Exhibit_11.5_Customer_Reference_Form.docx
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- Attached to
- Tablets (IT)
- Solicitation number
- 0000000669
- Issued by
- Los Angeles County, California
About this file
This is a Customer Reference Form (Exhibit 11.5) associated with Solicitation 56905, Event ID 0000000669. The document requires bidders to submit three completed customer reference forms as part of their submittal, as specified in Section 5.4.1. The reference must be from contracts executed within the last 5 years. The form collects basic information about the bidder and their customer reference, including contract numbers, duration, dollar amounts, and services provided.
The form includes a detailed rating system for evaluating contractor performance across multiple categories including timeliness, contract management, quality, ordering, and customer satisfaction. The rating scale ranges from 1 (Unsatisfactory) to 5 (Exceptional), with specific descriptions for each rating level. Raters must provide mandatory explanations for any scores of 1 or 5. The evaluation categories focus on geographic coverage, product availability, response time, account management experience, service quality, value-added services, product performance, ordering systems, and overall satisfaction.
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Text version
Solicitation 56905
Event ID: 0000000669 Exhibit 11.5
CUSTOMER REFERENCE FORM
Bidders must submit three (3) completed Customer Reference Forms with their submittal as described in Section 5.4.1, Customer Reference. Refer to requirement for detailed instructions.
Contractor’s (Bidder) Name:
Customer/Agency Name (Bidder’s Customer):
Contract Number/PO:
Contract Duration (must be within the last 5 years):
Dollar Amount of Contract (read requirements of the IFB for minimum required dollar value):
Products/Services Provided:
Customer (Bidder’s Customer) Contact Name and Title:
Customer Phone Number:
Customer Fax Number:
Customer E Mail Address:
Ratings: Please summarize contractor performance and circle in the column on the right the number which best corresponds to the performance rating for each question. If the score is either 1 or 5, provide an explanation.
Follow the rating guidelines below for description of rating scale:
Rating Guidelines and Description of Rating Scale:
| Exceptional | (5) |
| Best-in-class performance. Performance met all contract requirements and exceeded several to the customer’s benefit. No issues were encountered. |
| Very Good | (4) |
| Performance met all contract requirements and exceeded some to the customer’s benefit. There were a few minor issues, which were negligible. |
| Satisfactory | (3) |
| Performance met contract requirements. There were some minor issues, and corrective actions taken by the contractor were acceptable. |
| Marginal | (2) |
| Performance did not meet the contractual requirements. There were issues, some of a serious nature, for which corrective action was only somewhat effective. |
| Unsatisfactory | (1) |
| Performance did not meet contractual requirements. There were serious issues and the contractor’s corrective actions were ineffective. |
Factors Rated
| Questions |
| Comments |
(continue on additional sheets if desired) Mandatory if score is either 1 or 5 All questions must be answered. N/A is NOT acceptable.
Rating
| Timeliness |
| 1. How would you rate the contractor’s geographic coverage and ability to deliver on time throughout all your locations? |
2. How would you rate the contractor’s product availability and fill rate?
3. How would you rate the contractor’s turnaround time when contacted to provide assistance?
| Contract Management |
| 4. How would you rate the experience of the contractor in managing large accounts? |
5. How would you rate the service provided by the contractor’s assigned Contract Administrator and/or Project Manager?
| Quality |
| 6. How would you rate the quality of the contractor’s value-added services (i.e. Installation, Assembly, Delivery etc.)? |
7. How would you rate the performance of contractor’s products compared to that of its competitors?
| Ordering |
| 8. How would you rate the contractor’s ordering system? |
| Customer Satisfaction |
| 9. How would you rate your level of overall satisfaction with the contractor? |
Rater’s Signature: Date:
Page 2 of 2 03/23/2016
File details come from the government source that posted it. Updated .