Attachment_1,_Reference_Inquiry.rtf

HE125419Q0012

Hearing Impaired

** Information to be completed by vendor’s references and returned back to vendor. This form shall be included in the vendor’s response to RFQ HE125419Q0012.

REFERENCE INQUIRY

Name of Offeror:

Reference Firm Contacted:

Relevant Contract Title:

Contract Number (if known):_

Client Name:

Client Phone No.:

Did the Key Contactor Personnel work directly on the contract referenced? Yes [ ] No [ ]

Quality of Work Performed or Products Delivered:

Would you recommend the Contractor? Yes No If no explain why

Overall Rating:

(Rate the past performance as Satisfactory, Unsatisfactory or Unknown/Neutral)

Supporting Comments

Rating

Satisfactory (S) - Performance meets contractual requirements. Contractual performance of the element or sub- element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

Unsatisfactory (U) - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

Unknown/Neutral (N) - No recent performance record involving essentially the same or similar scope and magnitude of effort and complexities this solicitation requires is available or is so sparse that no meaningful past performance rating can be reasonably assigned.