40DHHS-S3269 3.3.3 Reference Questionnaire~1.pdf

PDF 211 KB Posted

Attached to
Galletti Flooring - SRC
Solicitation number
40DHHS-S3269
Issued by
Washoe County, Nevada

About this file

The document is a Nevada State Purchasing Division Reference Questionnaire for a state procurement process, specifically for solicitation number 40DHHS-S3192, with a due date of March 17, 2025. The form is designed for clients to provide detailed feedback about a vendor's performance, serving as part of a formal solicitation process where vendors must submit references from current or former clients for projects of similar size and scope. The questionnaire includes comprehensive evaluation items rated on a 1-10 scale, covering aspects such as vendor knowledge, expertise, flexibility, customer service, problem resolution, and overall performance.

The reference questionnaire is structured to capture nuanced insights about a vendor's capabilities, with rating categories including vendor's knowledge and expertise, flexibility with scope changes, satisfaction with delivered materials, staff interactions, schedule adherence, billing accuracy, and likelihood of future recommendation. The document emphasizes confidentiality, noting that completed questionnaires are designated as confidential business information under Nevada Revised Statutes (NRS 333.020(5(b)) and NRS 333.333. The single point of contact for this solicitation is Mariana Acevedo, whose contact email is macevedo@adsd.nv.gov, indicating the document is likely associated with the Nevada Department of Health and Human Services.

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Other files

File Type Posted
40DHHS-S3269 3.1.1 Terms and Conditions for Services.pdf PDF
40DHHS-S3269 3.3.2 Proposed Staff Resume.docx DOCX document
Certification regarding lobbying.pdf PDF
Standardformcontract.docx DOCX document
40DHHS-S3269 1.1.1 Request for Proposal.docx DOCX document
40DHHS-S3269 3.3.1 Cost Proposal.docx DOCX document
Insurance Schedule~5.docx DOCX document
40DHHS-S3269 3.2.1 Scope of Work.pdf PDF

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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-S3192
POC-name: Mariana Acevedo
POC-email: macevedo@adsd.nv.gov
Proposing-vendor-or-subcontractor:
Client-providing-the-reference:
Client-contact-name-and-title:
Client-telephone-and-email:
Period-of-performance:
Due-date: March 17, 2025

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