Past_Performance_ Reference_Check_ .pdf

REQUEST FOR PROPOSAL (RFP) # BPM004287

ADEQ Project: “Asbestos, Lead and Mold Abatement Services”

Past Performance Questionnaire

Contractor: Native Environmental, LLC

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

Reference Check provided by

Name Kent Bostick______________________________________________________________________

Title____GSD Project Manager_____________________________________________________________________

Agency/Company_______ADOA

GSD__________________________________________________________

Email Address_____kent.bostick@azdoa.gov___________________________________________

Phone Number 602-339- 7357___________________________________________________________________

Rating: 0 being the lowest and 6 being the highest

• Has the Contractor listed above provided Asbestos, Lead and Mold Abatement services for your agency/company? Yes☐ x No☐

• 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

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

• Did the Contractor and their employee(s) meet your agency /company’s requested service needs and work plan? Yes☐x No☐

• If not, please provide details below:

DocuSign Envelope ID: 006E2455-410F-4514-ABF1-54193F634BB6 mailto:Forbin.Merrilyn@azdeq.gov

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

Yes☐x No☐

• If no, please provide details below:

• Was the project completed within budget? Yes☐x No☐

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

• Please describe the quality of deliverables submitted: They Performed their job as expected and on time. No issues, in and out.

• Did any of your external stakeholders file a performance or conduct report against the contractor or any of their staff? Yes☐ No☐x

• If yes, please provide details below

• Was the Contractor’s staff responsive to solving any problems that may have occurred on your project? Nothing occurred.

Please provide a rating from 0 to 6:

• Would you be willing to contract with this Contractor again? Yes☐x No☐

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

• Was there any finding of inaccuracies in the data provided by the Contractor? Yes☐

No☐x

If yes please provide details below

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

Unsatisfactory☐

Marginal☐

Satisfactory☐

Very Good☐x

Exceptional☐

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

Name: ____________________________

Title: _____________________________ Signature: ____________________________

Date: ________________________________

Kent Bostick

Project Manager

31-Jan-23 | 6:28 AM MST