultants may also be considered. The FSM does not currently have a
corporate past performance evaluation system and evaluation will consider past
performance from other sources. The relevancy of past performance information will beconsidered. The more relevant the information, the more weight it carries. NOTE: if norelevant past performance information is available to evaluate, or if the record is so sparsesuch that no meaningful rating can be reasonably assigned, the offeror will be assigned arating of neutral and shall not be evaluated favorably or unfavorably.
SF330 requirement: Past performance data for projects presented under Part I, Section F of
the SF330 will be considered. Performance evaluations will be queried for all firms. Any
credible, documented information on past performance may be submitted, but the FSM
Government is not required to seek other information on past performance if none isavailable or submitted. (Note: Past Performance Questionnaires (PPQ) can be submitted toprovide or supplement a firms past performance. Firms which choose to use the PPQ may
complete and coordinate the enclosed example questionnaire with their client, and submit
the PPQ in accordance with instructions below.).
(d) Knowledge of the locality of the projects (13%)

Firms will be evaluated on specific familiarity with the site conditions in the Federated Statesof Micronesia, with higher consideration for familiarity in Chuuk State. The intent is todemonstrate knowledge and understanding of local conditions, including the physicalenvironment, local engineering criteria, local construction methods, and construction
market conditions.
SF330 Requirement: The basis of evaluation for this criterion will focus on the information
provided in SF330, Part I, Section E (Resume of Key Personnel), item 19 (Relevant
Projects). Information presented shall demonstrate general understanding of the local
conditions listed above, based on specific work experience.
(e) Capacity of the firm to accomplish work in the required time (11%)

Firms will be evaluated on their capacity to accomplish the work: Adherence to projectschedules for all projects is critical to the Government. Completion within the schedulerequires the engagement of sufficient and competent staff and subcontractors.
SECONDARY selection criteria, to be used as quote mark tie-breakers quote mark among
technically equal firms, are listed in descending order of importance as follows:(f) Geographic proximity in relation to the location of the work (5%)

Firms will be evaluated based on their main office's physical proximity to Chuuk State,Federated States of Micronesia.

PMO RFQ#2020‐007 DESIGN FOR THREE SCHOOLS AND TWO DISPENSARIES

4

SUBMISSION REQUIREMENTS:
Firms desiring consideration must submit the Standard Form 330 along with Past Performance
Questionnaire form through electronic files via email for immediate review no later than June 15,
2020, 4:00PM Chuuk standard time. The selected firm(s) will be required to submit one hard copy
and one pdf file with searchable text on CD/DVD or USB flash drive.
Specific details regarding the content of the SF330 are provided in the preceding paragraphs.
SF330s will be sent to T. H. Lt. Gov. Mark Mailo, Contracting Officer at amj653@gmail.com, alongwith a cc to Sasha Savich, P.E., Project Manager Chuuk PMO, at sasha@engrinc.com, and Sanjata
M. Basu, P.E., Contract Specialist Chuuk PMO at sanjata.basu@gmail.com, P.O. Box 1659, Weno,
Chuuk State, FSM 96942. Request for Qualification PMO-RFQ-2020-007 shall be utilized tosolicit a proposal from the firm. This is not a request for a proposal.
PLACE OF CONTRACT PERFORMANCE:
Chuuk State, Federated States of Micronesia
SET ASIDE:NA
ARCHIVING POLICY:
Manual Archive
ALLOW VENDORS TO ADD/REMOVE FROM INTERESTED VENDORS:YesALLOW VENDORS TO VIEW INTERESTED VENDORS LIST:Yes

PMO RFQ#2020‐007 DESIGN FOR THREE SCHOOLS AND TWO DISPENSARIES

5

ARCHITECT-ENGINEER QUALIFICATIONSControl Number: PMO RFQ#2020-007

This form is borrowed from U.S. Federal Form SF330 (Architect-Engineer Qualifications)

PURPOSEDEFINITIONS

Federated States of Micronesia (FSM) agencies use this form toobtain information from architect-engineer (A-E) firms about theirprofessional qualifications. FSM agencies select firms for A-E
contracts on the basis of professional qualifications as requiredby FSM Law.

Architect-Engineer Services: Professional services of anarchitectural or engineering that are required to be performed orapproved by a person licensed, registered, or certified to provide
those services; performed by contract that are associated withresearch, planning, development, design, construction, alteration, or
repair of real property; and that members of the architectural andengineering professions (and individuals in their employ) may
logically or justifiably perform, including studies, investigations,surveying and mapping, tests, evaluations, consultations,comprehensive planning, program management, conceptual
designs, plans and specifications, value engineering, construction
phase services, soils engineering, drawing reviews, preparation ofoperating and maintenance manuals, and other related services.

