Exhibit C.doc
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- Attached to
- VA Saginaw Electrical Closets and Distribution Federal contract opportunity
- Solicitation number
- W911XK-10-R-0006
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Exhibit C
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VA Saginaw Electrical Closets
RFP W911XK-10-R-0006
EXHIBIT C PACKAGE INFORMATION AND FORMS
Instructions to Offeror for sending Reference Questionnaire Forms: Prepare and submit to the owners of the projects listed in your Exhibit A “Performance Relevancy Questionnaires”, a Reference Package (Exhibit C). For Government contracts, send to Contracting Officer or Technical Representative. For commercial references send to personnel with duties similar to those for Government contracts. Offerors should follow-up and encourage references to get the questionnaires to the Contracting Officer in a timely manner. If you have multiple references at one location (Base etc.), send one cover letter and questionnaires for each contract you want a reference for. Your questionnaire package should contain the following:
Cover Letter (See SAMPLE) (Exhibit C1)
Respondent Info Rating Sheets (Exhibit C2)(the next 5 pages) Offeror should put name in spaces indicated and ensure it is on every page for identification purposes.
Suggested - Pre Addressed stamped envelope to return to Contracting Officer.
OFFEROR SHOULD PLACE THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE!!!
OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES
EXHIBIT C1
SAMPLE TRANSMITTAL LETTERAND 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 Detroit District US Army Corps of Engineers Contracting Office. 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.
E-mail is the preferred form of submission. Please send your completed questionnaire in PDF format to LRE-Quotes@usace.army.mil, no later than 17 June 2009. Questionnaires may also be faxed to (313) 226-2209, Attn: Darryl Williams, or mailed to he following address:
USACE, Contracting Office
Attn: Darryl Williams
477 Michigan Ave., Room 700
Detroit, MI 48226-4523
If you have questions regarding the attached questionnaire, or require assistance, please contact Darryl Williams at (313) 226-3648. Thank you for your assistance.
Signature and Title
RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.
| RATING |
| DEFINITION |
| Exceptional (E) |
| Indicates the contractor’s performance record within the area of evaluation Exceeded that required by the contract. |
| Very Good (VG) |
| Indicates the contractor’s performance record within the area of evaluation Met All contractual requirements. |
| Satisfactory (S) |
| Indicates the contractor’s performance record within the area of evaluation Met Essentially All contractual requirements. |
| Marginal (M) |
| Indicates the contractor’s performance record within the area of evaluation Met Some of the contractual requirements. However, changes to the contractor’s existing processes may be necessary in order to achieve contract requirements. |
| Unsatisfactory (U) |
| Indicates the contractor’s performance record within the area of evaluation Failed to Meet the minimum Government requirements. |
| Unknown or Not Applicable (N/A) |
| The question does not apply. No performance record identifiable within the area of evaluation. |
THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:
E-mail submission in PDF format is preferred. Please e-mail your response to Mr. Darryl Williams at LRE-Quotes@usace.army.mil Questionnaires may also be faxed to (313) 226-2209.
Forms may be mailed to:
USACE, Contracting Office
Attn: Darryl Williams
477 Michigan Ave., Room 700
Detroit, MI 48226-4523
Please mark the cover sheet “W911XK-09-R-0014, “Source Selection Sensitive Information”
SOURCE SELECTION SENSITIVE WHEN COMPLETED
*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****
(Exhibit C2) RESPONDENT IDENTIFICATION AND RATINGS
(Part 1 Contractor submitting Proposal fill-in)
Reference is provided for: ____________________________________
Contract Number or Project Title______________________________________________________
Date of Award/Completion Date______________________________________________________
Location_________________________________________________________________________
Dollar Amount____________________________________________________________________
Brief Description of work and your role in the referenced contract: ___________________________
(Part 2 Person providing Reference) Reference is provided by: ___________________________
Company/Agency: _________________________________________________________________
Business Address; ________________________________________________________________
Telephone Number: _______________________________________________________________
E-Mail Address: __________________________________________________________________
Relationship to Contract: ___________________________________________________________
If information above (Part 1) is not accurate please indicate.
