72DOW-S3941-reference-questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Licensing System
- Solicitation number
- 72DOW-S3941
- 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 solicitation number 72DOW-S3941. The questionnaire is designed to collect client references and performance evaluations for vendors or subcontractors bidding on state contracts. The form requests that completed questionnaires be submitted to Jennifer Thomas at jennthomas@admin.nv.gov with the solicitation number in the subject line by the due date of September 11, 2026. Clients providing references are instructed to answer all questions and to use a 1-10 rating scale for performance evaluation items, with ratings defined as follows: 0 for poor or inadequate performance, 1-3 for below average, 4-6 for average, 7-9 for above average, and 10 for exceptional performance.
The questionnaire evaluates vendors across twelve rated criteria, including knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and products, staff interaction and dynamics, schedule adherence and timeliness of deliverables, customer service and issue resolution, billing accuracy and timeliness, business requirements flexibility, and local office responsiveness where applicable. Additionally, unrated evaluation items request information about the capacity in which the client has worked with the vendor, the most satisfying aspects of the vendor's services, and the likelihood of recommending the vendor for future engagements. Completed reference questionnaires are designated as confidential business information and are not public information per Nevada Revised Statutes. The State reserves the right to contact references directly for further clarification on responses provided.
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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 9/11/2026
Solicitation number 72DOW-S3941
Single point of contact name Jennifer Thomas
Single point of contact email jennthomas@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 .