11-Vendor Reference Verification - RFP-RFQ-RLI - GEN2129832P1.docx
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- Solicitation number
- GEN2129832P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Vendor Reference Verification Form used by Broward County, Florida for the solicitation GEN2129832P1 regarding the Management of Airport Rental Car Center Fueling Facility at Fort Lauderdale-Hollywood International Airport. The form requires vendors to provide a minimum of three non-Broward County Board of County Commissioners' references, or as specified in the evaluation criteria instructions. Vendors must distribute the Vendor Reference Verification Form to their reference organizations to complete and return. Completed forms should be submitted with the initial proposal submittal; if not provided or if references cannot be verified, vendors must submit forms within three business days of the County's written request.
The form collects detailed information about referenced projects, including the vendor's role as either prime contractor or subcontractor, contract numbers, service dates, and project amounts. References are evaluated across multiple dimensions including quality of service, organizational capabilities, timeliness, budget performance, and cooperation with other parties. The reference verification process includes assessment criteria rated as Needs Improvement, Satisfactory, Excellent, or Not Applicable across categories such as staff expertise, professionalism, responsiveness, accuracy, and deliverable quality. The County reserves the right to verify all submitted information and reserves the authority to reject proposals, rescind awards, terminate contracts, or debar vendors based on inaccurate, untruthful, or incorrect statements provided in the response.
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Text version
VENDOR REFERENCE VERIFICATION
REQUEST FOR PROPOSAL, REQUEST FOR QUALIFICATION, OR REQUEST FOR LETTER OF INTEREST
Vendor should provide a minimum of three (3) non-Broward County Board of County Commissioners’ references or as per Evaluation Criteria instructions. Vendor should provide the Vendor Reference Verification Form to its reference organization/firm to complete and return to the Vendor’s attention.
Completed Vendor Reference Verification Forms should be submitted with submittal. If not provided with submittal, or if reference is not able to be verified, the Vendor must submit form(s) (or a new Vendor Reference Verification Form) within three business days after the County's written request.
VENDOR REFERENCE VERIFICATION FORM (RFP/RLI/RFQ)
Solicitation No. & Title: GEN2129832P1, Management of Airport Rental Car Center Fueling Facility
| Reference For (hereinafter, “Vendor”): |
| Click or tap here to enter text. |
| Reference Date: |
| Click or tap here to enter text. |
| Organization/Firm Providing Reference: |
| Click or tap here to enter text. |
| Contact Name: |
| Click or tap here to enter text. |
| Contact Title: |
| Click or tap here to enter text. |
| Contact Email: |
| Click or tap here to enter text. |
| Contact Phone: |
| Click or tap here to enter text. |
| Name of Referenced Project: |
| Click or tap here to enter text. |
| Contract Number: |
| Click or tap here to enter text. |
| Date Range of Services Provided: |
| Start Date: |
| End Date: |
| Project Amount: |
| Click or tap here to enter the project amount $. |
| Vendor’s Role in Project: |
| ☐ Prime |
| ☐ Subconsultant/Subcontractor |
| Would you use this Vendor again? |
| ☐ Yes |
| ☐ No |
If you answered no to the question above, please specify below: (attach additional sheet if needed) Click or tap here to enter text.
Description of services provided by Vendor, please specify below: (attach additional sheet if needed) Click or tap here to enter text.
| Please rate your experience with the referenced Vendor via checkbox: |
| Needs Improvement |
| Satisfactory |
| Excellent |
| Not Applicable |
Vendor’s Quality of Service:
| Responsive: | |||
| ☐ | ☐ | ☐ | ☐ |
| Accuracy: | |||
| ☐ | ☐ | ☐ | ☐ |
| Deliverables: | |||
| ☐ | ☐ | ☐ | ☐ |
| Vendor’s Organization: |
| Staff Expertise: | |||
| ☐ | ☐ | ☐ | ☐ |
| Professionalism: | |||
| ☐ | ☐ | ☐ | ☐ |
| Turnover: | |||
| ☐ | ☐ | ☐ | ☐ |
| Timeliness of: |
| Project: | |||
| ☐ | ☐ | ☐ | ☐ |
| Deliverables: | |||
| ☐ | ☐ | ☐ | ☐ |
| Project completed within budget: | |||
| ☐ | ☐ | ☐ | ☐ |
| Cooperation with: |
| Your Firm: | |||
| ☐ | ☐ | ☐ | ☐ |
| Subcontractor(s)/Subconsultant(s): | |||
| ☐ | ☐ | ☐ | ☐ |
| Regulatory Agency(ies): | |||
| ☐ | ☐ | ☐ | ☐ |
| All information provided to Broward County is subject to verification. Vendor acknowledges that inaccurate, untruthful, or incorrect statements made in support of this response may be used by the County as a basis for rejection, rescission of the award, or termination of the contract and may also serve as the basis for debarment of Vendor pursuant to the Broward County Procurement Code. |
***THE SECTION BELOW IS FOR COUNTY USE ONLY***
| Verified via: | |
| Verified by: | |
| Click or tap here to enter text. | Division: |
| Click or tap here to enter text. |
☐ Verbal
| Date: |
| Click or tap here to enter text. |
Vendor Reference Verification – RFP/RLI/RFQ Form Date 4/1/25 image1.png
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