BPM007070_EXHIBIT_C_-_CONTRACTOR_PERFORMANCE_REPORT.pdf

This is a Contractor Performance Report form created by the Arizona Department of Environmental Quality (ADEQ) for documenting contractor performance on state contracts. The form is designed to record both positive and negative performance issues and to determine whether corrective action is necessary. Part 1 of the report requires the contracting agency to document the specific performance issue in accurate and factual detail, indicate whether the incident is being reported for informational purposes only or if specific action is being requested, and obtain the signature of the agency representative. Part 2 outlines the ADEQ Procurement Action section, which documents the date of action taken, the procurement specialist responsible, and any follow-up measures implemented by ADEQ in response to the reported performance issue.

The form serves as an internal quality assurance and contract management tool for ADEQ to track contractor compliance and performance standards throughout the contract term. It includes fields for agency information, contractor details, contract and purchase order numbers, invoice dates, and detailed descriptions of performance issues with space for attachments if necessary. The report can be used to initiate corrective actions, document incidents for the contract record, or communicate performance concerns between the contracting agency and ADEQ's procurement function, thereby establishing a documented history of contractor performance that informs future procurement decisions and contract management practices.