Attachment - D.docx

This is a Reference Check Form attachment for Request for Proposals (RFP) S-10700-00017047 issued by the State of Oregon, Department of Administrative Services (DAS), State Procurement Services (SPS) on behalf of DAS Enterprise Asset Management (EAM). The RFP seeks Annual Autoclave and Associated Equipment Inspection, Calibration, and Repair Services. The document serves as a standardized evaluation tool to be completed by reference entities during the vendor selection process.

The Reference Check Form requires proposers to provide the name of a reference entity, contact name, telephone number, and email address. Evaluators assess the proposer using a zero-to-ten scale across three key performance areas: overall quality of services provided and customer relationship, delivery of service, and responsiveness to customer service issues and special requests. Each category allows for both a numerical score and written comments to support the rating. The form was initially published November 19, 2014, with a version update dated December 9, 2016.