EXHIBITCPASTPERFORMANCEEVALUATION.docx

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Attached to
MULTIPLE AWARD TASK ORDER CONTRACT (MATOC) - MN Federal contract opportunity
Solicitation number
W912LM-15-R-0004
Issued by
Department of the Army Minnesota Army National Guard

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Exhibit C - Past Performance Evaluation

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W912LM15R0004FY15MATOCSolicitation.docx DOCX document
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EXHIBITBINFORMATIONANDCONSENT.docx DOCX document
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IDIQ MATOC RFP W912LM-15-R-0004

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 your proposal in lieu of sending out a reference package for the project. Place the Evaluation directly behind the Exhibit A it is for.

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-Minnesota. 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 October 20, 2015. Do not return them to our company.

U.S. Property & Fiscal Office – Minnesota Attn: Contracting Office, Colleen Moore 15000 HWY 115, Camp Ripley Little Falls, MN 56345-4173

OR colleen.m.moore.civ@mail.mil

OR Fax – (320)632-7799

If you have questions regarding the attached questionnaire, or require assistance, please contact Colleen Moore, (320)616-2753, colleen.m.moore.civ@mail.mil Thank you for your assistance. E-Mail is preferred.

COLLEEN M. DALQUIST

CONTRACTING OFFICER

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 Project:

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: Colleen Moore, (320)616-2753, colleen.m.moore.civ@mail.mil

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS: Return via FAX Commercial (320)632-7799 or DSN 555-871-7799 or via email to the email address shown above. Forms may be mailed to:

U.S. Property & Fiscal Office – Minnesota
Attn: Contracting Office, Colleen Moore
15000 HWY 115, Camp Ripley
Little Falls, MN 56345-4173

Mark cover sheet: (Attention: RFP W912LM-15-R-0004 “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

Outstanding
Above Average
Satisfactory
Marginal
Unsatisfactory
Not Applicable
(O)
(A)
(S)
(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

(O)
(A)
(S)
(M)
(U)
(N/A)

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

(O)
(A)
(S)
(M)
(U)
(N/A)

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

(O)
(A)
(S)
(M)
(U)
(N/A)

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

(O)
(A)
(S)
(M)
(U)
(N/A)

Adequacy of Safety Plan

Implementation of Safety Plan

Correction of Noted Deficiencies

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___________________________

Respondent Signature ______________________________________Date Completed: _______________ image1.png

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