5. RFP Att D Reference Check.doc

DOC document 51 KB Posted

Attached to
2122. 01 RFP Nursing Simulation Equipment (Manikin)
Solicitation number
S-P00350-00000670
Issued by
Clatsop County, Oregon

About this file

This document is a Reference Check Form for a Request for Proposal (RFP) issued by the state of Oregon for nursing program simulation equipment, specifically adult male and newborn high-fidelity simulators to be used in a College Simulation Lab for training nursing students. The project is being conducted by the state of Oregon, with the participating jurisdictions of Clatsop County and Astoria City. The Reference Check Form is to be completed by the Proposer, providing information on the Proposer's quality of services, delivery of service, and responsiveness to customer service issues and special requests. The RFP number is 21.22.01, and the due date is not specified.

The RFP is seeking to acquire simulation equipment to assist in meeting the growing safety training needs resulting from increasingly complex and acute health conditions more frequently occurring in today's acute and community-based care settings. No information is provided on pricing terms, set asides, incumbents, current environment, funding requirements and sources, or any other salient details.

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Text version

RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

RFP#21.22.01 –NURSING PROGRAM SIMULATION EQUIPMENT

Att D

ATTACHMENT D - REFERENCE CHECK FORM

Proposer Name:

Reference Entity:

Reference Contact Name:

Contact Telephone Number:

Contact Email Address:

Please rate the following questions on a scale of 0-10:

0 = Not satisfied 5 = Moderately satisfied 10 = Extremely satisfied.

1. How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?

Score: __________ Comments: ______________________________________________________________________________

2. How would you rate the Proposer’s delivery of service?

Score: __________ Comments: ______________________________________________________________________________

3. How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?

Score: __________ Comments: ______________________________________________________________________________

Version 1.0 - November 19, 2014 DAS Procurement Services, Version 2.0 – December 9, 2016. Rev CCC August 26, 2021

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