41NHA-S3992-Reference-Questionnaire.docx

DOCX document 41 KB Posted

Attached to
Nevada State Pharmacy Benefit Manager
Solicitation number
41NHA-S3992
Issued by
Nevada

About this file

This is a reference questionnaire form issued by the Nevada State Purchasing Division, Department of Administration, on behalf of the Nevada Health Authority for Solicitation Number 41NHA-S3992 regarding a Nevada State Pharmacy Benefits Manager contract. Vendors or subcontractors are required to submit completed reference questionnaires from current and/or former clients for projects of similar size and scope. The reference questionnaire must be submitted to Heather Moon (hmoon@admin.nv.gov) by the due date of December 28, 2026, with the solicitation number included in the subject line. The document instructs clients providing references to answer all questions, using "U/K" if answers are unknown and "N/A" if questions are not applicable. Completed reference questionnaires are designated as confidential business information pursuant to Nevada Revised Statutes and are not subject to public disclosure.

The reference questionnaire evaluates vendor performance across thirteen rated criteria on a scale of 0-10, including knowledge and expertise, flexibility regarding scope and timeline changes, quality of deliverables and products, staff interaction and dynamics, schedule adherence, customer service responsiveness, billing accuracy and timeliness, problem resolution capabilities, business requirements flexibility, and local office responsiveness where applicable. Additional unrated evaluation items include a description of the working relationship capacity, satisfaction with specific service aspects, and a recommendation assessment. The form allows for comments under each evaluation item and permits attachment of additional pages for expanded responses, with each page requiring the client's company or organization name and the RFP number reference.

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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 12/28/2026

Solicitation number 41NHA-S3992

Single point of contact name Heather Moon

Single point of contact email hmoon@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

Page 1 of 1 Reference questionnaire image1.png

File details come from the government source that posted it. Updated .