EXHIBIT_C_-_Performance_Evaluation_Package.doc

CONSOLIDATED SUPPORT FUNCTIONS, RFP NO. W912LP-17-R-0002

EXHIBIT C – REFERENCE PACKAGE INFORMATION AND FORMS

EXHIBIT C PACKAGE INFORMATION AND FORMS. A “Final” Construction Performance Evaluation, which is created in CPARS and reported in PPIRS, that is issued for a project may be included in lieu of sending out a reference package for the project. Place the CPARS form directly behind the Exhibit A it is applicable to.

Instructions to Offeror for sending Reference Questionnaire Forms: Prepare and submit a Reference Package (Exhibit C) to the owners of the projects listed in your Exhibit A, Performance Relevancy Questionnaires. For Government contracts, send to the Contracting Officer or Technical Representative. For commercial references, send to personnel with duties similar to those for Government contracts. Offerors should follow-up and encourage references to get the questionnaires to the Contracting Officer in a timely manner. If you have multiple references at one location (Base, Company, etc.) send one cover letter and questionnaire for each contract you want a reference for. Your questionnaire package should contain the following:

Cover Letter (Exhibit C1) (See SAMPLE) Respondent Info Rating Sheets (Exhibit C2)(the next 6 pages) - Offeror should put name in spaces indicated and ensure it is on every page for identification purposes.

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 as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Iowa USPFO 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. Space is provided for comments. A completed CCASS Evaluation for a DoD project or similar Agency appraisal form may be substituted for this reference questionnaire. 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 1 May 2017. Do not return them to our company.

USPFO for Iowa, Purchasing & Contracting Office

Camp Dodge Bldg 3475

7105 NW 70th Avenue

Johnston, IA 50131-1825

ATTN: Ms. Vicky Williams

Email: vicky.l.williams10.civ@mail.mil

If you have questions regarding the attached questionnaire, or require assistance, please contact Ms. Vicky Williams, (515) 252-4615, or email to: vicky.l.williams10.civ@mail.mil. E-Mail is preferred. Thank you for your assistance.

Signature and Title

RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:

Return via email to vicky.l.williams10.civ@mail.mil.

Mark cover sheet: (Attention: RFP W912LP-17-R-0002, “Source Selection Sensitive Information”)

SOURCE SELECTION SENSITIVE WHEN COMPLETED

*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****

(Exhibit C2) RESPONDENT IDENTIFICATION AND RATINGS

RESPONDENT IDENTIFICATION AND RATINGS

(Part 1 – to be completed by Contractor submitting Proposal) 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 – to be completed by 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.

SOURCE SELECTION SENSITIVE WHEN COMPLETED

*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****

OFFEROR NAME ________________________________Please circle the appropriate rating.

Please provide evaluation of the following Subfactors 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 Contractor QC

Identification/correction of deficient work in a timely manner

Suggested solutions and displayed initiative to implement solutions

Adequacy of Materials

Use of specified Materials

Adequacy of Submittals

Adequacy of As-Builts

Comments on Quality Control:

TIMELY PERFORMANCE

Met established progress schedule

Timely submission of updated and revised progress schedules

Resolved delays in an expeditious manner

Identification/correction of deficient work in a timely manner

Provided submittals in a timely manner

Completed all contract work prior to requesting final inspection

Timely completion of punch-list items

Left no major discrepancies

Timely submission of close out documents, (i.e., “as builts”, “red lines”)

Contractor provided timely and satisfactory response to warranty issues after project completion

Comments on Timely Performance:

MANAGEMENT EFFECTIVENESS

General Business Practices, including, but not limited to: Contractor provided experienced managers, and supervisors with the ability needed to meet contract requirements; Hired experienced subcontractors; Paid subcontractors/suppliers in a timely manner; The contractor cooperated to resolve problems, attending meetings (as applicable) and maintained communication to assure satisfactory resolution; Overall customer satisfaction and willingness to foster a spirit of partnership with owner.

Pricing, including, but not limited to: The contractor submitted proposals that accurately represented the work required; The contractor's supporting price/cost information for modifications were accurate, complete and reasonable (not over inflated or under estimated); Provided well-substantiated pricing data for change orders;

Site Management/Superintendent, including, but not limited to: Site manager ensured compliance to contract requirements & safety regulations; Site manager acted promptly to resolve problems and ensure work quality; Site manager had sufficient authority to make decisions or take actions during project performance; Site manager consistently present on site when work was performed.

Sustainability requirement compliance including but not limited to: Extent to which the contract’s sustainability requirements were met. Achievement of USGBC recognition at certified or silver level on completed projects is considered a benefit to the Government and may receive additional consideration. Achievement above the silver level may receive additional consideration.

Comments on Effectiveness of Management:

COMPLIANCE WITH SAFETY STANDARDS

Adequacy of implementation of safety plan

Safety History

Comments on Safety Standards:

COMPLIANCE WITH FEDERAL LAWS AND REGULATIONS

Compliance with labor laws and regulations

Submitted payrolls in a timely manner

Compliance with Drug Free Work Place requirements

Compliance with Execute Order 16393—Planning for Federal Sustainability in the Next Decade

Comments on Compliance with Federal Laws and Regulations:

COMPLIANCE WITH UTILIZATION OF SMALL BUSINESS CONCERNS REQUIREMENTS

Compliance with FAR 52.219-8 Utilization of Small Business Concerns

Safety History

Comments on compliance with FAR 52.219-8 Utilization of Small Business Concerns:

OVERALL RATING of PERFORMANCE

Overall rating of the contractor performance

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

How effective was the contractor in meeting the contract’s sustainability requirements? (IF USGBC LEED® rating was required indicated level specified and level achieved in remarks.)

Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor you are providing a reference for.

NAME ________________________________________________

Contact Phone Number:_______________

Respondent Signature ______________________________________ Date Completed:_______________

OFFEROR NAME ________________________________

SOURCE SELECTION SENSITIVE WHEN COMPLETED

*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****