2-REFERENCE FORM 10.09.24.pdf
PDF 669 KB Posted
- Solicitation number
- 26008 SD
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Reference Form document for proposers responding to a Broward Sheriff's Office Department of Fire Rescue and Emergency Services (BSODFRES) request for proposals related to a Hazardous Materials Train Derailment exercise. The form is designed to be completed by the proposer's client references, not by the proposer itself, and explicitly prohibits BSO personnel from completing the form. The reference form requests comprehensive information about the proposer's prior work, including the reference agency's business type, employee count, specific project names, project amounts, and a detailed description of services provided. The document also requires identification of the vendor's role as either a prime vendor or subconsultant/subcontractor on the referenced project.
The form includes evaluation criteria across multiple service dimensions, requiring references to rate the vendor's quality of service (responsiveness, accuracy, and deliverables), organizational capabilities (staff expertise, professionalism, staffing turnover, project timeliness), budget performance, and cooperation with internal firms, subcontractors, and regulatory agencies. References must indicate whether they would use the vendor again and provide information about the contract term, current service status, agency satisfaction levels, and responsiveness to concerns. The form explicitly states that all information provided to BSO is subject to verification, and proposers are warned that inaccurate, untruthful, or incorrect statements may result in rejection, award rescission, or contract termination.
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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
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