Exhibit A Performance Relevancy Questionnaire.doc

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Attached to
2013 Indiana MATOC Federal contract opportunity
Solicitation number
W912L9-13-R-0002
Issued by
Department of the Army Indiana Army National Guard

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Exhibit A Performace Relevancy Questionnaire

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IDIQ MATOC

RFP W912L9-13-R-0002

EXHIBIT A PERFORMANCE RELEVANCY QUESTIONNAIRE

PART 1: Prepare not more than six (6) Part 1 forms for general construction.

Provide the following information requested in this format for each of the projects/contracts being described. Contractors should select their projects carefully because the quality of the contractor’s relevant performance is more important than the quantity of projects submitted. Projects may be on going, if complete to 70 % 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. Award and Completion

i. Award date: __________________Original Completion Date:_____________________

ii. Current Scheduled Completion Date( if ongoing): _____________ % complete: _____

iii. Estimate/Final Completion Date:_________________________________________

iv. 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 6 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 _________________________________% complete: _____

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 somewhat-relevant to this solicited contract. 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 six (6) General Construction projects. 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.

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 (May 2004). 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:

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.

2E: (OPTIONAL) Other Past Performance Considerations. Information, if provided, shall be limited to the period starting 5 years prior to the solicitation release date.

Effectiveness of value engineering (VEC) proposals you submitted on prior contracts. (Provide a brief description; impact on cost, schedule, efficiency or quality; contract number; name and phone number of customer benefiting from the VEC).

Limit of five (5) of the following: Professional/Industry awards (Identify award type, date of award and copy of certificate if applicable), Letters of appreciation, recognition or commendations.

Discuss unique skills and accomplishments (Explain unique skills and/or accomplishments and provide supporting information for verification).

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