3-Attachment F - Reference Document.docx

DOCX document 34 KB Posted

Attached to
MK27-105 WIC Pharmacy Services
Solicitation number
MK27-105
Issued by
Utah

About this file

This is a Reference Form attachment for the State of Utah Department of Health and Human Services WIC Pharmacy Services contract opportunity (MK27-105). The form serves as a standardized reference document that bidders must complete and submit with their proposals to provide Pharmacy Services for the Women, Infants and Children (WIC) program. The reference form requests contact information for the offeror vendor name and a reference contact, along with the reference contact's telephone number and email address. The State of Utah reserves the right to contact listed references to verify bidder qualifications and performance history.

The reference form includes eight evaluation questions designed to assess the bidder's past performance across multiple dimensions. These questions address the specific work previously performed, successful delivery and budget adherence, quality and timeliness of deliverables, ability to collaborate with staff, accessibility and follow-through on commitments, experience working with WIC vendors and related associations, and any problems encountered and their resolution. The single contract award will be made to the responsive and responsible vendor with the highest score, with a contract term of five years and a mandatory one-year pricing guarantee.

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Text version

WIC Pharmacy Services Reference Form

OFFEROR VENDOR NAME: Click here to enter text.

REFERENCE NAME: Click here to enter text.

REFERENCE CONTACT TELEPHONE #: Click here to enter text.

REFERENCE CONTACT EMAIL: Click here to enter text.

Please complete this fillable form.

Reference Forms are to be included in the bidder’s proposal at the time of submission.

The State of Utah reserves the right to contact references to confirm answers to the below questions.

QUESTION 1: What specific work did the bidder do for your organization?

QUESTION 2: Did the bidder successfully deliver the agreed upon work? Was the agreed upon work delivered within budget?

QUESTION 3: Please describe the QUALITY of the deliverables performed.

QUESTION 4: Please describe the TIMELINESS of the work performed.

QUESTION 5: Please describe the ability of the bidder to work COLLABORATIVELY with your staff.

QUESTION 6: Please describe the accessibility of the bidder’s staff and their follow through on commitments.

QUESTION 7: Did the bidder successfully work with WIC vendors and other WIC related associations? Please describe.

QUESTION 8: Did you have any problems with the bidder? If so, how were they resolved? Where they resolved to your satisfaction?

File details come from the government source that posted it. Updated .