Att D Reference Check Form.pdf

This is a Reference Check Form (Attachment D) for RFP S-44300-00012659, a competitive solicitation issued by the Oregon Health Authority for a Research and Analysis Contractor to support the Health Evidence Review Commission (HERC). The form is designed to evaluate proposer qualifications through reference checks from entities that have previously engaged the contractor's services on or after September 1, 2020. The reference check form requires proposers to identify reference entities and contacts, including telephone numbers and email addresses, along with documentation of the dates contractor services were provided. The form includes a standardized set of 11 evaluation questions addressing service quality, customer service performance, business relationship satisfaction, problem resolution methods, likelihood of future engagement, satisfaction with specific service aspects, adherence to project timelines, and cost performance relative to initial proposals. The form accommodates multiple references, allowing the evaluation committee to gather comprehensive feedback on contractor performance and capability to deliver the research and analysis services required by HERC, which focuses on reviewing clinical effectiveness research and evidence to inform coverage policies for the Oregon Health Plan.

The Reference Check Form does not contain pricing information, set-aside provisions, incumbent contractor details, or funding requirements. As an evaluation tool rather than a solicitation document, this attachment serves primarily as a mechanism for verifying proposer experience and past performance through structured reference interviews. The form's requirement that references date from September 1, 2020 or later ensures that feedback reflects recent contractor performance aligned with current service delivery expectations.