Attachment_6_-_Customer_Reference_Form.docx
DOCX document 27 KB Posted
- Attached to
- Bottled Drinking Water
- Solicitation number
- 0000037255
- Issued by
- California
About this file
This is a Customer Reference Form (Attachment 6) issued by the California Department of General Services, Procurement Division as part of Solicitation 56905 for a statewide bottled drinking water contract. The form is designed to collect performance evaluations from previous customers of bidding contractors. References must provide information regarding orders placed within the last five years, including order dates, dollar amounts, and a description of products and services provided. Bidders must submit customer references who can attest to their performance on bottled drinking water delivery contracts.
The form requires customer raters to evaluate contractor performance across three primary factors: timeliness (on-time delivery capability and customer service availability outside normal business hours), quality (value-added services including accurate order fulfillment, emergency site delivery capability, and communication clarity), and overall customer satisfaction. Ratings are assigned on a five-point scale ranging from Exceptional (5) to Unsatisfactory (1), with detailed performance descriptors provided for each rating level. The rater must complete the form with their signature and date, and may provide additional comments on supplemental sheets. This reference verification process allows the state to assess bidder qualifications prior to award of the contract, which will be made by individual region to the responsible bidder with the lowest cost.
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Other files
| File | Type | Posted |
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| Attachment_2_-_Technical_Specifications_8960-TS-0282298.pdf | ||
| Attachment_5_-_FEMA_Provisions.docx | DOCX document | |
| Attachment_1_-_Pricing_Worksheet.xlsx | XLSX spreadsheet | |
| IFB_37255_Bottled_Drinking_Water.docx | DOCX document | |
| Attachment_3_-_Narrative_Response.xlsx | XLSX spreadsheet | |
| Attachment_4_-_List_of_Regions_for_Delivery.docx | DOCX document | |
| APP_Cover_Page_for_IFB_0000037255.docx | DOCX document |
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Text version
Solicitation 56905
ATTACHMENT 6 - 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: |
| Bottled Drinking Water |
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 availability outside normal business hours? |
| Quality |
| 3. Please rate the quality of the Contractor’s value‑added services, including timely delivery, accurate order fulfillment, capability to transport and place products at designated emergency sites, and clarity of communication. |
| Customer Satisfaction |
| 4. How would you rate the level of overall satisfaction with the Contractor? |
Rater’s Signature|_|: Date:
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