PAST PERFORMANCE REFERENCE CHECK FORM.docx

DOCX document 28 KB Posted

Attached to
Renovation of CMR Basement
Solicitation number
19RP3825Q0111
Issued by

About this file

The document is a Past Performance Reference Check Form designed to evaluate a contractor's performance across multiple criteria. The form requires detailed feedback from a client or previous customer, with rating categories including quality of services, compliance with contract terms, management effectiveness, cooperation, and business integrity. Respondents are asked to provide specific examples supporting their ratings and indicate whether they would conduct business with the company again.

This reference check form is related to a Department of State solicitation (Solicitation Number 19RP3825Q0111) for the Renovation of CMR Basement. The Request for Quotes (RFQ) requires electronic submission by August 26, 2025, at 4:00 p.m. Philippine local time. A mandatory pre-quotation conference and site visit is scheduled for August 12, 2025, at 8:00 a.m. Prospective offerors must be registered in the System for Award Management (SAM) and submit specific documents including SF-1442, pricing section, representations and certifications, and proof of SAM registration. The government intends to award the contract to the responsible company submitting the lowest-priced acceptable offer.

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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 .