The Selection of Architects and Engineers process requires the
public announcement of requirements for A-E services (withsome exceptions provided by other process), and the selection ofat least three of the most highly qualified firms based on
demonstrated competence and professional qualifications
according to specific criteria published in the announcement.
The process then requires the negotiation of a contract at a fairand reasonable price starting first with the most highly qualified
firm.
The information used to evaluate firms is from this form and othersources, including performance evaluations, any additional data
requested by the agency, and interviews with the most highly
qualified firms and their references.

Branch Office: A geographically distinct place of business or
subsidiary office of a firm that has a key role on the team.
Discipline: Primary technical capabilities of key personnel, as
evidenced by academic degree, professional registration,
certification, and/or extensive experience.
Firm: in conjunction with architect-engineer services, means any
individual, partnership, corporation, association, or other legal entity
permitted by law to practice the professions of architecture orengineering.

GENERAL INSTRUCTIONSPart I presents the qualifications for a specific contract.
Part II presents the general qualifications of a firm or a specificbranch office of a firm. Part II has two uses:
PART II IS NOT APPLICABLE TO THIS SOLICITATION PMO-RFQ#2018002(REV. D)

1. An A-E firm may submit Part II to the appropriate central,regional or local office of each FSM agency to be kept on file. A
public announcement is not required for certain contracts, andagencies may use Part II as a basis for selecting at least three ofthe most highly qualified firms for discussions prior to requesting
submission of Part I. Firms are encouraged to update Part II on
file with agency offices, as appropriate. If a firm has branch
offices, submit a separate Part II for each branch office seeking
work.
2. Prepare a separate Part II for each firm that will be part of
the team proposed for a specific contract and submitted with Part
I. If a firm has branch offices, submit a separate Part II for eachbranch office that has a key role on the team.
INDIVIDUAL AGENCY INSTRUCTIONS
Individual agencies may supplement these instructions. For
example, they may limit the number of projects or number ofpages submitted in Part I in response to a public announcement
for a particular project. Carefully comply with any agency
instructions when preparing and submitting this form. Be as
concise as possible and provide only the information requestedby the agency.

Key Personnel: Individuals who will have major contract
responsibilities and/or provide unusual or unique expertise.

SPECIFIC INSTRUCTIONSPart I - Contract-Specific Qualifications
Section A. Contract Information.
1. Title and Location. Enter the title and location of thecontract for which this form is being submitted, exactly as shownin the public announcement or agency request.
2. Public Notice Date. Enter the posted date of the agency's
notice on the public announcement or agency request for thiscontract.
3. Solicitation or Project Number. Enter the agency's
solicitation number and/or project number, i f a p p l i c a b l e ,exactly as shown in the public announcement or agency request
for this contract.
Section B. Architect-Engineer Point of Contact.
4-8. Name, Title, Name of Firm, Telephone Number, Fax(Facsimile) Number and E-mail (Electronic Mail) Address.
Provide information for a representative of the prime contractor
or joint venture that the agency can contact for additional
information.

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 1 OF INSTRUCTIONSSection C. Proposed Team.
9-11. Firm Name, Address, and Role in This Contract.
Provide the contractual relationship, name, full mailing address,
and a brief description of the role of each firm that will be
involved in performance of this contract. List the prime
contractor or joint venture partners first. If a firm has branch
offices, indicate each individual branch office that will have a keyrole on the team. The named subcontractors and outside
associates or consultants must be used, and any change must
be approved by the contracting officer. Attach an additional sheet
in the same format as Section C if needed.
Section D. Organizational Chart of Proposed Team.
As an attachment after Section C, present an organizational
chart of the proposed team showing the names and roles of all
key personnel listed in Section E and the firm they areassociated with as listed in Section C.
Section E. Resumes of Key Personnel Proposed for thisContract.
Complete this section for each key person who will
participate in this contract. Group by firm, with personnel of theprime contractor or joint venture partner firms first. The following
blocks must be completed for each resume:
12. Name. Self-explanatory.
13. Role in this contract. Self-explanatory.
14. Years Experience. Total years of relevant experience(block 14a), and years of relevant experience with current firm,
but not necessarily the same branch office (block 14b).
15. Firm Name and Location. Name, city and state of thefirm where the person currently works, which must correspondwith one of the firms (or branch office of a firm, if appropriate)
listed in Section C.
16. Education. Provide information on the highest relevant
academic degree(s) received. Indicate the area(s) of
specialization for each degree.
17. Current Professional Registration. Provide information
on current relevant professional registration(s) in a State orpossession of the United States, Puerto Rico, or the District ofColumbia or with substantial equivalence of competence
standards within the APEC economies.
18. Other Professional Qualifications. Provide information
on any other professional qualifications relating to this contract,such as education, professional registration, publications,organizational memberships, certifications, training, awards, andforeign language capabilities.

