13-Vendor Reference Verification - RFP-RFQ-RLI.pdf
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- Solicitation number
- PNC2130115P1
- Issued by
- Broward County, Florida
About this file
This is a Vendor Reference Verification form for Request for Proposal (RFP), Request for Qualification (RFQ), or Request for Letter of Interest (RLI) procurement processes issued by Broward County Board of County Commissioners in Florida. The form requires vendors to provide a minimum of three non-Broward County references or as specified in the evaluation criteria instructions, with completed verification forms to be submitted with the proposal or within three business days of the County's written request if not initially provided or if references cannot be verified.
The form serves as a standardized evaluation tool that allows reference organizations to rate vendor performance across multiple categories including quality of service (responsiveness, accuracy, deliverables), organizational aspects (staff expertise, professionalism, turnover), timeliness of project completion and deliverables, budget adherence, and cooperation with various stakeholders including the client firm, subcontractors/subconsultants, and regulatory agencies. The rating system uses four performance levels: Needs Improvement, Satisfactory, Excellent, and Not Applicable, with additional fields for project details such as contract numbers, service dates, project amounts, and vendor role as either prime contractor or subcontractor/subconsultant. The County reserves the right to verify all information provided and may use inaccurate or untruthful statements as grounds for rejection, award rescission, contract termination, or vendor debarment under the Broward County Procurement Code.
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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: Click or tap here to enter text.
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: 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 Form – RFP/RLI/RFQ Form Date 4/1/25
| VENDOR REFERENCE VERIFICATION |
| REQUEST FOR PROPOSAL, REQUEST FOR QUALIFICATION, OR REQUEST FOR LETTER OF INTEREST |
VENDOR REFERENCE VERIFICATION FORM (RFP/RLI/RFQ)
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