S02 SDVOSB Joint Venture Certification Attachment.docx

SERVICE DISABLED VETERAN OWNED SMALL BUSINESS (SDVOSB)

JOINT VENTURE CERTIFICATION

Any offeror submitting an offer as a Joint Venture (JV) must provide a certification from each SDVOSB joint partner, signed by an authorized official of each partner to the JV, stating that the parties to the JV:

1)have entered into a joint venture agreement that fully complies with paragraph (c) of 13 CFR § 128.402;

2) and will perform the contract in compliance with the JV agreement. Failure to submit the certification with the offeror's proposal will render the offeror ineligible for award.

Failure of a JV to provide a completed and legibly signed JV certification signed by an authorized official of each JV partner shall result in the bid being determined non-responsive and shall be rejected.

Service-Disabled Veteran JV Partner Name: _________________________________________

Service-Disabled Veteran JV Partner Signature: ______________________________________

Date Signed: _____________

Other JV Partner Name: _________________________________________

Other JV Partner Signature: ______________________________________

Date Signed: _____________

EXHIBIT C-1

SAMPLE TRANSMITTAL LETTER

AND

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Your Company Letterhead

Date: _________________ To: ______________________________________

We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Department of Veterans Affairs- Network Contracting Officer 10, 5500 Armstrong Rd., Bldg. 9 – Room 105, Battle Creek, MI 49037. In accordance with Federal Acquisition Regulations (FAR), they will evaluate our firm's past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.

Please send your completed questionnaire to the following address to arrive NOT LATER THAN May 19, 2009. DO NOT return them to our company.

Department of Veterans Affairs Network Contracting Office 10 5500 Armstrong Rd. Bldg 9/Room 105 Mailcode: 515/90VC Battle Creek, MI 49037 or email to: scott.brennan2@va.gov

If you have questions regarding the attached questionnaire, or require assistance, please contact Scott D. Brennan at scott.brennan2@va.gov or telephone 269-223-6075. Thank you for your assistance. E-Mail is preferred for all communications.

Signature and Title

SOURCE SELECTION SENSITIVE WHEN COMPLETED*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS***** RETURN THIS PAGE WITH QUESTIONAIRE

EXHIBIT C-2

PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION

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

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: VA REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO VA WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON VA SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO VA. PLEASE CONTACT THE OFFEROR FOR VA POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

Revised April 2011

Exhibit “C” – PPQ, Page 1 of 5 (Rev 12/19)

RATING DEFINITION NOTE

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

2. SCHEDULE/TIMELINESS OF PERFORMANCE

3. CUSTOMER SATISFACTION

4. MANAGEMENT/PERSONNEL/LABOR

5. COST/FINANCIAL MANAGEMENT

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

6. SAFETY/SECURITY

7. GENERAL

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):