19. Relevant Projects. Provide information on up to fiveprojects in which the person had a significant role that
demonstrates the person's capability relevant to her/his proposedrole in this contract. These projects do not necessarily have to
be any of the projects presented in Section F for the project teamif the person was not involved in any of those projects or the
person worked on other projects that were more relevant than theteam projects in Section F. Use the check box provided toindicate if the project was performed with any office of the current
firm. If any of the professional services or construction projects
are not complete, leave Year Completed blank and indicate thestatus in Brief Description and Specific Role (block (3)).
Section F. Example Projects Which Best Illustrate Proposed
Team's Qualifications for this Contract.
Select projects where multiple team members worked
together, if possible, that demonstrate the team's capability toperform work similar to that required for this contract. Complete
one Section F for each project. Present ten projects, unlessotherwise specified by the agency. Complete the following
blocks for each project:
20. Example Project Key Number. Start with "1" for the firstproject and number consecutively.
21. Title and Location. Title and location of project orcontract. For an indefinite delivery contract, the location is thegeographic scope of the contract.
22. Year Completed. Enter the year completed of theprofessional services (such as planning, engineering study,
design, or surveying), and/or the year completed of construction,
if applicable. If any of the professional services or theconstruction projects are not complete, leave Year Completed
blank and indicate the status in Brief Description of Project andRelevance to this Contract (block 24).
23a. Project Owner. Project owner or user, such as agovernment agency or installation, an institution, a corporation or
private individual.
23b. Point of Contact Name. Provide name of a person
associated with the project owner or the organization which
contracted for the professional services, who is very familiar withthe project and the firm's (or firms') performance.
23c. Point of Contact Telephone Number. Self-explanatory.
24. Brief Description of Project and Relevance to thisContract. Indicate scope, size, cost, principal elements andspecial features of the project. Discuss the relevance of theexample project to this contract. Enter any other information
requested by the agency for each example project.

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 2 OF INSTRUCTIONS

25. Firms from Section C Involved with this Project. Indicate
which firms (or branch offices, if appropriate) on the project team
were involved in the example project, and their roles. List in thesame order as Section C.

29. Example Projects Key. List the key numbers and titles ofthe example projects in the same order as they appear in Section
F.
Section H. Additional Information.

Section G. Key Personnel Participation in Example Projects.
30. Use this section to provide additional information
specifically requested by the agency or to address selection
criteria that are not covered by the information provided in
Sections A-G.

This matrix is intended to graphically depict which key
personnel identified in Section E worked on the example projects
listed in Section F. Complete the following blocks (see example
below).

Section I. Authorized Representative.
26. and 27. Names of Key Personnel and Role in thisContract. List the names of the key personnel and their
proposed roles in this contract in the same order as they appear
in Section E.

31. and 32. Signature of Authorized Representative andDate. An authorized representative of a joint venture or theprime contractor must sign and date the completed form.
Signing attests that the information provided is current andfactual, and that all firms on the proposed team agree to work on
the project. Joint ventures selected for negotiations must makeavailable a statement of participation by a principal of eachmember of the joint venture.

28. Example Projects Listed in Section F. In the column
under each project key number (see block 29) and for each key
person, place an "X" under the project key number forparticipation in the same or similar role.

33. Name and Title. Self-explanatory.

SAMPLE ENTRIES FOR SECTION G (MATRIX)
26. NAMES OF KEYPERSONNEL(From Section E,
Block 12)27. ROLE IN THISCONTRACT(From Section E,
Block 13)

28. EXAMPLE PROJECTS LISTED IN SECTION F(Fill in "Example Projects Key" section below first, before
completing table. Place "X" under project key number forparticipation in same or similar role.)
1

Jane A. SmithX

Chief Architect

Joseph B. Williams Chief Mechanical Engineer
Tara C. Donovan

2

Chief Electricial Engineer

3

4

5

6

7

8

9

10

X

X

X

X

X

X

X
X

29. EXAMPLE PROJECTS KEY
NUMBER

TITLE OF EXAMPLE PROJECT (From Section F)

NUMBER

TITLE OF EXAMPLE PROJECT (From Section F)

