ATTACHMENT C - CUSTOMER REVIEW FORM.pdf

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Attached to
Janitorial Services for Glasgow State Nursing Facility
Solicitation number
RFB 758 2400000294 2
Issued by
Anderson County, Kentucky

About this file

This is a Customer Review Form for janitorial services issued by the Commonwealth of Kentucky (RFB-758-2400000294). The form is designed to be completed by current customers of vendors bidding on or providing janitorial services under this contract opportunity. Completed forms must be submitted to the Buyer, Sheila Durham, via email at sheila.durham@ky.gov prior to February 9, 2024 at 1:30 pm ET, with the subject line "RFB-758-2400000294 Customer Review Form." The form requires vendors to provide their company name, date, and customer reference information including the customer's company name, address, contact name, phone number, and email address.

The form requests detailed service information including the start date of services, facility size in square footage, and the frequency of service delivery per week. Customers are asked to rate vendor performance across three key categories—meeting performance requirements, providing timely service according to scheduled days and times, and addressing service concerns or issues—using a four-point scale of Excellent, Good, Satisfactory, or Poor. Each rating category includes space for additional details or comments, allowing customers to provide comprehensive feedback on the vendor's janitorial service delivery and responsiveness.

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ATTACHMENT C – CUSTOMER REVIEW FORM

To be completed by the customer:

Please provide complete and accurate information for janitorial services provided by the vendor listed below. The completed form must be sent to the Buyer via email at sheila.durham@ky.gov prior to February 9, 2024 at 1:30 pm ET. Forms received after this date and time may not be considered. When sending the form please use the subject line “RFB-758-2400000294 Customer Review Form”.

Name of Vendor: ______________________________________ Date: ___________ (Company providing janitorial services)

Customer Information: (Current Customer of Vendor listed above)

Company Name: _______________________________________________________

Company Address: _______________________________________________________

Contact Name: _______________________________________________________

Contact’s Phone: _______________________________________________________

Contact’s Email: _______________________________________________________

Service Information:

Date services started: _____________________________

Size of facility where services are being performed: ________________ (Square Footage)

How many days per week services are being performed: ____________ mailto:sheila.durham@ky.gov

Service Rating:

Please provide a response to the following questions in as much detail as possible about the services performed at the above location.

Services Excellent Good Satisfactory Poor How well does the vendor meet the performance requirements of the contract?

Please provide additional details or comments:

How well does the vendor provide timely service according to the scheduled days/times?

How well does the vendor satisfactorily address any concerns or service issues?

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