Att D - Reference Check Form~1.docx
DOCX document 50 KB Posted
- Solicitation number
- S-44300-00017853
- Issued by
- Oregon
About this file
This is a Reference Check Form attachment to RFP S-44300-00017853/6289 issued by the Oregon Health Authority (OHA) for a Health Care Interpreter Program Technical Assistance Consultant position. The form is designed to be completed by three professional references provided by the proposer and must be submitted with the proposal. The reference check form requests information about the nature of services provided by the proposer, including assessments of customer service quality, overall satisfaction with the business relationship, problem resolution methods, likelihood of future engagement, and specific aspects of service performance that the reference found most and least satisfactory.
The form also includes evaluation criteria related to project management and financial performance, specifically requesting references to assess how well the proposer adhered to proposed timelines and how actual project costs compared to initial budget estimates. All three completed reference check forms must be returned by the proposer and included as part of the proposal submission to fulfill this RFP requirement.
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Other files
| File | Type | Posted |
|---|---|---|
| Att C - Proposer Information Cert~1.docx | DOCX document | |
| RFP 6289_OHA HCI Consultant_final~4.pdf | ||
| Att A - Sample Contract.pdf | ||
| Att E - Responsibility Inquiry.doc | DOC document | |
| Att F - COBID Outreach Plan.docx | DOCX document | |
| Att B - Disclosure Exemptions~1.docx | DOCX document |
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Text version
RFP S-44300-00017853/6289
HEALTH CARE INTERPRETER PROGRAM TECHNICAL ASSISTANCE CONSULTANT
RFP S-44300-00017853/6289
HEALTH CARE INTERPRETER PROGRAM TECHNICAL ASSISTANCE CONSULTANT
ATTACHMENT D
ATTACHMENT D - REFERENCE CHECK FORM
(Proposer: Send this form to three professional references for them to complete and return to you. Once you receive the completed forms back, submit them with your Proposal.)
| Proposer Name: | __________________________________________ |
| Reference Business Name: | __________________________________________ |
| Reference Contact Name: | __________________________________________ |
| Reference Contact Phone #: | __________________________________________ |
| Reference Contact Email Address: | __________________________________________ |
Please respond to the following questions:
1. For what type of services did you engage Proposer?
Describe the services listed in response to question 1.
Describe Proposer’s customer service.
Describe your satisfaction with the business relationship with Proposer.
Describe Proposer’s methods for problem resolution.
How likely would you be to use Proposer’s services again?
With which aspect(s) of Proposer’s services are you the most satisfied?
With which aspect(s) of Proposer’s services are you the least satisfied?
How well did Proposer stay within the proposed timeline?
How did the final project cost compare to the initial proposed cost?
Version 1.0 - November 19, 2014 Page 1 of 2Level 3 - Restricted
Level 3 - Restricted
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