1Federal Courthouse, Denver, CO

6

XYZ Corporation Headquarters, Boston, MA

2Justin J. Wilson Federal Building,
Baton Rouge, LA

7Founder's Museum, Newport, RI

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 3 OF INSTRUCTIONSPart II - General Qualifications
See the "General Instructions" on page 1 for firms with branch
offices. Prepare Part II for the specific branch office seeking
work if the firm has branch offices.
1. Solicitation Number. If Part II is submitted for a specificcontract, insert the agency's solicitation number and/or project
number, if applicable, exactly as shown in the publicannouncement or agency request.
2a-2e. Firm (or Branch Office) Name and Address. Selfexplanatory.
3. Year Established. Enter the year the firm (or branch
office, if appropriate) was established under the current name.
4. Unique Entity Identifier. ( Not Applicable )5. Ownership.
a. Type. Enter the type of ownership or legal structure of thefirm (sole proprietor, partnership, corporation, joint venture, etc.).
b. Small Business Status. ( Not Applicable )6a-6c. Point of Contact. Provide this information for arepresentative of the firm that the agency can contact for
additional information. The representative must be empoweredto speak on contractual and policy matters.
7. Name of Firm. Enter the name of the firm if Part II is
prepared for a branch office.
8a-8c. Former Firm Names. Indicate any other previous
names for the firm (or branch office) during the last six years.
Insert the year that this corporate name change was effective
and the associated unique entity identifier. This information isused to review past performance on Federal contracts.

9. Employees by Discipline. Use the relevant disciplines andassociated function codes shown at the end of these instructions
and list in the same numerical order. After the listed disciplines,
write in any additional disciplines and leave the function code
blank. List no more than 20 disciplines. Group remaining
employees under "Other Employees" in column b. Each person
can be counted only once according to his/her primary function.
If Part II is prepared for a firm (including all branch offices), enter
the number of employees by disciplines in column c(1). If Part II
is prepared for a branch office, enter the number of employees by
discipline in column c(2) and for the firm in column c(1).
10. Profile of Firm's Experience and Annual Average
Revenue for Last 5 Years. Complete this block for the firm or
branch office for which this Part II is prepared. Enter theexperience categories which most accurately reflect the firm's
technical capabilities and project experience. Use the relevant
experience categories and associated profile codes shown at theend of these instructions, and list in the same numerical order.
After the listed experience categories, write in any unlisted
relevant project experience categories and leave the profile
codes blank. For each type of experience, enter the appropriate
revenue index number to reflect the professional services
revenues received annually (averaged over the last 5 years) by
the firm or branch office for performing that type of work. A
particular project may be identified with one experience category
or it may be broken into components, as best reflects thecapabilities and types of work performed by the firm. However,
do not double count the revenues received on a particular
project.
11. Annual Average Professional Services Revenues of Firm
for Last 3 Years. Complete this block for the firm or branch office
for which this Part II is prepared. Enter the appropriate revenue
index numbers to reflect the professional services revenues
received annually (averaged over the last 3 years) by the firm or
branch office. Indicate FSM work (performed directly for the
FSM Government, either as the prime contractor or
subcontractor), non-FSM work (all other domestic and foreignwork), and the total. If the firm has been in existence for lessthan 3 years, see the definition for "Annual Receipts" underFSM.
12. Authorized Representative. An authorized
representative of the firm or branch office must sign and date thecompleted form. Signing attests that the information provided iscurrent and factual. Provide the name and title of the authorized
representative who signed the form.

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 4 OF INSTRUCTIONSList of Disciplines (Function Codes)
Code
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Code

Description
Acoustical Engineer
Administrative
Aerial Photographer
Aeronautical Engineer
Archeologist
Architect
Biologist
CADD Technician
Cartographer
Chemical Engineer
ChemistCivil Engineer
Communications Engineer
Computer Programmer
Construction Inspector
Construction Manager
Corrosion Engineer
Cost Engineer/Estimator
Ecologist
Economist
Electrical Engineer
Electronics Engineer
Environmental Engineer
Environmental Scientist
Fire Protection Engineer
Forensic Engineer
Foundation/Geotechnical Engineer
Geodetic Surveyor
Geographic Information System Specialist
Geologist
Health Facility Planner

32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

Description
Hydraulic Engineer
Hydrographic Surveyor
Hydrologist
Industrial Engineer
Industrial Hygienist
Interior Designer
Land Surveyor
Landscape Architect
Materials Engineer
Materials Handling Engineer
Mechanical Engineer
Mining Engineer
Oceanographer
Photo Interpreter
Photogrammetrist
Planner: Urban/Regional
Project Manager
Remote Sensing Specialist
Risk Assessor
Safety/Occupational Health Engineer
Sanitary Engineer
Scheduler
Security Specialist
Soils Engineer
Specifications Writer
Structural Engineer
Technician/Analyst
Toxicologist
Transportation Engineer
Value Engineer
Water Resources Engineer

