PAST PERFORMANCE REFERENCE CHECK FORM.docx
DOCX document 30 KB Posted
- Attached to
- EXTERIOR REPAINTING OF NOX 1 BLDG.
- Solicitation number
- 19RP3825Q0117
- Issued by
-
Department of State
About this file
This is a Past Performance Reference Check Form template used to evaluate contractor performance on previous contracts. The form requires completion by government personnel conducting reference checks and includes fields for offeror information, contact details of the person being interviewed, signature, and date of the reference check.
The evaluation covers five key performance areas rated as either "Acceptable" or "Unacceptable": quality of services provided, compliance with contract terms and conditions, effectiveness of management, willingness to cooperate and assist customers, and business integrity/conduct. For each area, the form requires specific examples to support the assigned rating. Additional sections request descriptions of major problems encountered and their resolutions, plus a yes/no question about whether the reference would do business with the contractor again. This template appears to be part of the evaluation process for Solicitation Number 19RP3825Q0117 for exterior repainting services at the U.S. Embassy Manila, though the form itself is a standard template that could be used for any contractor evaluation.
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Text version
PAST PERFORMANCE REFERENCE CHECK
Offeror Name:
| Person(s) performing reference check |
| Date |
| Client/Company/Office name |
| Person contacted |
| Phone number |
| Signature |
Questions and Responses:
1. Describe the services provided under your contract.
2. How would you rate the Contractor's performance in the areas listed below using the following rating guidelines:
Acceptable - Performance met or exceeded minimum requirements/standards
Unacceptable - Performance was poor (less than acceptable; did not meet contract requirements)
| a. | Quality of services provided under the contract. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
| b. | Compliance with contract terms and conditions. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
| c. | Effectiveness of management. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
d. Willingness to cooperate with, and assist, the customer in routine matters and when confronted by unexpected difficulties.
|_| Acceptable |_| Unacceptable
| Provide specific examples to support the rating assigned: |
| e. | Business integrity/business conduct. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
3. Describe any major problems that occurred and whether/how they were resolved.
4. Would you do business with this company again?
|_| YES |_| NO
File details come from the government source that posted it. Updated .