EXHIBIT_C_Reference_Questionnaire_Package.docx

Solicitation Number W912LA-18-R-8004 FY18 TITLE OF PROJECT: TFI Construct RPA Formal Training Unit

EXHIBIT C

PAST PERFORMANCE REFERENCE QUESTIONNAIRE

[Type here] Exhibit C 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 Past Performance Reference Questionnaire (Exhibit C). For Government contracts, send the questionnaire to the Contracting Officer. For commercial references, send the Questionnaire to the personnel with duties similar to those for Government contracts. Offerors should follow-up and encourage references to return completed questionnaires in a timely manner. If you have multiple references at one location (i.e. at a military base), send one cover letter and questionnaires for each contract for which you need a reference. Your questionnaire package should contain the following:

· Cover Letter (See SAMPLE on the next page)

· Respondent Info Rating Sheets (Exhibit C) (the following 4 pages). Offeror should put name in spaces indicated and ensure it is on every page for identification purposes.

· Suggested – Pre-addressed stamped envelope.

OFFEROR SHOULD PLACE THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE In accordance with SECTION 00120 – PROPOSAL EVALUATIONS AND BASIS FOR AWARD, completed questionnaires should be sent directly to the Contracting Office.

OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES

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 will be submitting a proposal under a project advertised by the 163d Base Contracting Office of the California Air National Guard. 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 government 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. Only one response from each office is required. 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 firm is required.

Please return your completed questionnaire to the following address:

[Contracting Officer’s Address]

This documentation must arrive NOT LATER THAN [Contractor to enter date] , so that it can be evaluated with our proposal.

If you have questions regarding the attached questionnaire, or require assistance, please contact the Base Contracting Officer, Crystal Rossman at crystal.s.rossman.mil@mail.mil or the Procuring Contracting Officer, Mark L. Thompson at mark.l.thompson10.mil@mail.mil via email (preferred) or alternatively by telephone at 951-655-5461 (Crystal) / 515-252-4248 (Mark). Thank you for your assistance.

Signature and Title

National Guard PAST PERFORMANCE QUESTIONNAIRE (Exhibit C)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

Phone Number: Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify): Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy): Actual Completion Date (mm/dd/yy): Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable): Explain Differences:

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name: Title:

Phone Number: Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: THE NATIONAL GUARD REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY TO CRYSTAL ROSSMAN VIA EMAIL AT crystal.s.rossman.mil@mail.mil AND MARK L. THOMPSON AT mark.l.thompson10.mil@mail.mil OR QUESTIONNAIRES CAN BE MAILED TO THE 163 BASE CONTRACTING OFFICE, 1620 GRAEBER ST, STE 29, MARCH ARB CA 92518. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(U) Unsatisfactory

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. Quality Control (QC):

b) Ability to meet quality standards specified for technical performance

E VG S M U N

Comments on Quality Control:

2. Timely Performance:

f) Contractor timely and satisfactory response to warranty issues after project completion

E VG S M U N

Comments on Timely Performance:

3. Management Effectiveness

f) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes

E VG S M U N

i) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG S M U N

j) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Yes No

l) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG S M U N

Comments on Management Effectiveness:

4. Compliance with Safety Standards

Comments on Compliance with Safety Standards:

5. Compliance with Federal laws and regulations

Comments on Compliance with Federal laws and regulations:

6. Compliance with utilization of small business concerns requirements (applicable to all offerors); including small business concerns. Reference FAR 19.702

Comments on Compliance with utilization of small business concerns requirements:

7. GENERAL

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

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):