40DHHS-S3152-reference-questionnaire.pdf
PDF 176 KB Posted
- Attached to
- Floor Resurfacing
- Solicitation number
- 40DHHS-S3152
- Issued by
- Elko County, Nevada
About this file
This is a reference questionnaire form from the Nevada State Purchasing Division (Department of Administration) for solicitation number 40DHHS-S3152. The questionnaire is due by 4:30 pm on February 26, 2025, and must be submitted to Sharon Knigge at contracts@dcfs.nv.gov. The form requests client references to evaluate vendors or subcontractors on past performance for projects of similar size and scope. The questionnaire includes detailed instructions for completion and submission, with responses to be sent directly to the state contact rather than returning them to the proposing vendor.
The evaluation consists of 15 items, with 13 requiring numerical ratings on a 1-10 scale (where 0 represents poor performance and 10 represents exceptional performance). Key evaluation areas include vendor knowledge, flexibility, delivered materials, staff interactions, product satisfaction, schedule adherence, customer service, billing accuracy, problem resolution, and likelihood of future recommendation. The questionnaire is designated as confidential business information pursuant to NRS 333.020(5(b)) and responses may be followed up by the State for further clarification.
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| File | Type | Posted |
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| 40DHHS-S3152 site-visit-registration.pdf | ||
| PREA Acknowledgement.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 40DHHS-S3152-cost-schedule.xlsx | XLSX spreadsheet | |
| Standard-form-contract~3.docx | DOCX document | |
| Pioneer Floorplan.pdf | ||
| Architecture Plans.pdf | ||
| 40DHHS-S3152-request-for-proposals-2025-01-31.docx | DOCX document | |
| Certification-regarding-lobbying~3.pdf | ||
| RFP 40DHHS-S3152 Insurance Sch..docx | DOCX document | |
| Terms-and-conditions-for-services~3.pdf | ||
| Forester Floorplan.pdf |
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Text version
Nevada State Purchasing Division Department of Administration 515 E Musser St Ste 300 Carson City, NV 89701 purchasing.nv.gov nevadaepro.com
Revised 2024-10 Page 1 of 2
Reference questionnaire
Due Date
Solicitation number
Single point of contact name
Single point of contact email
Proposing vendor or subcontractor
Client providing the reference
Client contact name and title
Client telephone and email
Period of performance
1. CLIENT REFERENCE INSTRUCTIONS
1.1. As part of a formal solicitation the State of Nevada has requested vendors provide references from current and/or former clients for projects of similar size and scope. This reference questionnaire is to provide a client reference for the proposing vendor or subcontractor above. Once you have completed the reference questionnaire, please submit to the single point of contact via email, with the solicitation number in the subject line, no later than the due date above.
1.2. The State requests all questions be answered. If an answer is not known, please answer as ‘U/K’. If the question is not applicable, please answer as ‘N/A’. If additional space is needed to answer a question or provide a comment, please attach additional pages. If attaching additional pages, please place your company/organization name on each page and reference the appropriate RFP number.
1.3. Do not return the completed reference questionnaire to the proposing vendor. To allow for candid responses, completed reference questionnaires are designated as confidential business information by the Administrator pursuant to NRS 333.020(5(b) and not public information pursuant to NRS 333.333. In addition to the reference questionnaire, the State may contact references for further clarification.
1.1. Where a rating is requested, please provide a rating between 1-10. For all items, please provide any comments you feel would be helpful to the State in evaluation below each item. Poor or inadequate performance: 0; Below average performance: 1-3; Average performance: 4-6; Above average performance: 7-9; Exceptional performance: 10.
2. EVALUATION ITEMS
2.1. In what capacity have you worked with this vendor in the past? (no rating) https://purchasing.nv.gov/ https://nevadaepro.com/ https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec020 https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec020 https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec333
Page 2 of 2 Reference questionnaire
2.2. Vendor’s knowledge and expertise, rating:
2.3. Vendor’s flexibility relative to changes in scope and timelines, rating:
2.4. Your satisfaction with delivered materials, rating:
2.5. Dynamics and interaction between the vendor and your staff, rating:
2.6. Your satisfaction with products developed by the vendor, rating:
2.7. Was the schedule met and deliverables timely? Rating:
2.8. Overall customer service and timeliness in response and issue resolution, rating:
2.9. Accuracy and timeliness of billing, rating:
2.10. Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:
2.11. Vendor’s flexibility in meeting business requirements, rating:
2.12. Response time and customer service of local office, if applicable, rating:
2.13. Likelihood of recommending this vendor to others in the future, rating:
2.14. Which aspects of this vendor’s services are you most satisfied with? (no rating)
2.15. Would you recommend this vendor to your organization again? (no rating)
| 1. Client reference instructions |
| 1.1. As part of a formal solicitation the State of Nevada has requested vendors provide references from current and/or former clients for projects of similar size and scope. This reference questionnaire is to provide a client reference for the proposi... |
| 1.2. The State requests all questions be answered. If an answer is not known, please answer as ‘U/K’. If the question is not applicable, please answer as ‘N/A’. If additional space is needed to answer a question or provide a comment, please attach add... |
| 1.3. Do not return the completed reference questionnaire to the proposing vendor. To allow for candid responses, completed reference questionnaires are designated as confidential business information by the Administrator pursuant to NRS 333.020(5(b) a... |
| 1.1. Where a rating is requested, please provide a rating between 1-10. For all items, please provide any comments you feel would be helpful to the State in evaluation below each item. Poor or inadequate performance: 0; Below average performance: 1-3;... |
| 2. Evaluation items |
| 2.1. In what capacity have you worked with this vendor in the past? (no rating) |
| 2.2. Vendor’s knowledge and expertise, rating: |
| 2.3. Vendor’s flexibility relative to changes in scope and timelines, rating: |
| 2.4. Your satisfaction with delivered materials, rating: |
| 2.5. Dynamics and interaction between the vendor and your staff, rating: |
| 2.6. Your satisfaction with products developed by the vendor, rating: |
| 2.7. Was the schedule met and deliverables timely? Rating: |
| 2.8. Overall customer service and timeliness in response and issue resolution, rating: |
| 2.9. Accuracy and timeliness of billing, rating: |
| 2.10. Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating: |
| 2.11. Vendor’s flexibility in meeting business requirements, rating: |
| 2.12. Response time and customer service of local office, if applicable, rating: |
| 2.13. Likelihood of recommending this vendor to others in the future, rating: |
| 2.14. Which aspects of this vendor’s services are you most satisfied with? (no rating) |
| 2.15. Would you recommend this vendor to your organization again? (no rating) |
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| Solicitation-number: 40DHHS-S3152 |
| POC-name: Sharon Knigge |
| POC-email: contracts@dcfs.nv.gov |
| Proposing-vendor-or-subcontractor: |
| Client-providing-the-reference: |
| Client-contact-name-and-title: |
| Client-telephone-and-email: |
| Period-of-performance: |
| Due-date: 4:30 pm on February 26, 2025 |
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