Attachment D - Reference Check Form~3.docx

This is a Reference Check Form for RFP S-10700-00015215, issued by the state procurement agency for Laboratory Fume Hood and Ventilation Cabinet Inspection, Certification, Maintenance and Repair Services. The form is designed to be completed by reference entities to evaluate proposers' performance on similar contracts. The reference check assessment covers four key service dimensions evaluated on a 0-10 scale, where 0 represents not satisfied and 10 represents extremely satisfied.

The form requests contact information for the reference entity and their designated representative, including name, telephone number, and email address. Proposers are evaluated across four performance criteria: overall quality of services provided and customer relationship; delivery of service; responsiveness to customer service issues and special requests such as reported problems and billing changes; and response capabilities in emergency situations. Each criterion includes space for numerical scoring and detailed comments from the reference contact. This standardized evaluation tool enables the procurement agency to gather objective feedback on proposer experience and performance history for the fume hood and ventilation cabinet services.