Exhibit C Past Performance Evaluation.doc

IDIQ MATOC

RFP W91XXX-0X-R-00XX

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.

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/agency as a reference for the work we have performed for you as listed below. Our firm is submitting a proposal for a Multiple Award Construction Task Order Contract advertised by the USPFO for Indiana, Purchasing and 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. A “Final” Performance Evaluation (Construction) (also referred to as CCASS Evaluation) issued for a project may be included in lieu of completing the reference package for the project. 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 January 16, 2013. DO NOT return them to our company.

Indiana National Guard-Camp Atterbury Attn: Erica Copeland, P&C

Bldg 244 Room 109 Eggleston St

Edinburgh, IN 46124 or email to int-nginuspfopcmatoc@ng.army.mil and erica.t.copeland2@us.army.mil and sheri.herrin@us.army.mil Your subject line should read: 2013 INDIANA MATOC or Fax: Attn: Erica Copeland 812-526-1648 If you have questions regarding the attached questionnaire, or require assistance, please contactint-nginuspfopcmatoc@ng.army.mil Erica Copeland 812-526-1738 or Sheri Herrin 812-526-1642 or by email at and erica.t.copeland2@us.army.mil and sheri.herrin@us.army.mil Your subject line should read: 2013 INDIANA MATOC. Email is preferred.

Thank you for your assistance.

Signature and Title

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:

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.

To obtain an electronic version of the form please contact: insert name phone and email.

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY ONE OF THE FOLLOWING MEANS to arrive NOT LATER THAN January 16, 2013. (Email is the preferred method)

By email to int-nginuspfopcmatoc@ng.army.mil and erica.t.copeland2@us.army.mil and sheri.herrin@us.army.mil Your subject line should read: Attention: RFP W912L9-13-R-0002 “Source Selection Sensitive Information”

By mail to:

Indiana National Guard-Camp Atterbury

Attn: Erica Copeland, P&C

Bldg 244 Room 109 Eggleston St

Edinburgh, IN 46124

Or by Fax: Attn: Erica Copeland 812-526-1648

Mark cover sheet: Attention: RFP W912L9-13-R-0002 “Source Selection Sensitive Information” 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

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 Punchlist 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:

COMPLIANCE WITH LABOR STANDARDS

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

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:

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:______________________