EXHIBIT C ADAL SFS PERFORMANCE EVAL.docx

TITLE: ADAL SECURITY FORCES FACILITY, BLDG P-25

RFP W91SMC—12-R-183-0004

EXHIBIT C PACKAGE INFORMATION AND FORMS

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 Reference Package (Exhibit C). For Government contracts, send to 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 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 5 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 LETTERAND 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 183MSC. 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. 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 Proposal DUE DATE (22March 1200 at 1300 hrs. CST) unless otherwise noted in future solicitation amendment.. Do not return them to our company.

183rd Fighter Wing Attn: MSC 3101 J David Jones Pkwy Springfield, IL 62707

FAX: 217-757-1307

If you have questions regarding the attached questionnaire, or require assistance, please contact Master Sergeant Brent Keller at 217-757-1251 or email to: brent,keller@ang.af.mil.

Thank you for your assistance. E-Mail is preferred.

Signature and Title

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

To obtain an electronic version of the form please contact: Senior Master Brent Keller at brent.kellerang.af.mil.

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:

Return via FAX Commercial 217-757-1307 or DSN 892-8307 or via email to the email address shown above. Forms may be mailed to:

183rd Fighter Wing Attn: MSC 3101 J David Jones Pkwy Springfield, IL 62707

Mark cover sheet: (Attention: ADAL SECURITY FORCES FACILITY, BLDG P-25 RFP W91SMC—12-R-183-0004 “Source Selection Sensitive Information”)

SOURCE SELECTION SENSITIVE WHEN COMPLETED

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

(Exhibit C2) RESPONDENT IDENTIFICATION AND RATINGS

(Part 1 Contractor submitting Proposal fill-in) Reference is provided for: ____________________________________

Contract Number or Project Title______________________________________________________

Date of Award/Completion Date______________________________________________________

Location_________________________________________________________________________

Dollar Amount____________________________________________________________________

Brief Description of work and your role in the referenced contract: ___________________________

(Part 2 Person providing Reference) Reference is provided by: ___________________________

Company/Agency: _________________________________________________________________

Business Address; ________________________________________________________________

Telephone Number: _______________________________________________________________

E-Mail Address: __________________________________________________________________

Relationship to Contract: ___________________________________________________________

If information above (Part 1) is not accurate, please indicate.

OFFEROR Name___________________________

SOURCE SELECTION SENSITIVE WHEN COMPLETED

Please circle the appropriate rating.

REMARKS: ____________________________________________________________________________________

REMARKS: ____________________________________________________________________________________

REMARKS: ____________________________________________________________________________________

(4) Overall, how would you rate the quality of workmanship for this project?

REMARKS: ____________________________________________________________________________________

(5) Rate timeliness in meeting requirements and adhering to contract schedules (delivery/performance), taking into account all excusable delays, including cooperation and attention to contract completion efforts. Was the project completed in a timely manner?

REMARKS: ____________________________________________________________________________________

REMARKS: ____________________________________________________________________________________

(7) How well did the contractor manage project, in terms of timely material delivery, accurate and timely submission of submittals, timely payment of subcontracts, and general business practices?

REMARKS: ____________________________________________________________________________________

OFFEROR Name______________________

SOURCE SELECTION SENSITIVE WHEN COMPLETED

REMARKS: ____________________________________________________________________________________

(9) Rate the adequacy of the contractor’s environmental program, oversight, compliance and management.

REMARKS: ____________________________________________________________________________________

(10) Did the contractor provide adequate, competent and qualified management, key personnel and technical personnel capable of meeting contract requirements throughout the performance period of the contract?

REMARKS: ____________________________________________________________________________________

(11) How well did the contractor work independent of Government guidance, oversight and assistance?

REMARKS:_____________________________________________________________________________________

REMARKS: ____________________________________________________________________________________

(13) How effective was the contractor in meeting Cost/Price performance targets and controlling contingencies (i.e. changes, etc.)?

REMARKS: ____________________________________________________________________________________

(14) 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.

REMARKS: ____________________________________________________________________________________

OFFEROR Name______________________

REMARKS: _____________________________________________________________________________________

(16) How timely and effective were the contractor’s responses to and resolution of technical problems? Did the Site manager have sufficient authority to make decisions or take actions during project performance?

REMARKS: ____________________________________________________________________________________

(17) Overall, how would you rate this contractor’s business practices, customer relationship, and ability to successfully perform? Did the contractor demonstrate a reasonable and cooperative business relationship with the Government’s contract management personnel?

REMARKS: ____________________________________________________________________________________

(18) How effective was the contractor’s safety program to ensure compliance with federal, state and local regulations? Did the contractor implement and follow their safety plan? Did they run a “safe” jobsite?

REMARKS: ____________________________________________________________________________________

(19) Applicable to Federal Contracts – How well did the contractor comply with applicable Federal laws and regulations such as Davis Bacon Act, Service Contract Act- timely payrolls and compliance, Drug Free Workplace, Environmental Regulations and Use of Recovered Materials, Executive Order 13101?

REMARKS: _________________________________________________________________________

(20) Applicable to Federal Contracts Only – How well did the contractor comply with Utilization of Small Business Concerns requirements? For Large Businesses: Were Small Business goals met in the Small Business Subcontracting Plan?

REMARKS: ____________________________________________________________________________________

(21) How innovative was the contractor in performing the technical aspects of this contract and resolving problems? How well did the contractor respond to and act on customer feedback? (Customer Satisfaction)

REMARKS: ____________________________________________________________________________________

OFFEROR Name______________________

SOURCE SELECTION SENSITIVE WHEN COMPLETED

(22) How would you rate the Contractor’s overall performance?

REMARKS:

(23) What were the contractor’s top documented strengths, if any, in performing the contract requirements?

REMARKS: ____________________________________________________________________________________

(24) What were the contractor’s top documented weaknesses, if any, in performing the contract requirements?

REMARKS: ____________________________________________________________________________________

(25) Please Provide Any Additional Information You Feel Is Important Not Covered Elsewhere:

REMARKS: ____________________________________________________________________________________

Thank you for your remarks. Please ensure that you return this questionnaire to the Contracting Agency. Do NOT return to the evaluated contractor.

NAME OF PERSON SUBMITTING REFERENCE DATE_____________________

Contact Phone Number:____________________________

SOURCE SELECTION SENSITIVE WHEN COMPLETED

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