PAST PERFORMANCE REFERENCE CHECK FORM.docx
DOCX document 28 KB Posted
- Solicitation number
- 19RP3825R0001
- Issued by
-
Department of State
About this file
The document is a Past Performance Reference Check Form used to evaluate a contractor's performance across five key areas: quality of services, compliance with contract terms, management effectiveness, cooperation, and business integrity. The form requires a reference to rate the contractor's performance as either "Acceptable" or "Unacceptable" in each category, with space for specific supporting examples.
The associated federal contract opportunity is a solicitation (19RP3825R0001) issued by the Department of State for roof replacement at the DT Building and SAF Barracks, located in the Philippines. The solicitation requires electronic proposal submission by July 21, 2025, at 4:00 p.m. local time, with a mandatory pre-proposal conference and site visit scheduled for June 26, 2025. Offerors must be registered in the System for Award Management (SAM), submit proposals in specific file formats (MS-Word, MS-Excel, or PDF), and include required documents such as SF-1442, pricing section, representations and certifications, and additional information specified in Section J.
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Text version
PAST PERFORMANCE REFERENCE CHECK
Offeror Name:
| Person(s) performing reference check |
| Date |
| Client/Company/Office name |
| Person contacted |
| Phone number |
Questions and Responses:
1. Describe the services provided under your contract.
2. How would you rate the Contractor's performance in the areas listed below using the following rating guidelines:
Acceptable - Performance met or exceeded minimum requirements/standards
Unacceptable - Performance was poor (less than acceptable; did not meet contract requirements)
| a. | Quality of services provided under the contract. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
| b. | Compliance with contract terms and conditions. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
| c. | Effectiveness of management. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
d. Willingness to cooperate with, and assist, the customer in routine matters and when confronted by unexpected difficulties.
|_| Acceptable |_| Unacceptable
| Provide specific examples to support the rating assigned: |
| e. | Business integrity/business conduct. | |
| |_| Acceptable | |_| Unacceptable |
| Provide specific examples to support the rating assigned: |
3. Describe any major problems that occurred and whether/how they were resolved.
4. Would you do business with this company again?
|_| YES |_| NO
File details come from the government source that posted it. Updated .