Attachment_4_-_Customer_Reference_Form.docx

DOCX document 27 KB Posted

Attached to
Type 3 Wildland Fire Apparatus
Solicitation number
0000036181
Issued by
California

About this file

This document is a Customer Reference Form for Solicitation 56905, designed to capture detailed performance feedback from previous customers of a contractor bidding on a contract for Type 3 Wildland Fire Apparatus or equivalent. The form provides a structured method for past customers to evaluate the contractor's performance across key metrics including timeliness, quality, customer service, and overall satisfaction, using a five-point rating scale ranging from Unsatisfactory (1) to Exceptional (5).

The reference form requires customers to provide specific order details within the last five years, including order dates, dollar amounts, and the specific products/services provided. Customers are asked to rate the contractor on four primary factors: delivery timeliness, customer service, value-added services like warranty repair, and overall satisfaction. The form allows for additional comments and requires the rater's signature, providing a comprehensive and standardized approach to verifying a contractor's past performance and reliability for potential future government procurement opportunities.

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Text version

Solicitation 56905

ATTACHMENT 4 - CUSTOMER REFERENCE FORM

Customer References may be contacted for verification. Please fill in electronically or print legibly.

Contractor’s Name (Bidder):
Agency Name (Bidder’s Customer):
Customer Contact Name and Title (Bidder’s Customer):
Customer Phone Number:
Customer E Mail Address:

Order Information (all ordering information must be within the last five (5) years)|_|

Order Date(s):
Dollar amount of Order(s):
Products/Services Provided (Type 3 Wildland Fire Apparatus or equivalent):

Ratings: Please summarize contractor performance and circle the number in the right column which best corresponds to the performance rating for each question|_|.

Please 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) Rating

Timeliness
1. How would you rate the Contractor’s ability to deliver on time throughout all your locations?
2. How would you rate the Contractor’s customer service for project management and assistance requests?
Quality
3. How would you rate the quality of the Contractor’s value-added services (i.e. warranty repair services)?
Customer Satisfaction
4. How would you rate your level of overall satisfaction with the Contractor?

Rater’s Signature|_|: Date:

File details come from the government source that posted it. Updated .