24-8280S_Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- Services for Seniors - Supplemental - Grant Funded State and local contract opportunity
- Solicitation number
- 24-8280S
- Issued by
- Collier County, Florida
About this file
The document is a Reference Questionnaire (Form 5) from the Collier County Procurement Services Division, designed to collect reference information about firms and their key personnel during the project selection process. The form provides a standardized method for evaluating a company's past performance, with references rating the firm on ten specific criteria using a scale of 1 to 10, where 10 represents high satisfaction and 1 represents significant dissatisfaction.
The evaluation criteria cover critical aspects of project performance, including project cost management, schedule adherence, work quality, consultative advice, personnel management, project administration, communication skills, risk management, compliance with contract requirements, and overall customer satisfaction. The form allows the reference to provide a comprehensive assessment of the company's capabilities, with spaces to document the project description, completion date, project budget, and total number of project days. The goal is to provide potential clients with an objective, structured method of assessing a firm's past performance and likelihood of successful future project execution.
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| 24-8280S_Form_4_Local_Vendor_Preference_Certification_NOT_APPLICABLE.pdf | ||
| 24-8280S_Form_6_Grant_Provisions.pdf | ||
| 24-8280S_Form_2_Conflict_of_Interest_Certification.pdf | ||
| 24-8280S_Insurance_Requirements.pdf | ||
| 24-8280S_Solicitation_-Supplemental.pdf | ||
| 24-8280S_Business_Assocate_Agreement.pdf | ||
| 24-8280S_Form_3_Immigration_Certification.pdf | ||
| Fixed_Fee_Professional_Service_Agreement_[2025_ver.2].pdf | ||
| Request_for_Proposals_Instructions_Version_1.pdf | ||
| 24-8280S_Checklist_-Vendor_Checklist.pdf | ||
| 24-8280S_FPP.pdf | ||
| 24-8280S_Form_1_Vendor_Declaration_Statement.pdf | ||
| PO_Terms_and_Conditions_Rev.3.pdf |
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Text version
Version 2 9.2.25
Procurement Services Division
Form 5 Reference Questionnaire
(USE ONE FORM FOR EACH REQUIRED REFERENCE – FORM MUST BE FULLY COMPLETED AND RETURNED
WITH BID/PROPOSAL SUBMITTAL)
Solicitation:
Reference Questionnaire for:
(Name of Company Requesting Reference Information)
(Name of Individuals Requesting Reference Information)
Name:
(Evaluator completing reference questionnaire)
Company:
(Evaluator’s Company completing reference)
Email: FAX: Telephone:
Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.”
Project Description: ___________________________ Completion Date: _____________________________
Project Budget: _______________________________ Project Number of Days: _______________________
Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope).
2 Ability to maintain project schedule (complete on-time or early).
3 Quality of work.
4 Quality of consultative advice provided on the project.
5 Professionalism and ability to manage personnel.
6 Project administration (completed documents, final invoice, final product turnover;
invoices; manuals or going forward documentation, etc.)
7 Ability to verbally communicate and document information clearly and succinctly.
8 Abiltity to manage risks and unexpected project circumstances.
9 Ability to follow contract documents, policies, procedures, rules, regulations, etc.
10 Overall comfort level with hiring the company in the future (customer satisfaction).
TOTAL SCORE OF ALL ITEMS
| Text25: |
| Text26: |
| Name of Company Requesting Reference Information: |
| Text27: |
| Text28: |
| Text29: |
| Text30: |
| Text31: |
| Project Description: |
| Completion Date: |
| Project Budget: |
| Project Number of Days: |
| Score must be completedAbility to manage the project costs minimize change orders to scope: |
| Score must be completedAbility to maintain project schedule complete ontime or early: |
| Score must be completedQuality of work: |
| Score must be completedQuality of consultative advice provided on the project: |
| Score must be completedProfessionalism and ability to manage personnel: |
| Score must be completedProject administration completed documents final invoice final product turnover invoices manuals or going forward documentation etc: |
| Score must be completedAbility to verbally communicate and document information clearly and succinctly: |
| Score must be completedAbiltity to manage risks and unexpected project circumstances: |
| Score must be completedAbility to follow contract documents policies procedures rules regulations etc: |
| Score must be completedOverall comfort level with hiring the company in the future customer satisfaction: |
| Score must be completedTOTAL SCORE OF ALL ITEMS: |
File details come from the government source that posted it. Updated .