EXHIBIT_C_DB_April_2013.pdf

Solicitation #W9127P-13-R-0003 – RAM Blast

EXHIBIT C PACKAGE INFORMATION AND FORMS

EXHIBIT C PACKAGE INFORMATION AND FORMS - A “Final” Performance Evaluation

(Construction) ( also referred to as CCASS Evaluation ) issued for a project may be included in lieu of sending out reference package for the project. Place the CCASS form directly behind the Exhibit A it is applicable to.

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 questionnaire 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

Solicitation #W9127P-13-R-0003 – RAM Blast

EXHIBIT C

SAMPLE TRANSMITTAL LETTER

AND

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Insert Your Company Letterhead

Date: _________________

To: ______________________________________

We have listed your firm as a reference for work we have performed for you Our firm intends to submit a proposal under a project advertised by the Virgin Islands National Guard in St. Croix, USVI.

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 (include the following if more than one questionnaire is sent to an organization or delete). Furthermore, a questionnaire has also been sent to

____________________ of your organization. Only one response from each office is required. If at all possible, we suggest that you individually answer this questionnaire and then coordinate your responses with that of ________________________, to forge a consensus on one overall response from your organization.

Please send your completed questionnaire to the following address to arrive NOT LATER

THAN 9 September 2013 the date and time set for receipt of Phase I proposals. Do not return them to our company.

If you have questions regarding the attached questionnaire, or require assistance, please contact Donna

Prock-Ledger at 340-712-7856 or at donna.r.prockledger.mil@mail.mil; or contact Diane Fox at 340-

712-7868 or at diane.m.fox4.mil@mail.mil Thank you for your assistance. E-Mail is preferred.

Signature and Title mailto:donna.r.prockledger.mil@mail.mil

Solicitation #W9127P-13-R-0003

Reference is for____________________________(firm submitting proposal must insert name here).

SOURCE SELECTION SENSITIVE WHEN COMPLETED Page 1

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Upon completion of this form and the questionnaire please send directly to the following:

USPFO

ATTN Purchasing & Contracting

4031 La Grande Princesse

Lot 1B

Christiansted, VI 00820-4353

E-Mail: donna.r.prockledger.mil@mail.mil or diane.m.fox4.mil@mail.mil

Do not return this form to offeror’s office. Return this page with Questionnaire to Contracting

Officer

RESPONDENT IDENTIFICATION AND RATINGS

(Part 1 Contractor submitting Proposal fill-in)

Reference is provided for: ________________________________Prime____ or Subcontractor____

Subcontractor provide name of Prime contractor proposing ____________________.

Contract Number or Project Title______________________________________________________

Date of Award ________________________Completion Date______________________________

If not complete provide percentage complete _____________________________________

Location_________________________________________________________________________

Dollar Amount of Award__________________ Final or Current ____________________________

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.

To obtain an electronic version of the form please contact: Donna Prock-Ledger at 340-712-7856 or at donna.r.prockledger.mil@mail.mil; or contact Diane Fox at 340-712-7868 or at diane.m.fox4.mil@mail.mil mailto:donna.r.prockledger.mil@mail.mil mailto:diane.m.fox4.mil@mail.mil mailto:donna.r.prockledger.mil@mail.mil

SOURCE SELECTION SENSITIVE WHEN COMPLETED Page 2

SOURCE SELECTION SENSITIVE WHEN COMPLETED

Please mark the appropriate rating. Use the rating chart on the last page. Include the name of the company the reference is for on each page. Please provide remarks so we can better understand you rating.

(1) Quality Control (QC) (Design and or Construction) –To what extent did the contractor provide:

Quality Workmanship

O A

A

S M U N

A

Adequate Quality Control O A

A

S M U N

A

Adequate Materials O A

A

S M U N

A

Adequate Submittals O A

A

S M U N

A

Adequate "As-Builts” O A

A

S M U N

REMARKS:

(2) Timely Performance (Design and or Construction) – To what extent did the contractor:

Meet the established schedule O A

A

S M U N

Resolve delays in an expeditious manner

S M U N

Identify/correct deficient work in a timely manner

S M U N

Process submittals in a timely manner

S M U N

A

Provide timely completion of punch list items (construction) or design comments (A&E) O A

A

S M U N

Provided timely submission of close out documents

S M U N

Provided timely and satisfactory response to warranty issues after project completion (NA- A&E)

S M U N

Provide timely solutions to design defects or omissions (NA Construction)

S M U N

(3) Management Effectiveness

(3a) General Business Practices- To what extent did the contractor:

Provide experienced managers, and supervisors with the technical and administrative abilities needed to meet contract requirements.

