90DETR-S3794-reference-questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- BEN Case Management System
- Solicitation number
- 90DETR-S3794
- Issued by
- Churchill County, Nevada
About this file
This is a reference questionnaire form issued by the Nevada State Purchasing Division, Department of Administration, located in Carson City, Nevada. The document serves as a standardized tool for evaluating vendor performance during formal solicitation processes. The questionnaire is completed by client references of proposing vendors or subcontractors and must be submitted directly to the State's single point of contact via email by the specified due date, with the solicitation number referenced in the subject line. The form requests that all questions be answered, with responses of "U/K" for unknown answers and "N/A" for non-applicable items. Completed questionnaires are designated as confidential business information and are not subject to public disclosure under Nevada Revised Statutes 333.020(5)(b) and 333.333.
The evaluation section of the questionnaire contains thirteen rated criteria and two narrative items designed to assess vendor performance across multiple dimensions. Rated criteria include vendor knowledge and expertise, flexibility relative to scope and timeline changes, satisfaction with delivered materials and developed products, staff dynamics, schedule adherence and timeliness of deliverables, customer service and issue resolution capabilities, billing accuracy and timeliness, business requirement flexibility, and local office responsiveness where applicable. Vendors are evaluated on a scale of 0-10, with ratings categorized as poor or inadequate (0), below average (1-3), average (4-6), above average (7-9), or exceptional (10). The questionnaire also includes open-ended questions regarding the vendor's most satisfactory service aspects and likelihood of future recommendation, allowing references to provide qualitative feedback to supplement numerical ratings.
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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
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.
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
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