BPM004287-EMC2 LLC- Past Performance Reference Check_EG (1).docx

REQUEST FOR PROPOSAL (RFP) # BPM004287

ADEQ Project: “Asbestos, Lead and Mold Abatement Services” Past Performance Questionnaire Contractor: EMC2 LLC

Please email the completed Past Performance Questionnaire to Forbin.Merrilyn@azdeq.gov

Reference Check provided by Name ___Ed Green________________________________________________________________________ Title__Hazardous Material Coordinator___________________________________________________________________________ Agency/Company____Arizona Department of Transportation_____________________________________________________________ Email Address__egreen@azdot.gov__________________________________________________________________ Phone Number __602.920.3882_________________________________________________________________

Rating: 0 being the lowest and 6 being the highest

1. Has the Contractor listed above provided Asbestos, Lead and Mold Abatement services for your agency/company? YesX No☐

i) If yes, how would you rate the quality of work performed by this Contractor on your project?

Please provide a rating from 0 to 6: 6

ii) If not, please sign and return the Form to the email address above

2. Did the Contractor and their employee(s) meet your agency /company’s requested service needs and work plan? YesX No☐

i) If not, please provide details below:

3. Was the project performed by this Contractor completed within the agreed-upon time?

YesX No☐

i) If no, please provide details below:

Please provide a rating from 0 to 6:

4. Was the project completed within budget? YesX No☐

i) If not, please provide details on how the supplier communicated and managed the cost overrun.

5. Please describe the quality of deliverables submitted:Deliverables were presented on time and in budget.

6. Did any of your external stakeholders file a performance or conduct report against the contractor or any of their staff? Yes☐ NoX

ii) If yes, please provide details below

7. Was the Contractor’s staff responsive to solving any problems that may have occurred on your project?

8. Would you be willing to contract with this Contractor again? YesX No☐

i) If yes, please provide a rating from 0 to 6: 6

9. Was there any finding of inaccuracies in the data provided by the Contractor? Yes☐ NoX

If yes please provide details below

10. How would you rate the Contractor’s overall job performance?

Page | 3 Rev.12-18-2018

Unsatisfactory☐ Marginal☐ Satisfactory☐ Very Good☐ ExceptionalX

To the Arizona Department of Environmental Quality: The undersigned has certified all information contained in the Past Performance Questionnaire is current and factual.

Name: _Ed Green___________________________

Title: _Hazardous Material Coordinator____________________________ Signature: ____________________________

Date: _19 Dec 22_______________________________ image1.png