16-R-0009_EXHIBIT_C.doc
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- W912KN-16-R-0009
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Engineering Housing Maintenance & Vehicle Maintenance Shops
RFP W912KN-16-R-0009
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.
OFFEROR SHOULD PLACE THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE!!!
OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES
EXHIBIT C1
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 New Jersey USPFO 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. A completed CCASS Evaluation for a DoD project or similar Agency appraisal form may be substituted for this reference questionnaire. 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 30 JUNE 2016. Do not return them to our company.
USPFO-NJ
ATTN: P&C Division, Room 112
3601 Technology Drive
Ft. Dix, NJ 08640 Email: CW3 John Simms at john.w.simms3.mil@mail.mil and jose.d.maldonado.mil@mail.mil.
If you have questions regarding the attached questionnaire, or require assistance, please contact _________ or email to: _____________ Thank you for your assistance. E-Mail is preferred.
Signature and Title
RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.
| RATING |
| DEFINITION |
| Outstanding (O) |
| Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective. |
| Good (G) |
| Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Acceptable (A) |
| Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal (M) |
| Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective. |
| Unacceptable (U) |
| Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. |
| 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:
Return via email to the email address shown above.
Mark cover sheet: (Attention: RFP W912KN-16-R-0009 “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)
RESPONDENT IDENTIFICATION AND RATINGS
(Part 1 Contractor submitting Proposal fill-in) Reference is provided for:
Contract Number:
Project Title:
Date of Award:
Project Completion Date:
Project Location:
| Dollar Value: |
| $ |
Brief Description of Proj:
Your role in referenced contract:
(Part 2 Person providing Reference) Reference is provided by:
Company/Agency:
Business Address:
Telephone Number:
Email Address:
Project Completion Date:
Relationship to Contract:
If information in Part I is not accurate please indicate.
SOURCE SELECTION SENSITIVE WHEN COMPLETED
*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****
OFFEROR NAME ________________________________ Please circle the appropriate rating.
Please provide evaluation of the following Performance Elements by placing an X in the appropriate column that corresponds to the rating definitions on the previous page.
QUALITY CONTROL
| Outstand-ing |
| Good |
| Acceptable |
| Marginal |
| Unsat-isfactory |
| Not Applicable |
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Quality of Workmanship
Adequacy of the quality control plan
Implementation of the Quality Control Plan
Quality of the Quality Control Documentation
Storage of Materials
Adequacy of Materials
Adequacy of Submittals
Adequacy of Quality Control Testing
Adequacy of As-Builts
Use of Specified Materials
Identification/Correction of Deficient work in a timely manner
Comments on Quality Control:
TIMELY PERFORMANCE
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Adequacy of Initial Progress Schedule
Adherence to Approved Schedule
Resolution of Delays
Submission of Required Documentation
Completion of Punchlist Items
Submission of Updated and Revised Progress Schedules
Warranty Response
Comments on Timely Performance:
EFFECTIVENESS OF MANAGEMENT
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Cooperation and Responsiveness
Management of Resources/Personnel
Coordination and Control of Subcontractors
Adequacy of Site Clean Up
Effectiveness of Job-Site Supervision
Compliance with Laws and Regulations
Professional Conduct
Review/Resolution of Subcontractor Issues
Implementation of Subcontracting Plan
Comments on Effectiveness of Management:
COMPLIANCE WITH LABOR STANDARDS
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Correction of Noted Deficiencies
Payrolls Properly Completed and Submitted
Compliance with Labor Laws and Regulations with Specific Attention to the Davis-Bacon Act and EEO Requirements
Comments on Compliance With Labor Standards:
COMPLIANCE WITH SAFETY STANDARDS
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Adequacy of Safety Plan
Implementation of Safety Plan
Correction of Noted Deficiencies
Comments on Compliance With Safety Standards:
| OVERALL RATING of PERFORMANCE |
| (O) |
| (G) |
| (A) |
| (M) |
| (U) |
| (N/A) |
Please provide any additional information you feel is important and not covered elsewhere in this evaluation:
How effective was the contractor in meeting the contract’s sustainability requirements?
IF USGBC LEED® rating was required indicated level specified and level achieved in remarks.
Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor you are providing a reference for.
NAME__________________________________ Contact Phone Number: __________________________
Respondent Signature ______________________________________Date Completed:_______________
OFFEROR NAME ________________________________
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