CONTRACTOR_REFERENCE_CHECK.docx

CONTRACTOR REFERENCE CHECK INSTRUCTIONS,

FORM, AND SAMPLE LETTER

The attached Contractor Performance Evaluation Form is to be provided to the agencies or entities for which your firm has recently provided services similar to those requested for this project. Provide the evaluation form to the Owner, or the Owner’s representative directly responsible for oversight of the project to complete and submit to the email box listed below.

The first three references submitted will be accepted and the scores utilized as part of the evaluation process. Each reference check is worth up to 7 points for a total of up to 21 points available.

The form is to be completed by the agency or entity and uploaded to the (email box) at:

soq.referencechecks@phoenix.gov

The procurement identifier is:

OPENGOV ID NO.: JOC256

Also attached is a sample performance evaluation cover letter that may be used when sending the reference check request.

Sample Contractor Performance Evaluation Cover Letter

Sample Cover Letter Contact Name Address of Reference

(Your Name) is responding to a Request for Qualifications (RFQ) from the City of Phoenix Office of the City Engineer’s Design and Construction Procurement section.

The City is requesting reference information related to our past performance. As a part of the response submittal process, the City is requesting performance evaluations from agencies that our firm has performed services for either in the past or is currently receiving services.

I would appreciate your cooperation in completing the attached Contractor Performance Evaluation form and return by email the completed form by 12:00 pm Phoenix time on May 1, 2026 to soq.referencechecks@phoenix.gov attention:

Contracts Specialist Alissa Bahr City of Phoenix, Office of the City Engineer, Design & Construction Procurement Email Address: alissa.bahr@phoenix.gov Telephone Number: 602-256-4107

Failure to submit the Contractor Performance Evaluation form by the above date will have a negative impact on the proposal we submit for this service. Your cooperation in submitting this form by this date is appreciated.

If you have any questions regarding this request, please contact (your name) at (your telephone number).

Sincerely, INSTRUCTIONS FOR COMPLETING CONTRACTOR PERFORMANCE EVALUATION

Evaluate the Contractor’s contract performance in each of the rating areas listed below. On the Contractor Performance Evaluation form, circle the rating from 1 to 4 that most closely matches your evaluation of the contractor’s performance. Comments are not required but appreciated. Every rating area must be scored.

The Design and Construction Procurement section will use the information from this form to evaluate firms competing for contract award. This completed form will become public record and upon request, will be released to the contractor or any other entity.

Please submit the completed form to the address indicated on the bottom of the Contractor Performance Evaluation form.

Thank you for your time and your cooperation.

JOC256 STREET PAVEMENT SURFACE TREATMENT

CONTRACTOR PERFORMANCE EVALUATION FOR __________________

(firm name)

In the box below, provide the project title, contracted services provided by the firm, and start and completion date of services. This form is to be completed by the Owner, or the Owner’s representative directly responsible for oversight of the project. The project services evaluated must be relevant to the services of this project. Every rating area must be scored.

RATINGS: Summarize the Contractor’s performance and circle the number below that corresponds to the performance rating for each category. Please see the rating scale.

1 = Unsatisfactory (.25 pt.); 2 = Poor (.50 pt.); 3 = Good (.75 pt.); 4 = Excellent (1.0 pt.)

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

NO

Comments:

TOTAL SCORE

(MAXIMUM 7 POINTS)

Reference Evaluation Provided By:

Name and Title: ___________________________________________________________

Agency/Organization: _____________________________________________________

Date: ____________________________

Telephone Number: ________________________

Email completed form by May 1, 2026 by 12:00 pm Phoenix time to:

soq.referencechecks@phoenix.gov

*EMAIL SUBJECT LINE SHOULD REFERENCE RFx NUMBER JOC256

The document should reference the project number and firm for which the reference check is being submitted. If no project number is available, reference the service and firm for which the reference check is being submitted.