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 5 OF INSTRUCTIONSList of Experience Categories (Profile Codes)
Code

Description

Code

Description

E01
E02
E03
E04
E05
E06
E07
E08
E09

Ecological & Archeological Investigations
Educational Facilities; Classrooms
Electrical Studies and Design
Electronics
Elevators; Escalators; People-Movers
Embassies and Chanceries
Energy Conservation; New Energy Sources
Engineering Economics
Environmental Impact Studies,
Assessments or Statements

E10

Environmental and Natural Resource
Mapping

E11
E12
E13

Environmental Planning
Environmental Remediation
Environmental Testing and Analysis

F01
F02
F03
F04
F05
F06

Fallout Shelters; Blast-Resistant Design
Field Houses; Gyms; Stadiums
Fire Protection
Fisheries; Fish ladders
Forensic Engineering
Forestry & Forest products

G01

Garages; Vehicle Maintenance Facilities;
Parking Decks

A01

Acoustics, Noise Abatement

A02

Aerial Photography; Airborne Data and Imagery
Collection and Analysis

A03

Agricultural Development; Grain Storage; Farm Mechanization

A04

Air Pollution Control

A05

Airports; Navaids; Airport Lighting; Aircraft Fueling

A06

Airports; Terminals and Hangars; Freight Handling

A07

Arctic Facilities

A08

Animal Facilities

A09

Anti-Terrorism/Force Protection

A10

Asbestos Abatement

A11

Auditoriums & Theaters

A12

Automation; Controls; Instrumentation

B01
B02

Barracks; Dormitories
Bridges

C01

Cartography

C02

Cemeteries (Planning & Relocation)

C03

Charting: Nautical and Aeronautical

C04

Chemical Processing & Storage

C05

Child Care/Development Facilities

C06

Churches; Chapels

C07

Coastal Engineering

G02

Gas Systems (Propane; Natural, Etc.)

C08

Codes; Standards; Ordinances

G03

Geodetic Surveying: Ground and Air-borne

C09

Cold Storage; Refrigeration and Fast Freeze

G04

C10

Commercial Building (low rise) ; Shopping Centers

Geographic Information System Services:
Development, Analysis, and Data Collection

C11

Community Facilities

G05

C12

Communications Systems; TV; Microwave

C13

Computer Facilities; Computer Service

Geospatial Data Conversion: Scanning,
Digitizing, Compilation, Attributing, Scribing,
Drafting

C14

Conservation and Resource Management

G06

Graphic Design

C15

Construction Management

C16

Construction Surveying

H01

Harbors; Jetties; Piers, Ship Terminal
Facilities

C17

Corrosion Control; Cathodic Protection; Electrolysis

C18

Cost Estimating; Cost Engineering andAnalysis; Parametric Costing; Forecasting

H02
H03

Hazardous Materials Handling and Storage
Hazardous, Toxic, Radioactive Waste
Remediation

C19

Cryogenic Facilities

D01

Dams (Concrete; Arch)

H04
H05
H06
H07

Heating; Ventilating; Air Conditioning
Health Systems Planning
Highrise; Air-Rights-Type Buildings
Highways; Streets; Airfield Paving; Parking
Lots

H08
H09
H10
H11

Historical Preservation
Hospital & Medical Facilities
Hotels; Motels
Housing (Residential, Multi-Family;
Apartments; Condominiums)

H12
H13

Hydraulics & Pneumatics
Hydrographic Surveying

D02

Dams (Earth; Rock); Dikes; Levees

D03

Desalinization (Process & Facilities)

D04

Design-Build - Preparation of Requests for Proposals

D05

Digital Elevation and Terrain Model Development

D06

Digital Orthophotography

D07

Dining Halls; Clubs; Restaurants

D08

Dredging Studies and Design

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 6 OF INSTRUCTIONSList of Experience Categories (Profile Codes continued)
Code
I01

Description
Industrial Buildings; Manufacturing Plants

Code
P09

Description
Product, Machine Equipment Design

I02

Industrial Processes; Quality Control

P10

Pneumatic Structures, Air-Support Buildings

I03

Industrial Waste Treatment

P11

Postal Facilities

I04

Intelligent Transportation Systems

P12

Power Generation, Transmission, Distribution

I05

Interior Design; Space Planning

P13

Public Safety Facilities

I06

Irrigation; Drainage
R01

Radar; Sonar; Radio & Radar Telescopes

J01

Judicial and Courtroom Facilities

R02

Radio Frequency Systems & Shieldings

L01

Laboratories; Medical Research Facilities

R03

Railroad; Rapid Transit

L02

Land Surveying

R04

Recreation Facilities (Parks, Marinas, Etc.)

