20-Vendor Reference Verification, Purchasing Card Services (Group 3), GEN2131264P1.docx
DOCX document 45 KB Posted
- Attached to
- Master Banking Services
- Solicitation number
- GEN2131264P1
- Issued by
- Broward County, Florida
About this file
This is a Vendor Reference Verification Form template for the Broward County Board of County Commissioners' Master Banking Services solicitation, specifically Group 3: Purchasing Card Services (GEN2131264P1). The form requires vendors to provide a minimum of three non-Broward County references demonstrating relevant experience with purchasing card services. Vendors must have their references complete the verification form and submit it with their initial proposal response. If references are not provided at submittal or cannot be verified, vendors must submit completed forms within three business days of the County's written request. The form captures detailed project information including the referenced project name, contract number, service dates, and project amount, along with the vendor's role as either a prime contractor or subconsultant/subcontractor.
The verification form includes a comprehensive evaluation section requiring reference organizations to rate the vendor's quality of service, organizational capabilities, and project performance across multiple dimensions including responsiveness, accuracy, deliverables, staff expertise, professionalism, turnover, timeliness, budget adherence, and cooperation with relevant parties. References must indicate whether they would use the vendor again and provide a rating of "Needs Improvement," "Satisfactory," "Excellent," or "Not Applicable" for each category. The County reserves the right to verify all information provided and explicitly warns that inaccurate or untruthful statements may result in proposal rejection, award rescission, contract termination, or vendor debarment pursuant to the Broward County Procurement Code. The form includes a verification section for County use documenting the method of verification, verifying official, division, and date.
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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: GEN2131264P1, Group 3: Purchasing Card 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: | |
| 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 image1.png
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