Attachment D - Reference Check Form~1.docx

This document is a Reference Check Form for a Request for Proposal (RFP No. S-10700-00014813) issued by a state procurement agency for Industrial Air Compressor, Air Dryer, and Vacuum System Maintenance and Repair Services. The form is designed to collect reference feedback from previous clients of potential proposers, with a structured evaluation methodology using a 0-10 scoring scale to assess various aspects of service delivery, including overall quality, service responsiveness, customer service, and safety performance.

The reference check form requires detailed scoring and commentary across four key performance dimensions: overall service quality, service delivery, customer service responsiveness, and safety practices. Respondents are asked to provide numerical scores and accompanying comments for each category, with 0 representing total dissatisfaction, 5 indicating moderate satisfaction, and 10 representing extreme satisfaction. The form allows reference contacts to provide comprehensive qualitative and quantitative feedback about a proposer's past performance, which will likely be used in the vendor selection and evaluation process for the industrial equipment maintenance and repair services contract.