Attachment_3_-_Past_Performance.docx

Attachment 3

CLIENT AUTHORIZATION LETTER AND PAST PERFORMANCE QUESTIONNAIRE

Dear “Client”:

We are responding to the U.S. Department of Labor’s (DOL), RFQ No. DOL-OIG-14-Q-00004 to provide Web-based Interface Services for the Office of Inspector General (OIG). The DOL is placing increased emphasis in its solicitations on past performance as an evaluation factor and is requiring offerors to contact their references to submit information on the offerors’ past performance to the Agency.

Therefore, you are requested to complete the attached questionnaire and fax it to Ms. Paula Miller-Sheelor of the DOL, OIG. Her fax number is (202) 693-7020. She must receive the completed questionnaire prior to August 11, 2014. Please ensure that the completed questionnaire is transmitted under a dated fax cover sheet that references the Blanket Purchase Agreement (BPA) number (RFQ No. DOL-OIG-14-Q-00007).

Your cooperation is appreciated. Please direct any questions regarding this authorization to (Offeror’s point of contact).

Sincerely, Attachment

PAST PERFORMANCE QUESTIONNAIRE

This portion is to be completed by the Contractor prior to providing the questionnaire to the client.

Name of contractor

Contract or program name

Contract number

Type of contract

Financial value of contract

Please describe below the project and services provided:

The remaining sections are to be completed by the client.

Name of person completing this questionnaire

Signature of person completing this questionnaire

Your role with respect to the Contractor (for example Contracting Officer, Contracting Officer’s Technical Representative, Program Manager)

Length in role (years and months)

Agency/Company

Telephone number with area code

Fax number with area code

E-mail address

Date questionnaire completed

Is the project description provided by the Contractor accurate?

[ ] YES [ ] NO

If NO, please provide a brief description below:

Contractor Performance Rating: For each of the following elements, please circle the rating number that corresponds to the contractor’s performance for the category. Please feel free to include written comments to explain your ratings for each category.

Acceptable Good Excellent

Acceptable

Acceptable

The Vendor has business relation/composition and cooperation of team members

Unacceptable Acceptable

Acceptable

Acceptable

Would you hire this contractor again? [ ] YES [ ] NO

If you would not hire this contractor again, please explain why not:

Please feel free to provide any additional comments about the contractor:

THANK YOU FOR COMPLETING THE QUESTIONNAIRE.