Appendix B - Past Performance Form

RFQ 47PF5327Q0001

Elevator Maintenance & Related Services
Columbus, OH & Dayton, OH

Appendix B: Past Performance Reference Form

(SUBMIT ONE FORM PER REFERENCE)

CONTRACTOR’S NAME:

SERVICES PERFORMED:

LOCATION OF SERVICES PERFORMED:

CONTRACT NUMBER:

PERIOD OF PERFORMANCE:

REFERENCE NAME:

REFERENCE’S ROLE ON THE PROJECT:

REFERENCE AGENCY:

REFERENCE EMAIL ADDRESS:

REFERENCE PHONE NUMBER:

DETERMINATION OF PAST PERFORMANCE RELEVANCY

1.

Is/was this contract for Elevator Maintenance Services in a commercial or Government owned facility?

2.

If this is a completed contract, was the contract completed within five years from the closing date of this RFQ?

3.

If this is a current contract, is/was the performance period for at least two (2) consecutive years?

4.

Did the Contractor serve as the prime contractor?