L03

Landscape Architecture

R05

Refrigeration Plants/Systems

L04

Libraries; Museums; Galleries

R06

Rehabilitation (Buildings; Structures; Facilities)

L05

Lighting (Interior; Display; Theater, Etc.)

R07

Remote Sensing

L06

Lighting (Exteriors; Streets; Memorials;
Athletic Fields, Etc.)

R08

Research Facilities

R09

Resources Recovery; Recycling

M01

Mapping Location/Addressing Systems

R10

Risk Analysis

M02

Materials Handling Systems; Conveyors; Sorters

R11

Rivers; Canals; Waterways; Flood Control

M03

Metallurgy

R12

Roofing

M04

Microclimatology; Tropical Engineering

M05

S01

Military Design Standards

Safety Engineering; Accident Studies; OSHA
Studies

M06

Mining & Mineralogy

S02

Security Systems; Intruder & Smoke Detection

M07

Missile Facilities (Silos; Fuels; Transport)

S03

Seismic Designs & Studies

M08

Modular Systems Design; Pre-Fabricated Structures orComponents

S04

Sewage Collection, Treatment and Disposal

S05

Soils & Geologic Studies; Foundations

S06

Solar Energy Utilization

N01

Naval Architecture; Off-Shore Platforms

S07

Solid Wastes; Incineration; Landfill

N02

Navigation Structures; Locks

S08

Special Environments; Clean Rooms, Etc.

N03

Nuclear Facilities; Nuclear Shielding

S09

Structural Design; Special Structures

Office Buildings; Industrial Parks
Oceanographic Engineering
Ordnance; Munitions; Special Weapons

S10

Surveying; Platting; Mapping; Flood
Plain Studies

S11

Sustainable Design

S12

Swimming Pools

S13

Storm Water Handling & Facilities

T01

Telephone Systems (Rural; Mobile; Intercom,
Etc.)

T02
T03

Testing & Inspection Services
Traffic & Transportation Engineering

O01
O02
O03

P01

Petroleum Exploration; Refining

P02

Petroleum and Fuel (Storage and Distribution)

P03

Photogrammetry

P04

Pipelines (Cross-Country - Liquid & Gas)

P05

Planning (Community, Regional, Areawide and State)

P06

Planning (Site, Installation, and Project)

T04
T05

P07

Topographic Surveying and Mapping
Towers (Self-Supporting & Guyed Systems)

Plumbing & Piping Design

T06

Tunnels & Subways

P08

Prisons & Correctional Facilities

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 7 OF INSTRUCTIONSList of Experience Categories (Profile Codes continued)
Code
U01

Description
Unexploded Ordnance Remediation

U02

Urban Renewals; Community Development

U03

Utilities (Gas and Steam)

V01

Value Analysis; Life-Cycle Costing

W01

Warehouses & Depots

W02

Water Resources; Hydrology; Ground Water

W03

Water Supply; Treatment and Distribution

W04

Wind Tunnels; Research/Testing Facilities Design

Z01

Zoning; Land Use Studies

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 8 OF INSTRUCTIONSARCHITECT - ENGINEER QUALIFICATIONSPART I - CONTRACT-SPECIFIC QUALIFICATIONS
A. CONTRACT INFORMATION
1. TITLE AND LOCATION (City and State)

2. PUBLIC NOTICE DATE

3. SOLICITATION OR PROJECT NUMBER

B. ARCHITECT-ENGINEER POINT OF CONTACT
4. NAME AND TITLE

5. NAME OF FIRM
6. TELEPHONE NUMBER

7. FAX NUMBER

8. E-MAIL ADDRESS

C. PROPOSED TEAM
(Complete this section for the prime contractor and all key subcontractors.)
J-V
PARTNERSUBCONTRACTOR

PRIME(Check)9. FIRM NAME

10. ADDRESS

11. ROLE IN THIS CONTRACTa.
CHECK IF BRANCH OFFICEb.
CHECK IF BRANCH OFFICEc.
CHECK IF BRANCH OFFICEd.
CHECK IF BRANCH OFFICEe.
CHECK IF BRANCH OFFICEf.
CHECK IF BRANCH OFFICE

D. ORGANIZATIONAL CHART OF PROPOSED TEAM

(Attached)
BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 1

E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT(Complete one Section E for each key person.)
12. NAME

13. ROLE IN THIS CONTRACT

14. YEARS EXPERIENCE
a. TOTAL

b. WITH CURRENT FIRM

15. FIRM NAME AND LOCATION (City and State)

16. EDUCATION (Degree and Specialization)

17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline)

18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.)

