17-Vendor Reference Verification.docx
DOCX document 45 KB Posted
- Attached to
- Consultant Services for Broward County Convention Center Interior and Northport Garage Renovation
- Solicitation number
- PNC2132858P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Vendor Reference Verification Request Form issued by Broward County, Florida for Solicitation No. PNC2132858P1, which concerns Consultant Services for the Broward County Convention Center Interior and Northport Garage Renovation. The form requires vendors to submit a minimum of three non-Broward County Board of County Commissioners' references as part of their proposal response. Vendors must provide the completed Vendor Reference Verification Form to their reference organizations for completion and return the forms with their submittal. If forms are not provided at time of submission or if a reference cannot be verified, vendors must submit the forms within three business days of the County's written request. The referenced project involves comprehensive professional architectural and engineering design services for renovation of the Broward County Convention Center West building and repairs/upgrades to the existing six-level Northport parking garage located at 1950 Eisenhower Boulevard, Fort Lauderdale, Florida.
The Vendor Reference Verification Form requests detailed information about each reference project, including the referenced vendor's role (prime or subconsultant), contract number, project amount, date range of services, and a detailed description of services provided. References must be rated on multiple performance criteria including quality of service, organizational capabilities, timeliness, project budget compliance, and cooperation with the vendor's firm, subcontractors, subconsultants, and regulatory agencies. Each criterion is assessed using a four-point scale: Needs Improvement, Satisfactory, Excellent, or Not Applicable. The form includes a county-use-only verification section for tracking verification method and date. Vendors are warned that inaccurate or untruthful statements may result in proposal rejection, award rescission, contract termination, or debarment pursuant to the Broward County Procurement Code.
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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: PNC2132858P1 Consultant Services for Broward County Convention Center Interior and Northport Garage Renovation
| 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 .