Stantec Reference Check Past Performance Questionnaire.doc

REQUEST FOR PROPOSAL (RFP) # BPM005664

ADEQ Project: “Advanced Water Purification Technical Support” Past Performance Questionnaire

Contractor: Stantec Consulting Services Please email the completed Past Performance Questionnaire to lorenzen.patricia@azdeq.gov Reference Check provided by (Insert Company Name, Individual, Title):

On a scale of 0 to 6 (0 being the lowest & 6 being the highest) how would you rate this Contractor’s performance on the following:

Please include comments.

1. How would you describe and rate quality of work performed by this Contractor on your project?

Please provide rating from 0 to 6:

2. Was the project performed by this Contractor completed on time?

Please provide rating from 0 to 6:

3. Was the project completed within budget?

Please provide rating from 0 to 6:

4. Please describe the quality of deliverables submitted:

Please provide rating from 0 to 6:

5. Did the Contractor provide adequate training and documentation so that what they implemented was sustainable?

Please provide rating from 0 to 6:

6. Was Contractor’s staff responsive to solving of any problems that may have occurred on your project?

Please provide rating from 0 to 6:

7. Would you be willing to contract with this Contractor again?

Please provide rating from 0 to 6:

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

Page | 2 Rev.12-18-2018