Attachment D - Reference Check Form~3.pdf

This is a Reference Check Form attachment for the State of Oregon Department of Environmental Quality (DEQ) Solicitation #S-34000-00017362 for Emission Factor Testing on Pile Burning. The form is designed to be completed by reference entities to evaluate offeror performance across three key service dimensions. The form requests the reference entity name, contact name, telephone number, and email address, followed by scoring criteria on a 0-10 scale where 0 represents not satisfied, 5 represents moderately satisfied, and 10 represents extremely satisfied.

The evaluation criteria assess three primary areas: the offeror's overall quality of services and relationship, delivery of service performance, and responsiveness to customer service issues and special requests including problem resolution and billing changes. Each criterion includes space for numerical scoring and detailed comments from the reference contact. This form serves as a critical due diligence tool for DEQ to verify offeror capability and past performance prior to contract award for the emission factor testing project.