44DOC-S3730-reference-questionnaire.pdf

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Attached to
NNCC Gym Floor Refurbishment
Solicitation number
44DOC-S3730
Issued by
Churchill County, Nevada

About this file

This is a reference questionnaire form issued by the Nevada State Purchasing Division, Department of Administration, for use in evaluating vendor proposals submitted in response to state solicitations. The form is designed to collect feedback from current and former clients regarding a vendor's or subcontractor's performance on projects of similar size and scope. Completed questionnaires must be submitted to the designated single point of contact via email with the solicitation number in the subject line by the specified due date. The form requests that all questions be answered, with "U/K" (unknown) or "N/A" (not applicable) used when appropriate, and allows for additional pages if needed for expanded responses.

The evaluation criteria encompass thirteen rated items using a 1-10 scale, with zero indicating poor or inadequate performance, 1-3 representing below average, 4-6 indicating average, 7-9 representing above average, and 10 indicating exceptional performance. The rated categories include vendor knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and products, staff dynamics and interaction, schedule adherence and timeliness of deliverables, customer service and issue resolution, billing accuracy and timeliness, ability to resolve service problems, flexibility in meeting business requirements, local office response time, and likelihood of future recommendations. Two unrated items request narrative responses regarding the vendor's most satisfactory service aspects and willingness to recommend the vendor for future engagement. Completed questionnaires are designated as confidential business information under Nevada Revised Statutes 333.020(5)(b) and are not subject to public disclosure.

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Nevada State Purchasing Division Department of Administration 515 E Musser St Ste 300 Carson City, NV 89701 purchasing.nv.gov nevadaepro.com

Revised 2024-10 Page 1 of 2

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.

1.1. 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.

2. EVALUATION ITEMS

2.1. In what capacity have you worked with this vendor in the past? (no rating) https://purchasing.nv.gov/ https://nevadaepro.com/ https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec020 https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec020 https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec333

Page 2 of 2 Reference questionnaire

2.2. Vendor’s knowledge and expertise, rating:

2.3. Vendor’s flexibility relative to changes in scope and timelines, rating:

2.4. Your satisfaction with delivered materials, rating:

2.5. Dynamics and interaction between the vendor and your staff, rating:

2.6. Your satisfaction with products developed by the vendor, rating:

2.7. Was the schedule met and deliverables timely? Rating:

2.8. Overall customer service and timeliness in response and issue resolution, rating:

2.9. Accuracy and timeliness of billing, rating:

2.10. Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:

2.11. Vendor’s flexibility in meeting business requirements, rating:

2.12. Response time and customer service of local office, if applicable, rating:

2.13. Likelihood of recommending this vendor to others in the future, rating:

2.14. Which aspects of this vendor’s services are you most satisfied with? (no rating)

2.15. Would you recommend this vendor to your organization again? (no rating)

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 proposi...
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 add...
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) a...
1.1. 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;...
2. Evaluation items
2.1. In what capacity have you worked with this vendor in the past? (no rating)
2.2. Vendor’s knowledge and expertise, rating:
2.3. Vendor’s flexibility relative to changes in scope and timelines, rating:
2.4. Your satisfaction with delivered materials, rating:
2.5. Dynamics and interaction between the vendor and your staff, rating:
2.6. Your satisfaction with products developed by the vendor, rating:
2.7. Was the schedule met and deliverables timely? Rating:
2.8. Overall customer service and timeliness in response and issue resolution, rating:
2.9. Accuracy and timeliness of billing, rating:
2.10. Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:
2.11. Vendor’s flexibility in meeting business requirements, rating:
2.12. Response time and customer service of local office, if applicable, rating:
2.13. Likelihood of recommending this vendor to others in the future, rating:
2.14. Which aspects of this vendor’s services are you most satisfied with? (no rating)
2.15. Would you recommend this vendor to your organization again? (no rating)
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Solicitation-number:
POC-name:
POC-email:
Proposing-vendor-or-subcontractor:
Client-providing-the-reference:
Client-contact-name-and-title:
Client-telephone-and-email:
Period-of-performance:
Due-date:

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