EXHIBIT_A-C.pdf

EXHIBIT A PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 1: Prepare not more than five (5) Part 1 forms for general construction.

Provide the following information requested in this format for each of the projects/contracts being described.

Projects may be on going and cannot have been completed any earlier than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required.

A. Offeror (Your) Name (Company/Division):_______________________________________

B. Project/Contract Title:________________________________________________________

C. Contract Specifics:

1. Description of Effort as ___________Prime Contractor or _________Subcontractor

2. Contract Number__________________________________________________________

3. Original Contract $ Value _____________ Current/Final Contract $ Value ____________

4. If amounts in 3 above are different, provide a brief description of the reason:

5. Completion Date:

i. Original Date: ________________________________________________________

ii. Current Scheduled Completion Date (if ongoing): ___________________________

iii. Estimate/Final Completion Date:_________________________________________

iv. Primary cause for Contract Modifications__________________________________

v. If IDIQ Number of Task Orders issued:____________________________________

**If reference is for an IDIQ Contract provide items 1-3 above, contract completion date and number of task/delivery orders issued. The Basic Contract will not count as one of 5 contracts/projects. The basic contract alone will not be considered for relevancy. The proposal must discuss relevant task order(s) complete to 90%. Count each TO discussed as a single project/contract**

Task Order Number _____________________________________________________

Title__________________________________________________________________

Original TO $ Value _____________ Current/Final $ Value _____________________

If amounts above are different, provide a brief description of the reason:

Task Order Completion Date:

1. Original Date: _____________________________________________

2. Current Schedule if ongoing _________________________________

3. Estimate/Final Completion Date: _______________________________

4. Primary cause for Contract Modifications________________________

D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. Also discuss similarity of the client type, United States Green Building Council (USGBC) (LEED®) or similar sustainability requirements. Use as much space below as necessary to provide this description.

Exhibit A Part I continues on Next Page…

Additionally, please address the following items:

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on MATOC projects.

3. Address any technical areas about this project you consider uniquely relevant to this solicitation.

4. Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.

End of Part 1- Questionnaire Requirements – Prepare and send Exhibit C Package to the reference(s) for each of the five (5) General Construction projects.

EXHIBIT A PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 2. Provide the following information one time.

Additional offeror information required, but not project specific. This information need only be provided once in your submission package.

2A: Applicable to all offerors - Describe your Compliance with the requirements of FAR clause 52.219-8, Utilization of Small Business Concerns (Oct 2014). Describe below the methods you have used to comply with this policy on prior federal contracts. Include any evidence, or a point of contact to verify this information, if available.

Even if you are a Small or Small Disadvantaged Business, this clause in Federal Contracts applies. It is the policy of the United States that small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns shall have the maximum practicable opportunity to participate in performing contracts let by any Federal agency, including contracts and subcontracts for subsystems, assemblies, components, and related services for major systems.) It is also policy to establish procedures to ensure the timely payment of amounts due pursuant to the terms of their subcontracts.

2B: Name subcontractors and/or Teaming Partners to be utilized on this contract. Multiple subcontractors may be named for the same discipline, but are limited to a maximum of three (3) subcontractors per discipline.

As a minimum, provide the name(s) of subcontractors to be utilized in the following areas:

Note: Modify for your requirement:

Electrical:

Mechanical:

Roofing:

Horizontal disciplines: (include paving and civil site work)

Each major subcontractor and/or Teaming Partner must also complete an Exhibit B, “Subcontractor

Information and Consent Form” to be considered. Offerors shall have major subcontractors identify on the

Exhibit B three references, owners (if they were the Prime) or other Prime contractors they have worked for.

References for subcontractors from the proposing offeror are not acceptable. See Exhibit “B” format for information to be provided. Written references for subcontractors may be included and are encouraged.

However, subcontractors do not need to send out Exhibit C questionnaires.

2C: Discuss assessment of liquidated damages on any contracts within the last five years. (frequency, circumstances, severity of problem, etc.)

2D: Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.

EXHIBIT B – SUBCONTRACTOR INFORMATION AND CONSENT FORM

Subcontractor and/or Teaming Partner Consent for the Release of Past Performance Information to the Prime

Contractor and Reference Information

Past performance information concerning subcontractors and teaming partners cannot be disclosed to a private party without the subcontractor’s or teaming partner’s consent. Because a prime contractor is a private party, the

Government will need that consent before disclosing subcontractor/teaming partner past and present performance information to the prime during exchanges. In an effort to assist the Government in assessing your past performance relevancy we request that the following consent form be completed by the major subcontractors/teaming partners identified in your proposal. The completed consent forms should be submitted to the offering contractor for submission with past performance volume.

___________________ (Name of Firm) is currently planning on participating as a (subcontractor and or a teaming partner) with ___________________ (prime contractor or name of entity providing proposal) in responding to the

Request for Proposal No. W912L7-17-R-0002 for IDIQ Multiple Award Task Order Contract (MATOC) for construction projects issued by the Tennessee MATOC, name for multiple Air and Army National Guard locations in the State of Tennessee.

