ATTACHMENT 15- BIDDER REFERENCE FORM.pdf

ATTACHMENT 15: BIDDER REFERENCE FORM

BIDDER REFERENCE FORM

Purpose: Based on the satisfaction ratings received from the Bidder's references, the State will use the ratings to score the Bidders.

Instructions to Bidder: Complete Part A, items 1-8 of this ATTACHMENT 15: BIDDER REFERENCE FORM, attach the corresponding ATTACHMENT 14: BIDDER QUALIFICATIONS FORM and send to references to complete Part B, items 10-19. Once the ATTACHMENT 15: BIDDER REFERENCE FORM is completed, the Bidder must submit it with its proposal.

The Bidder must complete and submit a Reference Form for each corresponding project cited on

ATTACHMENT 14: BIDDER QUALIFICATIONS FORM.

Instructions to the Bidder’s Reference: Complete Part B, items 10-19 of this form using the rating scale in “Reference Satisfaction Rating” field (item 9). Rate your satisfaction with the Bidder who performed the services described in item 8, Project Description & Bidder's role on the project, and confirm that the information in Part A is consistent and corresponds with ATTACHMENT 14: BIDDER QUALIFICATIONS FORM attached. Complete the bottom of this ATTACHMENT 15: BIDDER REFERENCE FORM and return the form to the Bidder.

PART A: TO BE COMPLETED BY BIDDER

1 Bidder:

2 Project Name:

3 Name of Company for whom the Project was completed:

4 Contact Name and Information of the Bidder's Reference:

5 The Bidder was the Prime Contractor for this Project: ☐ Yes ☐ No

6 Bidder's Start and End Dates on the Project:

7 Contract Amount: $

8 Project Description & Bidder's role on the project:

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

July 10, 2026

PART B: TO BE COMPLETED BY BIDDER'S REFERENCE

Reference Satisfaction Rating:

Using the following scale to rate the Bidder's overall performance on the services provided:

0 = Unsatisfactory, 3 = Marginal, 5 = Satisfactory, 8 = Exceeds Expectations

Circle only one number for each question (10-19) below.

Reference Ratings

(Total possible rating score=80)

How would you rate the Bidder’s ability to perform maintenance and operation activities?

0 3 5 8

How would you rate the Bidder’s ability to meet project milestones and/ or timelines?

0 3 5 8

12 How would you rate the quality of the Bidder’s deliverables? 0 3 5 8

How would you rate the Bidder’s effectiveness at managing project resources?

0 3 5 8

How would you rate the Bidder’s effectiveness at providing skilled personnel timely when needed throughout the term of the contract?

0 3 5 8

How would you rate the quality of work and professionalism of the Bidder’s personnel?

0 3 5 8

How would you rate the Bidder’s effectiveness at providing quality and timely responses to customer questions, concerns, and issues?

0 3 5 8

How would you rate the effectiveness of the Bidder’s change management (e.g., scope, requirements, etc.) process?

0 3 5 8

How would you rate the Bidder’s willingness and ability to accommodate your organization’s working style and constraints?

0 3 5 8

19 How would you rate the Bidder’s overall performance? 0 3 5 8

Total Possible Points

By completing this reference form, I declare the following:

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

1. I have reviewed the information contained in Part A, items 1-8 above, and ATTACHMENT 14:

BIDDER QUALIFICATIONS FORM and the information is true and correct;

2. I am/was employed by the company for whom the project was completed; and

3. I performed a management or supervisory role on the cited project.

TO BE COMPLETED BY BIDDER'S REFERENCE

Signature: Date:

Printed Name:

Title or role on the project:

Email:

Phone:

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response