Att 4.pdf

10/30/09 ATTACHMENT 04

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AGENCY/COMPANY PROVIDING EVALUATION: ________________________________

CONTRACT NUMBER: _______________________________________________________________

(Current or Previous – State Period of Performance Dates)

SUMMARY: Purpose of this form and the scope of contract - THE AGENCY / COMPANY IS TO

COMPLETE THIS FORM, SIGN, DATE AND SUBMIT IT AS SPECIFIED IN THE INSTRUCTIONS

The purpose of this form is for the Company (Offeror) identified above to obtain a performance evaluation from a present or past customer/client. Responses will be used as an evaluation element in the source selection process for the above Solicitation Number. The information described in this form refers to the type of product or service the Company/Offeror will be required to provide under the solicitation, if selected. The statement of work under the solicitation is for the contractor to provide information technology governance services to the United States Department of Labor, Office of the Assistant Secretary for Administration and Management, Information Technology Center, Office of Systems Development and Integration.

Please return completed form to: Myla Gale US Department of Labor OASAM Office of Procurement Services

RM S4307

200 Constitution Ave., NW Washington DC 20210 Ph: (202) 693-7197 Fax: (202) 693-4579 Email: gale.myla@dol.gov

EVALUATION PROVIDED BY: (Name, Title, and Organization Address)

(Name & Title) Organization Address

Telephone Fax

SIGNATURE:______________________________________

DATE

RATINGS GUIDE

Using this rating guideline, assign each area a rating of

1 Unsatisfactory 2 Marginal 3 Satisfactory 4 Good 5 Excellent N/A Not Applicable

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The elements are quality of product, cost control, timeliness of performance/delivery schedule, and overall customer satisfaction. In the remark section(s) for Excellent or Unsatisfactory performance, provide a brief narrative to support the ratings assigned.

For each performance element, please check the appropriate column

U ns at is fa ct or y

M ar gi na l

Sa ti sf ac to ry

G oo d

E xc el le nt

N ot

A pp lic ab le

Performance Elements 1 2 3 4 5 N/A

QUALITY OF PRODUCT OR SERVICE

1. How would you rate the Contractor’s demonstrated ability to solve contract performance problems without extensive guidance from government counterparts?

2. How would you rate the Contractor’s demonstrated ability to internally manage your task order(s)?

3. How would your rate the Contractor’s demonstrated ability to conform to the terms and conditions of your contract?

4. How would you rate the Contractor’s demonstrated ability to ensure deliverables (i.e., software products, Certification and Accreditation (C&A) packages, management of Plans of Actions and Milestones (POA&M), OMB 300s, project execution schedules, QA plan, and documentation) met or exceeded specified standards for acceptance?

5. How would you rate the Contractor’s demonstrated ability to perform concurrent tasks and perform for multiple projects?

6. How would you rate the Contractor’s demonstrated ability to adhere to contract hours of performance, sustained-employee performance levels, and quality assurance of deliverables?

7. How would you rate the Contractor’s demonstrated ability to respond to/follow-up on problem identification, problem tracking, documentation and reporting accurately and timely?

8. How would you rate contractor’s performance to manage onsite personnel under the contractor’s responsibility?

TECHNICAL PERFORMANCE

9. How would you rate the Contractor’s ability to perform your configuration management functions?

10. How would you rate the Contractor’s ability to perform the following systems development life cycle activities:

- Requirements gathering and analysis;

- Designing and developing software solutions?

11. How would you rate the Contractor’s ability to collaborate with end-users, technical staff, and management, to efficiently deliver services?

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For each performance element, please check the appropriate column

U ns at is fa ct or y

M ar gi na l

Sa ti sf ac to ry

G oo d

E xc el le nt

N ot

A pp lic ab le

Performance Elements 1 2 3 4 5 N/A

12. How would you rate the Contractor’s ability to train and retain highly skilled staff and maintain low turnover?

13. Did the Contractor provide professionally certified (PMP) program and project managers?

14. How would you rate the Contractor’s key personnel team relative to skill in their respective areas?

CONTRACT MANAGEMENT

15. Rate the contractor’s demonstrated ability to adhere to contract delivery schedules?

COST MANAGEMENT

16. Rate the Contractor’s ability to control cost, and administrative procedures utilized to manage personnel resources, subcontractor costs and other direct/indirect costs.

TOTAL SCORE =

CONTRACT DESCRIPTON:

Size of the contract (dollars)?

Term of the contract (months)?

Number of tasks?

Number of client locations supported?

Mainframe infrastructure

REMARKS ON EXCELLENT PERFORMANCE:

REMARKS ON UNSATISFACTORY PERFORMANCE:

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WOULD YOU HIRE THIS COMPANY AGAIN? Yes No

OTHER COMMENTS

Note: If verbal telephonic response was obtained, complete the following

Information obtained by

Signature

Date & Time