2-REFERENCE FORM 10.09.24.pdf
PDF 669 KB Posted
- Solicitation number
- 25004JD
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a reference form template for the Broward Sheriff's Office (BSO) to be completed by proposer's clients for evaluating vendor performance. The form requires detailed information about the reference agency, project details including name and amount, description of services provided, contract terms and dates, and vendor role as either prime contractor or subconsultant/subcontractor. Key evaluation areas include vendor responsiveness to concerns, response times for addressing issues, service quality, staff expertise, professionalism, project timeliness, deliverables, and cooperation with various stakeholders.
The form includes a comprehensive rating system with categories for "Needs Improvement," "Satisfactory," "Excellent," and "Not Applicable" across multiple performance dimensions including quality of service (responsive, accuracy, deliverables), vendor organization (staff expertise, professionalism, staffing turnover, project timeliness), budget adherence, and cooperation with the client firm, subcontractors/subconsultants, and regulatory agencies. The form emphasizes that BSO personnel are prohibited from completing reference forms and includes a verification statement warning that inaccurate information may result in rejection, award rescission, or contract termination. The completed form requires signature and title of the agency representative along with the date.
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Text version
REFERENCE FORM - To be completed by Proposer’s Client, not the Proposer. Also note that BSO personnel are prohibited from completing this form.
PROPOSER’S COMPANY NAME:
Name of Reference Agency:
Address of Reference:
Contact Information of Reference:
Name Title
Phone # E-Mail Address
1. Reference Company a. Type of Business _________________________
b. Estimated # of employees_______
2. Project Name: _____________________________
3. Project Amount: ___________________________
4. Description of services provided by Vendor:______________________________________
5. Vendor’s role in Project: Prime Vendor Subconsultant/Subcontractor
6. Would you use this vendor again? Yes No If No, please explain:___________
7. Contract term - begin/end dates that Proposer has provided Services to you.
(If there were any breaks in services, please state reason and duration of the break):
8. Is Proposer still providing services to your agency? If not, please elaborate:
9. Is your agency satisfied with the level of service and staffing provided by Proposer? Please elaborate.
10. When a problem is encountered, is the Proposer responsive to your Agency’s concerns?
REFERENCE FORM
PROPOSER’S COMPANY NAME:
11. What is response time for addressing concerns?
12. Please share any information that may be helpful through your experience with your agency’s experience regarding the services provided by the Proposer.
Please rate your experience with the Vendor:
Needs Improvement
Satisfactory Excellent Not Applicable
1. Vendor’s Quality of Service
a) Responsive
b) Accuracy
c) Deliverables
2. Vendor’s Organization:
a) Staff expertise
b) Professionalism
c) Staffing Turnover
d) Timeliness of Project
e) Deliverables
3. Project completed within budget
4. Cooperation with:
a) Your Firm
b) Subcontractor(s)/
Subconsultant(s)
c) Regulatory Agency(ies)
Additional Comments: (provide on additional sheet if needed) All information provided to BSO is subject to verification. Vendor acknowledges that inaccurate, untruthful, or incorrect statements made in support of this response may be used by the BSO as a basis for rejection, rescission of the award, or termination of the contract.
Name & Signature of Agency Representative Title
Date
REFERENCE FORM
File details come from the government source that posted it. Updated .