19. RELEVANT PROJECTS(1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETEDPROFESSIONAL SERVICES CONSTRUCTION (If applicable)a.

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

(1) TITLE AND LOCATION (City and State)

Check if project performed with current firm

(2) YEAR COMPLETEDPROFESSIONAL SERVICES CONSTRUCTION (If applicable)b.

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

(1) TITLE AND LOCATION (City and State)

Check if project performed with current firm

(2) YEAR COMPLETEDPROFESSIONAL SERVICES CONSTRUCTION (If applicable)c.

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

(1) TITLE AND LOCATION (City and State)

Check if project performed with current firm

(2) YEAR COMPLETEDPROFESSIONAL SERVICES CONSTRUCTION (If applicable)d.

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

(1) TITLE AND LOCATION (City and State)

Check if project performed with current firm

(2) YEAR COMPLETEDPROFESSIONAL SERVICES CONSTRUCTION (If applicable)e.

(3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE

Check if project performed with current firm

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 2

F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'SQUALIFICATIONS FOR THIS CONTRACT(Present as many projects as requested by the agency, or 10 projects, if not specified.
Complete one Section F for each project.)21. TITLE AND LOCATION (City and State)

20. EXAMPLE PROJECT KEY
NUMBER

22. YEAR COMPLETEDPROFESSIONAL SERVICES CONSTRUCTION (If applicable)

23. PROJECT OWNER'S INFORMATION
a. PROJECT OWNER

b. POINT OF CONTACT NAME

c. POINT OF CONTACT TELEPHONE NUMBER

24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost)

25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT(1) FIRM NAME

(2) FIRM LOCATION (City and State)(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)(3) ROLE(1) FIRM NAME

(2) FIRM LOCATION (City and State)(3) ROLE

a.

b.

c.

d.

e.

f.
BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 3

G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS
26. NAMES OF KEYPERSONNEL(From Section E, Block 12)

27. ROLE IN THISCONTRACT(From Section E, Block 13)

28. EXAMPLE PROJECTS LISTED IN SECTION F(Fill in "Example Projects Key" section below before completing table.
Place "X" under project key number for participation in same or similar role.)
1

2

3

4

5

6

7

8

9

10

29. EXAMPLE PROJECTS KEY
NUMBER

TITLE OF EXAMPLE PROJECT (From Section F)

NUMBER

1

6

2

7

3

8

4

9

5

10

TITLE OF EXAMPLE PROJECT (From Section F)

BORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 4

H. ADDITIONAL INFORMATION
30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED.

I. AUTHORIZED REPRESENTATIVE
The foregoing is a statement of facts.
31. SIGNATURE

32. DATE

33. NAME AND TITLEBORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 5

1. SOLICITATION NUMBER (If any)

ARCHITECT-ENGINEER QUALIFICATIONSPART II - GENERAL QUALIFICATIONS(If a firm has branch offices, complete for each specific branch office seeking work.)
2a. FIRM (or Branch Office) NAME

3. YEAR ESTABLISHED 4. UNIQUE ENTITY IDENTIFIER

2b. STREET

5. OWNERSHIP
a. TYPE

2c. CITY

2d. STATE

2e. ZIP CODE
b. SMALL BUSINESS STATUS

6a. POINT OF CONTACT NAME AND TITLE
7. NAME OF FIRM (If Block 2a is a Branch Office)

6b. TELEPHONE NUMBER

6c. E-MAIL ADDRESS

8a. FORMER FIRM NAME(S) (If any)

9. EMPLOYEES BY DISCIPLINE
a. Function
Codeb. Discipline

8b. YEAR ESTABLISHED 8c. UNIQUE ENTITY IDENTIFIER

10. PROFILE OF FIRM'S EXPERIENCEAND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS

c. Number of Employees a. Profile
Code(1) FIRM (2) BRANCH

c. Revenue Index
Number(see below)

b. Experience

Other Employees
Total
11. ANNUAL AVERAGE PROFESSIONALSERVICES REVENUES OF FIRM
FOR LAST 3 YEARS(Insert revenue index number shown at right)
a. Federal Workb. Non-Federal Workc. Total WorkPROFESSIONAL SERVICES REVENUE INDEX NUMBER
1.
2.
3.
4.
5.

