65DPS-S3656-Reference-Questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Rehabilitation of Fire Investigation Burn Cells
- Solicitation number
- 65DPS-S3656
- Issued by
- Churchill County, Nevada
About this file
This is a Reference Questionnaire issued by the Nevada State Purchasing Division, Department of Administration, for Solicitation Number 65DPS-S3656. The questionnaire is designed to collect client references for vendors or subcontractors proposing on a formal state solicitation. Completed reference questionnaires must be submitted to Heather Moon at hmoon@admin.nv.gov by February 24, 2026, with the solicitation number included in the subject line. The questionnaire requests that all questions be answered, with responses of "U/K" (Unknown) or "N/A" (Not Applicable) provided where information is unavailable or irrelevant. References must provide evaluations for projects of similar size and scope to those being solicited.
The evaluation criteria include assessments of the vendor's knowledge and expertise, flexibility regarding scope and timeline changes, quality of delivered materials and products, staff dynamics and interaction, schedule adherence, customer service responsiveness, billing accuracy, problem resolution capabilities, business requirement flexibility, and overall likelihood of future recommendation. Ratings are requested on a scale of 0-10, with 0 representing poor or inadequate performance, 1-3 representing below average, 4-6 representing average, 7-9 representing above average, and 10 representing exceptional performance. Completed questionnaires are designated as confidential business information under Nevada Revised Statutes 333.020(5)(b) and are not subject to public disclosure. The State may contact references directly for further clarification beyond the submitted questionnaire responses.
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Other files
| File | Type | Posted |
|---|---|---|
| Standard-form-contract~4.docx | DOCX document | |
| Attachment BB-1 Stand-alone Units.pdf | ||
| Attachment CC SFMD Materials List.pdf | ||
| Quote Instructions.pdf | ||
| 65DPS-S3658 - Notice of Intent.pdf | ||
| Attachment DD-1 Damage Report.pdf | ||
| Certification-regarding-lobbying~5.pdf | ||
| 65DPS-S3656 - Cost Proposal.docx | DOCX document | |
| 65DPS-S3656 - Insurance Schedule - RFP.docx | DOCX document | |
| 65DPS-S3656 - Request-for-Proposals.docx | DOCX document | |
| Attachment BB Trailer photos.pdf | ||
| Attachment DD Damage Report.pdf | ||
| Terms-and-conditions-for-services~5.pdf | ||
| 65DPS-S3656-Vendor-Information-Response.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 02/24/2026
Solicitation number 65DPS-S3656
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
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