Attachment D - Reference Check Form~2.pdf
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- Solicitation number
- S-34000-00016785
- Issued by
- Multnomah County, Oregon
About this file
This is a Reference Check Form for an Intermediate Procurement issued by the State of Oregon Department of Environmental Quality (DEQ) for the design, fabrication, and transportation of an Emission Capture Hood for Pile Burn Testing, identified as Solicitation #S-34000-00016785. The form is designed to be completed by reference entities that have prior experience with bidding contractors. It requests identification of the contractor, reference entity, contact person, telephone number, and email address. The form uses a standardized six-question evaluation structure to assess contractor performance across key areas including product quality and workmanship, ability to translate project requirements into final deliverables, and capacity to meet project deadlines and delivery commitments. Additionally, the form requests detailed narrative responses regarding the contractor's communication and coordination throughout the project, effectiveness in addressing challenges or design changes, and overall willingness to engage the contractor for similar future fabrication projects.
The Reference Check Form employs a rating scale from 0 to 5, with defined performance levels ranging from "Excellent" (5) to "Unacceptable/No Useful Information" (0). Questions one through three require numerical ratings based on the general scoring framework, while questions four through six require detailed written responses. This standardized evaluation methodology enables the State of Oregon DEQ to gather consistent, comparative data on contractor performance from multiple references, supporting informed decision-making in the contractor selection process for this emission hood fabrication project.
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Text version
DEQ Solicitation #: S-34000-00016785
DAS Procurement Services, Version 1.0 August 16, 2021 Page 1 of 2
Attachment D – Reference Check Form
Contractor Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
Contact Telephone Number: __________________________________________
Contact Email Address: __________________________________________
General scoring framework:
• 5 – Excellent: Response demonstrates exceptional performance with no meaningful concerns.
• 4 – Good: Response demonstrates strong performance with only minor concerns.
• 3 – Satisfactory: Response demonstrates acceptable performance that generally met expectations.
• 2 – Marginal: Response demonstrates below-average performance with notable concerns.
• 1 – Poor: Response demonstrates significant performance issues.
• 0 – Unacceptable/No Useful Information: Reference unable to provide meaningful information or response indicates unacceptable performance.
Questions:
For questions 1-3, please rate your experience with Contractor using a scale of 0-5. For questions 4-6, please be as detailed with your answer as possible.
1. Please rate your experience with Contractor using the above General Scoring Framework.
How would you rate the quality, accuracy, and workmanship of the final fabricated product delivered by the Contractor?
Rating: ___________
2. How effectively did the Contractor translate your project requirements, drawings, or specifications into the final fabricated product? Please describe any issues or successes.
3. How would you rate the Contractor’s ability to meet project deadlines, production schedules, and delivery commitments?
DEQ Solicitation #: S-34000-00016785
DAS Procurement Services, Version 1.0 August 16, 2021 Page 2 of 2
4. Please describe the Proposer’s communication and coordination throughout the project, including responsiveness, updates, and ability to work with your team or stakeholders.
5. If challenges, design changes, or fabrication issues arose during the project, how effectively did the Proposer address and resolve them?
6. Based on your overall experience, would you work with this Contractor again for a similar fabrication project? Please explain why or why not.
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