WQ_Sampling_Vendor_Performance_Report_MR_HEG.pdf

SPO 206 Standard Work

Page 1 of 1 SPO 206 Standard Work (rev 08-22)

Owner State Procurement Office, Compliance Unit

Form Number SPO 206 - Vendor Performance Report Version rev 08-22

Process Standard Work/Instructions for completion and submittal of the SPO 206 form. The form is available on the SPO website: For Agencies > Resources > Standard Forms and Documents.

No. Action Action Detail/Key Points

Sections I through III to be completed by the requesting Agency/Division:

SECTION I - Agency Request 1 Date Date of the request

2 State Governmental Unit (SGU;

agency, board, or commission)

Name of the requesting State Governmental Unit (SGU; agency, board, or commission)

3 Division Name of the Division within the SGU 4 Requestor Name of the requestor 5 Email Email of the requestor

SECTION II - Report 6 Vendor Name of Contractor 7 Contact Name of Contact with the Contractor 8 Service, Goods, or Equipment Description of service(s)/material(s) or Contract title (eProcurement Label) 9 Contract Number eProcurement contract number (if available)

Describe the performance issue. Be accurate, complete, and factual. Use additional pages or attach documents, if necessary.

Detailed description of positive or negative vendor performance and date(s) of occurrence(s). Be accurate, complete, and factual. Use additional pages or attach documents, if necessary. Send attachments and supporting documents via email with completed form.

11 Reporting incident, no action requested. Check the box if no further procurement action is requested.

12 Requesting action:

Check the box if further procurement action is requested and complete the corresponding box with what action is requested (Demand for Assurance, Liquidated Damages, Corrective Action Plan, etc.)

Submit an electronic copy of the completed form to the Procurement Officer listed as Contract Owner in the State's eProcurement system.

Section III to be completed by the Procurement Authority:

SECTION III - Procurement Action

13 Procurement Officer Signature of the authorized requestor 14 Date Specify date of the request from the drop down calendar.

15 Describe details of the action taken: Detail the action taken by procurement and the results of the action.

Additional page by any party in case the fields within the form were insufficient

16 Use section as necessary Section may be used by any party in case the fields within the form were insufficient https://spointra.az.gov/resources/standard-forms-and-documents

Page 1 of 2 SPO 206 -Vendor Performance Report (rev 08-22)

Vendor Performance Report Arizona Department of Administration

Documenting positive or negative performance and procurement action, as requested State of Procurement Office

100 N. 15th Avenue Phoenix, AZ 85007

SECTIONS I & II MUST BE COMPLETED BY THE REQUESTOR

USE ADDITIONAL PAGE AS NECESSARY

SECTION I - Agency Request 1. Date

2. State Governmental Unit (SGU; agency, board, or commission) 3. Division

4. Requestor 5. Email

SECTION II - Report

6. Vendor 7. Contact

8. Service, Goods, or Equipment 9. Contract Number

10. Describe the performance issue. Be accurate, complete, and factual. Use additional pages or attach documents, if necessary.

11. Reporting incident, no action requested.

12. Requesting action:

Submit an electronic copy of the completed form to the Procurement Officer listed as Contract Owner in the State's eProcurement system.

SECTION III - Procurement Action

13. Procurement Officer 14. Date

15. Describe details of the action taken:

Page 2 of 2 SPO 206 -Vendor Performance Report (rev 08-22)

16. Use section as necessary