44DOC-S2914 - Reference Questionnaire~1.docx

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Attached to
Pharmaceutical Inventory System
Solicitation number
44DOC-S2914
Issued by
White Pine County, Nevada

About this file

This is a Reference Questionnaire template for RFP 44DOC-S2914 issued by the State of Nevada, with responses due by March 25, 2025. The document outlines the process for submitting business references for vendors proposing on the RFP, with completed questionnaires to be submitted directly to State contact Annette Morfin. The questionnaire includes a 0-10 rating scale for evaluating vendor performance across multiple categories including knowledge and expertise, flexibility, materials production, staff interaction, schedule adherence, customer service, billing accuracy, and problem resolution.

The questionnaire is designated as confidential business information pursuant to NRS 333.020(5(b) and requires references to provide details about their experience with the vendor, including dates of service and overall satisfaction. References must submit their responses independently of the vendor, and the State reserves the right to conduct follow-up phone calls for clarification. No pricing information or specific set-aside requirements are mentioned in this document.

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REFERENCE QUESTIONNAIRE

1. BUSINESS REFERENCE INSTRUCTIONS

1.1. As part of a Request for Proposals (RFP) the State of Nevada is requesting Proposing Vendors submit references from current and/or former customers for projects of similar size and scope.

1.1.1. This Reference Questionnaire is to provide a business reference for the company (Proposing Vendor) in Section 2.

1.1.2. Once you have completed the Reference Questionnaire, please submit it to the email address in Section 2.

1.1.3. Please reference the RFP Number in Section 2 in the email subject line.

1.1.4. The completed Reference Questionnaire must be received no later than the due date in Section 2.

1.1.5. Do not return the Reference Questionnaire to the Proposing Vendor.

1.2. In addition to the Reference Questionnaire, the State may contact references by phone for further clarification.

1.3. The State requests all questions be answered.

1.3.1. If an answer is not known, please answer as ‘U/K’.

1.3.2. If the question is not applicable, please answer as ‘N/A’.

1.3.3. If additional space is needed to answer a question or provide a comment, please attach additional pages.

1.3.4. If attaching additional pages, please place your company/organization name on each page and reference the appropriate RFP number.

1.4. 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.

2. PROPOSING VENDOR TO COMPLETE

RFP NUMBER
DUE DATE
44DOC-S2914
March 25, 2025

STATE SINGLE POINT OF CONTACT EMAIL ADDRESS

Annette Morfin amorfin@admin.nv.gov

NAME OF PROPOSING VENDOR

IF APPLICABLE, NAME OF SUBCONTRACTOR FOR PROPOSING VENDOR

3. COMPANY PROVIDING REFERENCE

CONFIDENTIAL INFORMATION WHEN COMPLETED

Company Providing Reference:

Contact Name:

Title:

Contact Telephone:

Contact Email Address:

4. RATING SCALE FOR RESPONSE TO QUESTIONS

4.1. Where a rating is requested and using the Rating Scale provided below, rate the questions in Section 5, Questions by noting the appropriate number for each item.

4.2. Please provide any additional comments you feel would be helpful to the State regarding this vendor.

Category
Rating
Poor or Inadequate Performance
0
Below Average Performance
1 – 3
Average Performance
4 – 6
Above Average Performance
7 – 9
Excellent Performance
10

5. QUESTIONS

QUESTION
COMMENT
RATING

In what capacity have you worked with this vendor in the past?

N/A

Rate the vendor’s knowledge and expertise.

Rate the vendor’s flexibility relative to changes in the project scope and timelines.

Rate your level of satisfaction with soft and/or hard copy materials produced by the vendor.

Rate the dynamics/interaction between the vendor and your staff.

Rate your satisfaction with the products developed by the vendor.

Rate how well the agreed upon, planned schedule was consistently met and deliverables provided on time. (This pertains to delays under the control of the vendor.)

Rate the overall customer service and timeliness in responding to customer service inquiries, issues, and resolutions.

Rate the knowledge of the vendor’s assigned staff and their ability to accomplish duties as contracted.

Rate the accuracy and timeliness of the vendors billing and/or invoices.

Rate the vendor’s ability to quickly, and thoroughly resolve a problem related to the services provided.

Rate the vendor’s flexibility in meeting business requirements.

Did the vendor have a local office and/or contact. If so, how satisfied were you with their response time and customer service.

Rate the likelihood of your company/organization recommending this vendor to others in the future.

With which aspect(s) of this vendor’s services are you most satisfied?

N/A

Would you recommend this vendor to your organization again?

N/A

6. GENERAL INFORMATION

6.1. DATES OF SERVICES PROVIDED

6.1.1. During what period did the vendor provide these services for your organization?

6.1.2. Include both the month and the year in the table below:

From:

To:

Revised 2023-04 Page 2 of 2 Reference Questionnaire

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