26-8643_Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- Turnaround Construction Services
- Solicitation number
- 26-8643
- Issued by
- Collier County, Florida
About this file
This is a Form 5 Reference Questionnaire used by Collier County, Florida's Procurement Services Division to collect performance evaluations on firms and key personnel bidding for state and local contract opportunities. The questionnaire is completed by previous clients of bidding companies and serves as a mandatory component of bid submittals for the Turnaround Construction Services ITB 26-8643. Bidders must provide one completed reference questionnaire for each required reference, submitted with their bid or proposal package. The reference evaluation period covers the project description, completion date, project budget, and project duration, with responses due by the bid deadline of March 30, 2026, at 3:00 PM EST. A mandatory pre-bid meeting is scheduled for March 10, 2026, at 10:00 AM EST in Naples, Florida.
The questionnaire requires evaluators to rate contractor performance on a ten-point scale across ten criteria: cost management and change order minimization, schedule adherence, work quality, consultative advice quality, personnel professionalism, project administration, communication and documentation, risk management, contract compliance, and overall customer satisfaction. Scores must be completed for all items, with blank responses scored as zero, and the form requests a total score calculation. The evaluation focuses on historical performance data to assess contractor capability for designing and constructing reinforced turnaround areas for large vehicles on dead-end streets. No specific pricing information, set-asides, or incumbent contractor designations are identified in this reference questionnaire form, which functions as a standardized evaluation tool within Collier County's broader procurement process for turnaround construction services.
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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: |
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| 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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