L14PS00888_Exhibit_3_Revised.docx

DOCX document 75 KB Posted

Attached to
Information Technology Support Services (ITSS) Federal contract opportunity
Solicitation number
L14PS00888
Issued by
Department of the Interior Bureau of Land Management National Office

About this file

Please refer to attachment L14PS0088_Amd_000003

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Bureau of Land Management Division of Information Resource Management

Information Technology Support Services Division of Information Resource Management

Document Title:
Exhibit 3 – Past Performance Questionnaire
Description:
Information Technology Support Services (ITSS)
Conforms To:
FAR 2014, FAC 2005-76
Effective Date:
23 Oct 2014
Solicitation Number:
L14PS00888
Date:
24 Oct 2014

OFFEROR:

Client Organization:

**FOR GOVERNMENT USE ONLY ONCE COMPLETED**Page 2 of 5
**FOR GOVERNMENT USE ONLY ONCE COMPLETED**Page 1 of 4

Please provide the Past Performance Questionnaire (Exhibit 3) to three of your most recent clients requiring similar services. Please ask the client to return the Attachment (Exhibit 3) electronically to the Contract Specialist at: ajconley@blm.gov NO LATER THAN MONDAY, November 17, 2014.

Note: In the instance where the Offeror wishes for the client to illustrate past performance on multiple applicable contracts, the client shall complete and submit separate questionnaire forms.

Name of Client Organization:

Project Manager (PM):

PM E-mail:

Phone:

Contract/Order/Number:

Contract Type:

Contract Value:

Period of Performance:

Other:

Description of the Services Provided (short bullet points):

Description of Significant Accomplishments (short bullet points):

Description of Challenges Faced with Subsequent Solutions (short bullet points):

Date to return to BLM NOC:

Time:

E-Mail to CS Allyson Conley:
ajconley@blm.gov

Name of Person Completing:

Title:

Street Address:

Telephone Number:

E-mail:

Corporate Affiliation with Offeror:

1. To what extent was the Contractor reasonable, cooperative and flexible:

2. Describe the Contractor’s responsiveness to, and method used, when correcting issues as needed:

3. Describe any unique, controversial or negative experiences with the Contractor:

4. Describe any termination of services:

5. Describe any claims due to the inability of the Contractor to meet contractual or technical requirements:

Please assess the contractor’s performance using the following rating scale that most accurately describes the contractor’s performance or situation pertaining to the subsequent questions:

Rating
Definition
0. Unknown
No record of past performance; or the record is inconclusive
1. Unsatisfactory
Performance did not meet most contractual requirements. There were serious problems and the Contractor’s corrective actions were ineffective.
2. Marginal
Performance did not meet some contract requirements. There were problems yet corrective actions taken by the Contractor were acceptable.
3. Satisfactory
Performance met contract requirements. There were some minor problems and corrective actions taken by the Contractor were satisfactory.
4. Very Good
Performance met all contract requirements and exceeded some to the organization’s benefit. There were a few minor problems which the Contractor resolved in a timely, effective manner.
5. Exceptional
Performance met all contract requirements and exceeded many to the organization’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

Rating

1. The Contractor provided all stated deliverables.

2. The Contractor resolved all claims timely.

3. The Contractor did not cause any delays and services rendered are delivered on time.

4. The Contractor resolved all technology related incidents in a timely manner.

5. The Contractor provided courteous and responsive customer service.

6. The Contractor displayed initiative in meeting current and new customer requirements.

7. Please rate the overall consistency and reliability of the Contractor to meet the terms of the contract or terms of the agreement.

8. Would you award another contract or place another order with this contractor?
Yes

No

Additional comments:

Please give any additional remarks on exceptional performance:

Please give any additional remarks on unsatisfactory performance:

Other remarks you wish to make:

Signature Date image1.png

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