We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature) (Title of Individual with authority to sign for and

Legally bind the company)

Company Name: ________________________ Telephone #____________________

Address: ______________________________

City/State/Zip Code: ______________________ Date: _____________________

Reference List (required):

1. Contract No. And Title___________________________________________________________

Describe your role (Prime/Sub) and work Performed ___________________________________

Reference POC Name____________________________ Phone___________ Fax____________

Email address: _________________________________________________________________

2. Contract No. And Title___________________________________________________________

3. Contract No. And Title___________________________________________________________

EXHIBIT C PACKAGE INFORMATION AND FORMS

Instructions to Offeror for sending Reference Questionnaire Forms: Prepare and send a reference questionnaire package for each project listed on your Exhibit A, Performance Relevancy Questionnaires. For Government contracts, send to Contracting Officer or Technical Representative. For commercial references send to personnel with duties similar to those for Government contracts. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. 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 4 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 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 Tennessee National Guard. In accordance with Federal Acquisition

Regulations, 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 28 August 2017.

Do not return them to our company.

Tennessee National Guard

3041 Sidco Drive Hugh B. Mott Bldg., Suite 202

Nashville, TN 37204

Or email at teresa.a.baxter.civ@mail.mil

E-Mail is preferred.

Teresa Baxter

Contract Specialist mailto:teresa.a.baxter.civ@mail.mil

EXHIBIT C2

SOURCE SELECTION SENSITIVE WHEN COMPLETED*****NOT TO BE RELEASED OUTSIDE

GOVERNMENT CHANNELS***** RETURN THIS PAGE WITH QUESTIONNAIRE

RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.

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 Project:

Your role in referenced contract:

RATING DEFINITION

Outstanding O) Proposal indicates an exceptional approach and understanding of the requirements and contains multiple strengths, and risk of unsuccessful performance is low. Proposal may contain weakness(es) which have little potential to cause disruption of schedule or degradation of performance. Normal contractor effort and normal Government monitoring will likely be able to overcome any difficulties.

Good (G) Proposal indicates a thorough approach and understanding of the requirements and contains at least one strength, and risk of unsuccessful performance is low to moderate. Proposal may contain weakness(es) which have little potential to cause disruption of schedule or degradation of performance and normal contractor effort and normal Government monitoring will likely be able to overcome any difficulties, or the proposal contains a significant weakness or combination of weaknesses which may potentially cause disruption of schedule or degradation of performance and special contractor emphasis and close

Government monitoring will likely be able to overcome difficulties.

Acceptable (A) Proposal meets requirements and indicates an adequate approach and understanding of the requirements, and risk of unsuccessful performance is no worse than moderate. Proposal contains a significant weakness or combination of weaknesses which may potentially cause disruption of schedule or degradation of performance. Special contractor emphasis and close

Government monitoring will likely be able to overcome difficulties.

Marginal (M) Proposal has not demonstrated an adequate approach and understanding of the requirements, and/or risk of unsuccessful performance is high. Proposal contains a significant weakness or combination of weaknesses which is likely to cause significant disruption of schedule or degradation of performance. Is unlikely to overcome any difficulties, even with special contractor emphasis and close Government monitoring.

Unacceptable (U) Proposal does not meet requirements of the solicitation, and thus, contains one or more deficiencies, and/or risk of unsuccessful performance is unacceptable. Proposal contains a material failure or a combination of significant weaknesses that increases the risk of unsuccessful performance to an unacceptable level.

(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.

To obtain an electronic version of the form please contact: Teresa Baxter. teresa.a.baxter.civ@mail.mil

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS: Return via email to the email address shown above. Forms may be mailed to

Tennessee National Guard

3041 Sidco Drive Hugh B. Mott Bldg., Suite 202

Nashville, TN 37204

Mark cover sheet: (Attention: RFP W912L7-17-R-0002 “Source Selection Sensitive Information”)

IDIQ MATOC 00XX RFP W912L7-17-R-0002

QUALITY CONTROL

Outstanding Good Acceptable Margina l

Unaccep table

Not

Applica ble

(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

Adequacy of Initial Progress Schedule

Adherence to Approved Schedule

Resolution of Delays

Submission of Required Documentation

Completion of Punch list Items

Submission of Updated and Revised Progress Schedules

Warranty Response

Comments on Timely Performance:

EFFECTIVENESS OF MANAGEMENT

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:

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.

Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor you are providing a reference for.

OFFEROR NAME___________________________

Respondent Signature ______________________________________Date

Completed: ______________________

COMPLIANCE WITH LABOR STANDARDS

Correction of Noted Deficiencies

Payrolls Properly Completed and Submitted

Compliance with Labor Laws and Regulations with

Specific Attention to the Wage Rate Requirements and EEO

Requirements

Comments on Compliance With Labor Standards:

COMPLIANCE WITH SAFETY STANDARDS

Adequacy of Safety Plan

Implementation of Safety Plan

Correction of Noted Deficiencies

Comments on Compliance With Safety Standards:

Please provide any additional information you feel is important and not covered elsewhere in this evaluation: