10TCA-S3687 - reference-questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Canada Representation Office
- Solicitation number
- 10TCA-S3687
- Issued by
- Churchill County, Nevada
About this file
This is a reference questionnaire form issued by the Nevada State Purchasing Division within the Department of Administration for solicitation number 10TCA-S3687. The document serves as an evaluation tool for current and former clients to provide feedback on vendors and subcontractors bidding on state contracts of similar size and scope. The reference questionnaire must be completed by clients and submitted directly to the single point of contact, Annette Morfin at amorfin@admin.nv.gov, by the specified due date with the solicitation number included in the email subject line. Responses should address all evaluation items; if information is unknown, respondents should indicate "U/K," and if a question is not applicable, they should note "N/A."
The questionnaire includes thirteen rated evaluation criteria assessing vendor performance across multiple dimensions, including knowledge and expertise, flexibility regarding scope and timeline changes, quality of delivered materials and products, staff interaction dynamics, schedule adherence, customer service responsiveness, billing accuracy, problem resolution capability, business requirement flexibility, and local office responsiveness where applicable. Additionally, the form requests narrative responses regarding the capacity in which the client worked with the vendor, the aspects of vendor services the client is most satisfied with, and the likelihood of recommending the vendor for future work. Ratings are scored on a scale of 1-10, with 0 representing poor or inadequate performance, 1-3 indicating below average performance, 4-6 reflecting average performance, 7-9 denoting above average performance, and 10 representing exceptional performance. Completed reference questionnaires are designated as confidential business information and are not subject to public disclosure.
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Other files
| File | Type | Posted |
|---|---|---|
| 10TCA-S3687 - request-for-proposals.docx | DOCX document | |
| Insurance Schedule~5.pdf | ||
| Quote Instructions.pdf | ||
| 10TCA-S3687 - Questions and Answers.docx | DOCX document | |
| 10TCA-S3687 - Cost Schedule - Final.xlsx | XLSX spreadsheet | |
| Certification-regarding-lobbying~7.pdf | ||
| Terms-and-conditions-for-services~8.pdf | ||
| Standard-form-contract~6.docx | DOCX document | |
| 10TCA-S3687 - Vendor-Information-Response.pdf |
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Text version
Nevada State Purchasing Division Department of Administration 515 E Musser St Ste 300 Carson City, NV 89701 purchasing.nv.gov nevadaepro.com
Reference questionnaire
Due Date
Solicitation number 10TCA-S3687
Single point of contact name Annette Morfin
Single point of contact email amorfin@admin.nv.gov
Proposing vendor or subcontractor
Client providing the reference
Client contact name and title
Client telephone and email
Period of performance
1. Client reference instructions
1.1. As part of a formal solicitation the State of Nevada has requested vendors provide references from current and/or former clients for projects of similar size and scope. This reference questionnaire is to provide a client reference for the proposing vendor or subcontractor above. Once you have completed the reference questionnaire, please submit to the single point of contact via email, with the solicitation number in the subject line, no later than the due date above.
1.2. The State requests all questions be answered. If an answer is not known, please answer as ‘U/K’. If the question is not applicable, please answer as ‘N/A’. If additional space is needed to answer a question or provide a comment, please attach additional pages. If attaching additional pages, please place your company/organization name on each page and reference the appropriate RFP number.
1.3. Do not return the completed reference questionnaire to the proposing vendor. To allow for candid responses, completed reference questionnaires are designated as confidential business information by the Administrator pursuant to NRS 333.020(5(b) and not public information pursuant to NRS 333.333. In addition to the reference questionnaire, the State may contact references for further clarification.
Where a rating is requested, please provide a rating between 1-10. For all items, please provide any comments you feel would be helpful to the State in evaluation below each item. Poor or inadequate performance: 0; Below average performance: 1-3; Average performance: 4-6; Above average performance: 7-9; Exceptional performance: 10.
Evaluation items
In what capacity have you worked with this vendor in the past? (no rating)
Vendor’s knowledge and expertise, rating:
Vendor’s flexibility relative to changes in scope and timelines, rating:
Your satisfaction with delivered materials, rating:
Dynamics and interaction between the vendor and your staff, rating:
Your satisfaction with products developed by the vendor, rating:
Was the schedule met and deliverables timely? Rating:
Overall customer service and timeliness in response and issue resolution, rating:
Accuracy and timeliness of billing, rating:
Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:
Vendor’s flexibility in meeting business requirements, rating:
Response time and customer service of local office, if applicable, rating:
Likelihood of recommending this vendor to others in the future, rating:
Which aspects of this vendor’s services are you most satisfied with? (no rating)
Would you recommend this vendor to your organization again? (no rating)
Revised 2024-10 Page 2 of 2
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