O A

A

S M U N

Cooperated to resolve problems, attending meetings (as applicable) and maintained communication to assure satisfactory resolution

S M U N

SOURCE SELECTION SENSITIVE WHEN COMPLETED Page 3

(3b) Subcontractor Management-To what extent did the contractor:

Hire experienced subcontractors O A

A

S M U N

A

Pay subcontractors/suppliers in a timely manner (NA Design) O A

A

S M U N

(3c) Pricing-To what extent did the contractor:

Submit proposals that accurately represented the work required

S M U N

A

Provide accurate, complete, and reasonable price/cost information for modifications (not over inflated or under estimated)

S M U N

A

Provide well-substantiated pricing data for change orders O A

A

S M U N

(3d) Site Management/Superintendent/Designer Involvement- To what extent did the contractors site management/superintendent/designer:

Ensure compliance to contract requirements

Act promptly to resolve problems and ensure work quality O A

S M U N

A

Have sufficient authority to make decisions or take actions during project performance O A

A

S M U N

A

Consistently present on site when work was performed (NA for A&E) O A

A

S M U N

A

Meet the LEED requirements of the project, if applicable. O A

A

S M U N

(4) Compliance with Federal laws and Regulations (Design and Construction)- To what extent did the contractor:

Comply with labor laws and regulations with specific attention to Davis-Bacon Act (NA A&E)

(Where payrolls complete and correct and submitted in a timely manner)

O A

A

S M U N

Comply with Drug Free Work Place requirements – (NA A&E)

S M U N

Comply with Executive Order 13101- Use of Recovered Material (Affirmative Procurement)

S M U N

A

Comply with Environmental Laws & Regulations O A

A

S M U N

(5) Compliance with Safety Standards (Construction Only)- To what extent did the contractor:

SOURCE SELECTION SENSITIVE WHEN COMPLETED Page 4

Implement and adequate safety plan

S M U N

A

Comply with safety procedures overall O A

A

S M U N

(6) Compliance with Small Business Concerns and/or Small Business Contracting Plan

Requirements- To what extent did the contractor provide:

Adequate Utilization of Small Business Concerns, FAR 52.219-8 clause requirements (This is applicable to all offerors) (This will be rated neutral if no Government contracts)

S M U N

A

Information that indicates that the offeror has adequately utilized Small Businesses in accordance with FAR 52.219-8 on previous contracts

S M U N

A

(Applicable to large businesses offerors only) Adequate compliance with Small Business

Subcontracting Plan requirements (FAR 52.219-9). Were goals achieved and, if not, were reasons considered adequate to mitigate future performance risk acceptable.

S M U N

(7) Other Past Performance Considerations

(7a) How would you rate the Contractor’s overall performance?

CUSTOMER SATISFACTION:

To what extent were the end users satisfied with:

Quality? Cost? Schedule?

Exceptionally Satisfied Q____ C_____S____

Highly Satisfied Q____ C_____S____

Satisfied Q____ C_____S____

Somewhat Dissatisfied Q____ C_____S____ (explain please)

(7b) What were the contractor’s top documented strengths, if any, in performing the contract requirements?

(7c) Please Provide Any Additional Information You Feel Is Important Not

Covered Elsewhere:

SOURCE SELECTION SENSITIVE WHEN COMPLETED Page 5

Thank you for your remarks. Please ensure that you return this questionnaire to the Contracting

Agency. Do NOT return to the evaluated contractor. Be sure to include the information page.

Reference provided by ________________________________ DATE:________________

RATING DEFINITION CHART

RATING DEFINITION

Outstanding (O) Indicates the contractor’s performance record within the area of evaluation Exceeded that required by the contract. (Timeliness) Completion was ahead of schedule.

Above Average

(AA)

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.