44DOC-S3645-reference-questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Medical Clinics - Telemedicine Kiosks
- Solicitation number
- 44DOC-S3645
- Issued by
- Washoe County, Nevada
About this file
This is a reference questionnaire issued by the Nevada State Purchasing Division, Department of Administration, in connection with Solicitation Number 44DOC-S3645. The questionnaire is designed to gather feedback from current and former clients of proposing vendors or subcontractors regarding projects of similar size and scope. Vendors are required to submit completed reference questionnaires from client references to the single point of contact, Joel Wixon, Purchasing Officer II, via email with the solicitation number in the subject line by the due date of February 13, 2026. The questionnaire requests that all questions be answered, with responses of "U/K" for unknown answers and "N/A" for non-applicable questions. Additional pages may be attached if needed, with the company or organization name and RFP number referenced on each page.
The questionnaire evaluates vendors across thirteen rated criteria using a 1-10 scale, including vendor knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and products, staff dynamics, schedule adherence, customer service and response timeliness, billing accuracy, problem resolution ability, business requirement flexibility, and local office responsiveness. Two additional unrated items request information about the vendor's most satisfactory service aspects and whether the client would recommend the vendor for future engagements. Completed reference questionnaires are designated as confidential business information under Nevada Revised Statutes 333.020(5)(b) and are not considered public information. The State reserves the right to contact references directly for further clarification during the evaluation process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 44DOC-S3645Certification-regarding-lobbying.pdf | ||
| 44DOC-S3645 Q and A.xlsx | XLSX spreadsheet | |
| 44DOC-S3645 Standard-form-contract.docx | DOCX document | |
| 44DOC-S3645 Insurance Requirements.pdf | ||
| 44DOC-S3645-Vendor-Information-Response.pdf | ||
| 65DPS-S3647 EIS Analyzers Cost Schedule.v2.xlsx | XLSX spreadsheet | |
| 44DOC-S3645 RFP~3.docx | DOCX document | |
| NDOC Medical Clinics - Telemedicine Kiosks - RFP Cost Schedule.docx | DOCX document | |
| Bid 65DPS-S3647 Notice of Intent.pdf | ||
| ATTACHMENT AA Analyzers Scope of Work_rev2.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 02/13/2026
Solicitation number 44DOC-S3645
Single point of contact name Joel Wixon, Purchasing Officer II
Single point of contact email j.wixon@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 .