FILLABLE_EXHIBIT_C1-_C2.docx

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Construction Indefinite Delivery-Indefinite Quantity (IDIQ) Multiple Award Task Order Contract (MATOC) for Southern California
Solicitation number
W912LA-13-R-0001
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REVISED EXHIBIT C

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EXHIBIT C1

TRANSMITTAL LETTER

AND

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

(YOUR COMPANY’S 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 U.S. Property & Fiscal Office for California. 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 24, 2013. Do not return them to our company.

P&C- USPFO for California ATTN: Aminah Gary 2302 Napa Ave, Bldg 633 San Luis Obispo, CA 93405

Aminah.Gary@us.army.mil or Fax (805) 594-6348

If you have questions regarding the attached questionnaire, or require assistance, please contact (805) 594-6248 or Aminah.Gary@us.army.mil. Thank you for your assistance. E-Mail is preferred.

AMINAH A. GARY

Contracting Officer USPF&O for California

Offeror Name:

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.

RATING
DEFINITION
Outstanding (O)
Indicates the contractor’s performance record within the area of evaluation Exceeded that required by the contract.
Above Average (A)
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.

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.

To obtain an electronic version of the form please contact: Aminah Gary at (805) 594-6248 or aminah.gary@us.army.mil.

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS: Return via email to the email address shown above (Preferred) or via FAX: Commercial (805) 594-6348 DSN 630-6348 or Forms may be mailed to USPFO for California, ATTN: Aminah Gary, 2303 Napa Ave, Bldg 633, San Luis Obispo, CA 93405.

Mark cover sheet: (Attention: RFP W912LA-13-R-0001 “Source Selection Sensitive Information”)

W912LA-13-R-0001

Offeror Name:

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

Outstanding
Above Average
Satisfactory
Marginal
Unsatisfactory
Not Applicable
(O)
(A)
(S)
(M)
(U)
(N/A)
Quality of Workmanship
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Adequacy of the quality control plan
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Implementation of the Quality Control Plan
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Quality of the Quality Control Documentation
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Storage of Materials
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Adequacy of Materials
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Adequacy of Submittals
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Adequacy of Quality Control Testing
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Adequacy of As-Builts
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Use of Specified Materials
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Identification/Correction of Deficient work in a timely manner
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Comments on Quality Control:

TIMELY PERFORMANCE

(O)
(A)
(S)
(M)
(U)
(N/A)
Adequacy of Initial Progress Schedule
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Adherence to Approved Schedule
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Resolution of Delays
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Submission of Required Documentation
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Completion of Punchlist Items
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Submission of Updated and Revised Progress Schedules
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Warranty Response
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Comments on Timely Performance:

EFFECTIVENESS OF MANAGEMENT

(O)
(A)
(S)
(M)
(U)
(N/A)
Cooperation and Responsiveness
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Management of Resources/Personnel
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Coordination and Control of Subcontractors
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Adequacy of Site Clean Up
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Effectiveness of Job-Site Supervision
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Compliance with Laws and Regulations
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Professional Conduct
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Review/Resolution of Subcontractor Issues
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Implementation of Subcontracting Plan
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Comments on Effectiveness of Management:

COMPLIANCE WITH LABOR STANDARDS

(O)
(A)
(S)
(M)
(U)
(N/A)
Correction of Noted Deficiencies
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Payrolls Properly Completed and Submitted
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Compliance with Labor Laws and Regulations with Specific Attention to the Davis-Bacon Act and EEO Requirements
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Comments on Compliance With Labor Standards:

COMPLIANCE WITH SAFETY STANDARDS

(O)
(A)
(S)
(M)
(U)
(N/A)
Adequacy of Safety Plan
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Implementation of Safety Plan
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Correction of Noted Deficiencies
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Comments on Compliance With Safety Standards:

OVERALL RATING of PERFORMANCE
(O)
(A)
(S)
(M)
(U)
(N/A)

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:

Date Completed:

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