12-Vendor Reference Verification - RFP-RFQ-RLI.docx
DOCX document 45 KB Posted
- Solicitation number
- PNC2132449P1
- Issued by
- Broward County, Florida
About this file
This is a Vendor Reference Verification Form for Broward County, Florida, related to Solicitation No. PNC2132449P1 for Engineering Services for Regional Biosolids Facility Design. The County requires vendors to submit a minimum of three non-Broward County Board of County Commissioners references, or as specified in the evaluation criteria. Vendors must provide completed Vendor Reference Verification Forms with their initial submittal. If references are not provided with the submittal or cannot be verified, vendors have three business days after written request from the County to submit the required forms. The solicitation seeks a qualified engineering firm to provide professional design and engineering consulting services, including permitting and technical support for the development of a Guaranteed Maximum Price agreement by the Managing General Contractor for construction of a new Regional Biosolids Drying Facility. The scope encompasses all activities necessary to deliver a complete Basis of Design Report, including preparation of technical and supporting reports, evaluation of existing solids production and dewatered biosolids analysis, development of solids-loading projections, and establishment of design criteria.
The reference verification form requires vendors to identify organizations that have previously engaged their services and requests contact information, project details including contract numbers and service dates, project amounts, and vendor roles. Reference organizations are asked to rate vendor performance across multiple categories including quality of service, organization, timeliness, and cooperation with internal and external stakeholders, with ratings of Needs Improvement, Satisfactory, Excellent, or Not Applicable. The procurement is subject to the Consultants' Competitive Negotiation Act under Florida Statutes Section 287.055 and requires compliance with County and State license requirements and Office of Economic and Small Business Development regulations regarding County Business Enterprise participation. Vendors must submit responses electronically through BPRO and are cautioned that inaccurate or untruthful statements may result in rejection, contract rescission, termination, or vendor debarment.
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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: PNC2132449P1 - Engineering Servcies for Regional Biosolids Facility Design
| 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 text. |
| 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: |
Division:
☐ Verbal
Date:
Form Date 4/1/25 image1.png
File details come from the government source that posted it. Updated .