4_Attachment_4_-_Customer_Reference_Form.docx
DOCX document 40 KB Posted
- Solicitation number
- 5259947-A3
- Issued by
- California
About this file
This is a Customer Reference Form attachment for the State of California Department of General Services Procurement Division's Request for Proposal (RFP) 5259947 for Temporary Healthcare Staffing Services. Bidders must submit two customer references as part of their proposal evaluation. The RFP seeks contractors to provide temporary healthcare staffing services statewide across ten regions, encompassing 25 Healthcare Groups consisting of 45 temporary healthcare provider personnel classifications. The proposed contract term is five years with one optional two-year extension. Awards will be made by region and group, with the resulting Master Service Agreements (MSAs) mandatory for use by California state agencies and available for use by local government agencies.
The Customer Reference Form requires bidders to provide detailed information about previous relevant projects, including the customer's company name, contact information, service start date (on or after January 1, 2020), and contract dollar amount (greater than $1.00). Bidders must include a brief description of services provided that must be similar to those described in the RFP's Exhibit A, Scope of Work. The form includes five evaluation questions assessing the proposer's ability to manage services and staff, turnaround time for customer support, timeliness of service delivery, quality of services, and overall customer satisfaction. Each question uses a five-point rating scale ranging from Exceptional (5) to Unsatisfactory (1), with customers providing comments and signatures to validate their references.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Addendum_2_Cover_Sheet_RFP_5259947.docx | DOCX document | |
| Addendum_3_Attachment_6_-_Proposed_Agreement.docx | DOCX document | |
| Addendum_3_Attachment_3_-_Narrative_Response.xlsx | XLSX spreadsheet | |
| 5_Attachment_5_-_Proposing_Regions___Groups.xlsx | XLSX spreadsheet | |
| 2_Attachment_2_-_Cost_Workbook.xlsx | XLSX spreadsheet | |
| Addendum_3_Q_A_Set_1.xlsx | XLSX spreadsheet | |
| 7_Proposal_Checklist.docx | DOCX document | |
| Addendum_3_Proposer_s_Conference_slides.pdf | ||
| Addendum_3_Cover_Sheet_RFP_5259947.docx | DOCX document | |
| Addendum_2_Key_Action_Dates.docx | DOCX document | |
| Addendum_3_RFP_5259947.docx | DOCX document |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
| State of California | Temporary Healthcare Staffing Services RFP |
| Department of General Services | Event ID: 5259947 |
| Procurement Division | ATTACHMENT 4 |
ATTACHMENT 4 – CUSTOMER REFERENCE FORM
Bidder must submit two (2) customer references as indicated in RFP Section 3.2.1. Customer References may be contacted for verification. Please fill in electronically or print legibly.
CUSTOMER REFERENCE INFORMATION
| Contractor Name (Proposer): |
| Company Name (Proposer’s Customer): |
| Customer Contact Name: |
| Customer Reference Contact Title: |
| Customer Phone Number: |
| Customer E Mail Address: |
| Start date of the services (must be on or after 01/01/2020): |
| Dollar amount of Contract (dollar amount must be greater than $1.00): |
| Enter a brief description of services, provided by the Proposer (description of services must be similar to services described in Exhibit A, Scope of Work): |
(continued on next page)
CUSTOMER REFERENCE RATINGS
Please summarize contractor performance and select the number in the right column which best corresponds to the performance rating for each question|_|. Please follow the rating guidelines below for description of rating scale.
Rating Scale:
· Exceptional (5) - Best-in-class performance. Performance met all contract requirements and exceeded several to the customer’s benefit. No issues were encountered|_|.
· Very Good (4) - Performance met all contract requirements and exceeded some to the customer’s benefit. There were a few minor issues, which were negligible|_|.
· Satisfactory (3) - Performance met contract requirements. There were some minor issues, and corrective actions taken by the contractor were acceptable|_|.
· Marginal (2) - Performance did not meet the contractual requirements. There were issues, some of a serious nature, for which corrective action was only somewhat effective|_|.
· Unsatisfactory (1) - Performance did not meet contractual requirements. There were serious issues and the contractor’s corrective actions were ineffective|_|.
| Customer Reference Questions |
| Comments, if desired |
| Rating |
| 1. How would you rate the Proposer’s ability to manage the services provided and associated staff to meet project goals and objectives? |
| 2. How would you rate the Proposer's turnaround time when contacted to provide customer support or address issues? |
| 3. How would you rate the Proposer's ability to meet all requirements for the delivery of services in a timely manner? |
| 4. How would you rate the quality of the Proposer's services? |
| 5. How would you rate your agency/company's overall satisfaction with the Proposer? |
Rater’s Signature|_|: Date:
File details come from the government source that posted it. Updated .