26-8635_Form_4_Reference_Questionnaire.pdf
PDF 305 KB Posted
- Solicitation number
- 26-8635
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by Collier County's Procurement Services Division for the South County Water Reclamation Facility (SCWRF) Treatment Technology & Flow Management Improvements project in Naples, Florida. Proposers are required to submit one completed form for each required reference, with the questionnaire to be returned with the proposal submittal by March 9, 2026, at 3:00 P.M. EST. A pre-proposal conference is scheduled for February 19, 2026, at 10:00 A.M. The form requests evaluators to rate the referenced firm or individual on ten criteria using a scale of 1 to 10, with 10 indicating very satisfied and willingness to hire again, and 1 indicating very unsatisfied and unwillingness to hire again. The evaluation criteria include ability to manage project costs and maintain schedule, quality of work and consultative advice, professionalism and personnel management, project administration, communication and documentation, risk management, contract compliance, and overall customer satisfaction. Evaluators must provide project description, completion date, project budget, and project duration information, and blank scores result in a "0" rating for that item.
The Reference Questionnaire form is a component of Collier County's selection process for comprehensive design and construction administration services for the SCWRF expansion project, which is valued at approximately $30.0 million in preliminary cost estimates. The selection methodology follows the Consultants' Competitive Negotiation Act, with scoring based on ability of professional personnel, WMBE status, past performance (25 points), project approach and budget compliance, location, and current workloads. No specific funding source or budget allocation for design and construction administration services is explicitly detailed in this form; however, permitting fees will be paid by the Public Utilities Department for county permits and by the Engineer of Record team with reimbursement by PUD for state and federal permits from FDEP, SFWMD, and USACOE.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 4 Reference Questionnaire
(USE ONE FORM FOR EACH REQUIRED REFERENCE – FORM MUST BE FULLY COMPLETED AND RETURNED
WITH 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: |
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