26-8635_Form_4_Reference_Questionnaire.pdf
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- Solicitation number
- 26-8635
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by Collier County Board of County Commissioners, Procurement Services Division, for the South County Water Reclamation Facility (SCWRF) Treatment Technology & Flow Management Improvements project. The form requires each proposer to submit one completed questionnaire for each required reference, detailing previous work performed for the requesting company. The solicitation references a Request for Professional Services (RPS 26-8635) that seeks comprehensive design and construction administration services for a wastewater treatment facility expansion project in Naples, Florida. The proposer must identify client references who have previously engaged the firm, complete project descriptions, and provide completion dates and project budgets for each reference listed. Proposals must be submitted electronically through Collier County's Online Bidding System by March 9, 2026, at 3:00 P.M. EST, with a pre-proposal conference scheduled for February 19, 2026, at 10:00 A.M. The design phase must be completed within one year of Notice to Proceed, with construction targeted for completion by 2031.
The Reference Questionnaire requires evaluators to rate the referenced firm or individual on ten performance criteria using a scale of 1 to 10, with 10 representing very satisfied and 1 representing very unsatisfied. Evaluation criteria include cost management and change order minimization, schedule adherence, quality of work, consultative advice, professionalism and personnel management, project administration, communication and documentation, risk management, compliance with contract documents and regulations, and overall customer satisfaction. Blank responses are scored as zero. The form must be fully completed and returned with the proposal submittal. This reference evaluation contributes to the overall selection methodology, which allocates 25 of 100 possible points to past performance as part of the Consultants' Competitive Negotiation Act evaluation process.
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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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