40DHHS-S3965 - Reference Questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Record Storage
- Solicitation number
- 40DHHS-S3965
- Issued by
- Nevada
About this file
This is a reference questionnaire form issued by the Nevada State Purchasing Division, Department of Administration, for solicitation number 40DHHS-S3965 related to record storage services for Southern Nevada Adult Mental Health Services. The questionnaire is designed to collect client references from vendors and subcontractors bidding on projects of similar size and scope. Completed reference questionnaires must be submitted to Annette Morfin, Purchasing Officer II, at amorfin@admin.nv.gov with the solicitation number in the subject line no later than October 27, 2026. The State of Nevada requests comprehensive responses to all evaluation questions, with instructions to answer "U/K" if information is unknown and "N/A" if not applicable.
The reference questionnaire requires clients to evaluate vendor performance across thirteen rating criteria using a 1-10 scale, with descriptors ranging from poor or inadequate performance (0) to exceptional performance (10). Rating categories include vendor knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and products, staff dynamics, schedule adherence, customer service responsiveness, billing accuracy and timeliness, problem resolution capabilities, business requirements flexibility, and likelihood of future recommendations. Clients are also asked to identify the capacity in which they have worked with the vendor, note the most satisfying aspects of services, and indicate whether they would recommend the vendor again. The State reserves the right to contact references for further clarification. Completed questionnaires are designated as confidential business information and are not subject to public disclosure.
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Other files
| File | Type | Posted |
|---|---|---|
| 40DHHS-S3965 - Cost Schedule.docx | DOCX document | |
| 40DHHS-S3965 - Insurance Schedule.docx | DOCX document | |
| 40DHHS-S3965 - request-for-proposal~1.docx | DOCX document | |
| Certification-regarding-lobbying~28.pdf | ||
| 40DHHS-S3965 - Vendor-Information-Response.pdf | ||
| Terms-and-conditions-for-services~34.pdf | ||
| 40DHHS-S3965 -Standard-form-contract.docx | DOCX document | |
| Quote Instructions.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
Reference questionnaire
Due Date October 27, 2026
Solicitation number 40DHHS-S3965
Single point of contact name Annette Morfin, Purchasing Officer II
Single point of contact email amorfin@admin.nv.gov
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.
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.
Evaluation items
In what capacity have you worked with this vendor in the past? (no rating)
Vendor’s knowledge and expertise, rating:
Vendor’s flexibility relative to changes in scope and timelines, rating:
Your satisfaction with delivered materials, rating:
Dynamics and interaction between the vendor and your staff, rating:
Your satisfaction with products developed by the vendor, rating:
Was the schedule met and deliverables timely? Rating:
Overall customer service and timeliness in response and issue resolution, rating:
Accuracy and timeliness of billing, rating:
Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:
Vendor’s flexibility in meeting business requirements, rating:
Response time and customer service of local office, if applicable, rating:
Likelihood of recommending this vendor to others in the future, rating:
Which aspects of this vendor’s services are you most satisfied with? (no rating)
Would you recommend this vendor to your organization again? (no rating)
Revised 2024-10 Page 2 of 2
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