OFFEROR Name___________________________
SOURCE SELECTION SENSITIVE WHEN COMPLETED
Please circle the appropriate rating.
| (1) How responsive was the contractor’s quality program in identifying, correcting, and preventing initial and recurring contract discrepancies? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (2) How complete were the contractor’s quality procedures and how well do employees follow them? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (3) Adequacy of Submittals. Were Submittals well researched and were materials clearly identified to include substitute products salient material characteristics? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (4) Overall, how would you rate the quality of workmanship for this project? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (5) Rate timeliness in meeting requirements and adhering to contract schedules (delivery/performance), taking into account all excusable delays including cooperation and attention to contract completion efforts. |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (6) Did the contractor provide timely notices of delays/schedule revisions and timely status to Government via progress schedule/critical path charts, etc.? Was the project completed in a timely manner? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (7) How well did the contractor mange project, in terms of timely material delivery, accurate and timely submission of submittals, timely payment of subcontracts, and general business practices? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
OFFEROR Name______________________
| (8) Rate how well subcontractors/tradesmen were managed and work coordinated. Explain in remarks any subcontracting issues (positive or negative) that impacted the performance of your contract. |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (9) Rate the adequacy of the contractor’s environmental program, oversight, compliance and management. |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (10) Did the contractor provide adequate, competent and qualified, management, key personnel and technical personnel capable of meeting contract requirements throughout the performance period of the contract? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (11) How well did the contractor work independent of Government guidance, oversight and assistance? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS:_____________________________________________________________________________________
| (12) How effective did your contractor’s key management personnel support the initial contract startup, management of contingency situation, provide a quality plan, and respond to problems and changes? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (13) How effective was the contractor in meeting Cost/Price performance targets and controlling contingencies (i.e. changes, etc.)? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (14) How flexible, cooperative, and reasonable was the contractor in meeting mission requirements, particularly when faced with short-notice mission changes? Team can develop a project specific question in lieu of above, if not applicable. |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (15) Was the Site manager always present on site when work was performed? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: _____________________________________________________________________________________
| (16) How timely and effective were the contractor’s responses to and resolution of technical problems? Did the Site manager have sufficient authority to make decisions or take actions during project performance? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (17) Overall, how would you rate this contractor’s business practices, customer relationship, and ability to successfully perform? Did the contractor demonstrate a reasonable and cooperative business relationship with the Government’s contract management personnel? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (18) How effective was the contractor’s safety program to ensure compliance with federal, state and local regulations? Did the contractor implement and follow their safety plan? Did they run a “safe” jobsite? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (19) Applicable to Federal Contracts – How well did the contractor comply with applicable Federal laws and regulations such as Davis Bacon Act- timely payrolls and compliance, Drug Free Workplace, Environmental Regulations and Use of Recovered Materials, Executive Order 13101? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: _________________________________________________________________________
| (20) Applicable to Federal Contracts Only – How well did the contractor comply with Utilization of Small Business Concerns requirements? For Large Businesses: Were Small Business goals met in the Small Business Subcontracting Plan? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (21) How innovative was the contractor in performing the technical aspects of this contract and resolving problems? How well did the contractor respond to and act on customer feedback? (Customer Satisfaction) |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (22) How would you rate the Contractor’s overall performance? |
| E |
| VG |
| S |
| M |
| U |
| NA |
REMARKS:
(23) What were the contractor’s top documented strengths, if any, in performing the contract requirements?
REMARKS: ____________________________________________________________________________________
(24) What were the contractor’s top documented weaknesses, if any, in performing the contract requirements?
REMARKS: ____________________________________________________________________________________
(25) Please Provide Any Additional Information You Feel Is Important Not Covered Elsewhere:
REMARKS: ____________________________________________________________________________________
Thank you for your remarks. Please ensure that you return this questionnaire to the Contracting Agency. Do NOT return to the evaluated contractor.
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