18-Vendor Reference Verification PNC2130470P1.docx
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- Attached to
- Roofing and Waterproofing Consultant Services
- Solicitation number
- PNC2130470P1
- Issued by
- Broward County, Florida
About this file
This is a Vendor Reference Verification Form template issued by Broward County, Florida for solicitation PNC2130470P1 related to Roofing and Waterproofing Consultant Services. The form is designed to collect reference information from vendors responding to the request for proposal. Vendors are required to provide a minimum of three references from organizations outside of the Broward County Board of County Commissioners, unless alternative requirements are specified in the evaluation criteria. The form requests detailed information about referenced projects, including the project name, contract number, service dates, project amount, and the vendor's specific role. Vendors must distribute the completed Vendor Reference Verification Form to their reference organizations for completion and return it with their submittal. If references are not provided at submission or cannot be verified, vendors have three business days after written request from the County to submit the completed forms.
The verification form evaluates vendor performance across multiple dimensions, including quality of service, organizational capabilities, and project delivery metrics. Reference providers rate vendors on responsiveness, accuracy, deliverables, staff expertise, professionalism, turnover, timeliness of project completion and deliverables, budget adherence, and cooperation with the vendor's firm, subcontractors, subconsultants, and regulatory agencies using a scale of Needs Improvement, Satisfactory, Excellent, or Not Applicable. The form includes a question regarding whether the reference provider would use the vendor again. All information provided to Broward County is subject to verification, and vendors acknowledge that inaccurate, untruthful, or incorrect statements may result in rejection, rescission of award, contract termination, or debarment pursuant to the Broward County Procurement Code. The form was dated April 1, 2025, with a designation that County verification section is for internal use only.
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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: PNC2130470P1 Roofing and Waterproofing Consultant Services
| 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 .