41NHA-S3627-Reference-Questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Lighting Controls Services
- Solicitation number
- 43ADG-S3625
- Issued by
- Churchill County, Nevada
About this file
This is a reference questionnaire form issued by the Nevada State Purchasing Division, Department of Administration. The document serves as a standardized evaluation tool for clients to provide feedback on vendors or subcontractors participating in formal state solicitations. Completed questionnaires must be submitted to the designated single point of contact via email with the solicitation number included in the subject line by the specified due date. Responses should address all evaluation criteria, with "U/K" (Unknown) or "N/A" (Not Applicable) used when answers cannot be provided. The form permits additional documentation to be attached if necessary, provided each attachment includes the company or organization name and relevant RFP number.
The reference questionnaire evaluates vendor performance across multiple dimensions using a 1-10 rating scale, with 0 indicating poor or inadequate performance, ratings 1-3 representing below average performance, 4-6 indicating average performance, 7-9 representing above average performance, and 10 indicating exceptional performance. Evaluation criteria include vendor knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and developed products, staff interaction dynamics, schedule and deliverable timeliness, customer service responsiveness, billing accuracy, problem resolution capability, business requirement flexibility, and likelihood of future recommendation. Open-ended questions solicit additional comments on satisfied aspects and willingness to rehire the vendor. Completed reference questionnaires are designated confidential business information under Nevada Revised Statutes and are not subject to public disclosure, allowing references to provide candid assessments. The State may conduct follow-up contact with references for additional clarification.
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Other files
| File | Type | Posted |
|---|---|---|
| 41NHA-S3627 - Insurance Schedule - RFP.docx | DOCX document | |
| 41NHA-S3627 - Business Associate Addendum.docx | DOCX document | |
| 40DHHS-S3626 20251229073403853.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
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.
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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