Less than $100,000$100,000 to less than $250,000$250,000 to less than $500,000$500,000 to less than $1 million$1 million to less than $2 million

6. $2 million to less than $5 million
7. $5 million to less than $10 million
8. $10 million to less than $25 million
9. $25 million to less than $50 million
10. $50 million or greater

12. AUTHORIZED REPRESENTATIVE
The foregoing is a statement of facts.
a. SIGNATURE

b. DATEc. NAME AND TITLEBORROWED FROM STANDARD FORM 330 (REV. 8/2016) PAGE 6

PAST PERFORMANCE QUESTIONNAIRE
CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
1. Consultant’s Information
Firm Name:
Address:
Phone Number:
Email Address:
Point of Contact:
Contact Phone Number:
2. Work Performed as:
Prime Consultant
Sub Consultant
Joint Venture
Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):3. Contract Information
Contract Number:
Delivery/Task Order Number (if applicable):
Firm Fixed Price
Cost Reimbursement
Other (Please specify):
Contract Type:
Contract Title:
Contract Location:

Other (Explain)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 WorkHigh
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:

PMO RFQ#2020-007 DESIGN OF THREE SCHOOLS AND TWO DISPENSARIES1

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECTYOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCERATING

DEFINITION(E) Exceptional

Performance meets contractual requirements andexceeds many to the Government/Owner’s benefit.
The contractual performance of the element or subelement being assessed was accomplished with few
minor problems for which corrective actions takenby the contractor was highly effective.

(VG) Very Good

Performance meets contractual requirements andexceeds some to the Government’s/Owner’s
benefit. The contractual performance of the element
or sub-element being assessed was accomplishedwith some minor problems for which corrective
actions taken by the contractor were effective.
Performance meets minimum contractual
requirements. The contractual performance of theelement or sub-element contains some minor
problems for which corrective actions taken by thecontractor appear or were satisfactory.

(S) Satisfactory(M) Marginal(U) Unsatisfactory(N) Not Applicable

Performance does not meet some contractual
requirements. The contractual performance of theelement or sub-element being assessed reflects aserious 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.
Performance does not meet most contractual
requirements and recovery is not likely in a timely
manner. The contractual performance of theelement or sub-element contains serious problem(s)for which the contractor's corrective actions appear
or were ineffective.
No information or did not apply to your contract

NOTE
An Exceptional rating is appropriate when
the Contractor successfully performed
multiple significant events that were ofbenefit to the Government/Owner. A
singular benefit, however, could be of suchmagnitude that it alone constitutes an
Exceptional rating. Also, there should havebeen NO significant weaknesses identified.
A Very Good rating is appropriate when theContractor successfully performed asignificant event that was a benefit to theGovernment/Owner. There should have beenno significant weaknesses identified.
A Satisfactory rating is appropriate when
there were only minor problems, or major
problems that the contractor recovered fromwithout impact to the contract. There shouldhave 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 thecontract.
A Marginal is appropriate when a significant
event occurred that the contractor had
trouble overcoming which impacted theGovernment/Owner.

An Unsatisfactory rating is appropriate when
multiple significant events occurred that thecontractor had trouble overcoming andwhich impacted the Government/Owner. A
singular problem, however, could be of suchserious magnitude that it alone constitutes anunsatisfactory rating.
Rating will be neither positive nor negative.

PMO RFQ#2020-007 DESIGN OF THREE SCHOOLS AND TWO DISPENSARIES

2

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 tocontract quality assurance requirements (without adverse effect on
performance)

E

VG

S

M

U

N

a) Compliance with contract delivery/completion schedules including any
significant intermediate milestones. (If the schedule was not met, pleaseaddress below)

E

VG

S

M

U

N

b) Rate the contractor’s use of available resources to accomplish tasks
identified in the contract

E

VG

S

M

U

N

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 concernedwith the interests of the customer?

E

VG

S

M

U

N

d) Overall customer satisfaction

E

VG

S

M

U

N

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) 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 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

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

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

3. CUSTOMER SATISFACTION:

4. MANAGEMENT/ PERSONNEL/LABOR

5. COST/FINANCIAL MANAGEMENTPMO RFQ#2020-007 DESIGN OF THREE SCHOOLS AND TWO DISPENSARIES

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

E

VG

S

M

U

d) Is the Contractor’s accounting system adequate for management andtracking 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 orcompletely 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/SECURITYa) To what extent was the contractor able to maintain an environment ofsafety, 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.)b) Contractor complied with all security requirements for the project andpersonnel security requirements.

N

E

VG

S

M

U

N

E

VG

S

M

U

N

a) Ability to successfully respond to emergency and/or surge situations(including notifying the 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

7. GENERALc) Would you hire or work with this firm again? (If no, please explain below)d) In summary, provide an overall rating for the work performed by thiscontractor.

Yes
E

VG

No
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 othercomments which may assist our office in evaluating performance risk (please attach additional pages ifnecessary):

PMO RFQ#2020-007 DESIGN OF THREE SCHOOLS AND TWO DISPENSARIES

4