ATTACHMENT 16.2- Maintenance and Operations Manager - REFERENCE FORM.pdf

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Attached to
Homeless Data Integration System - Maintenance and Operations (HDIS - M&O)
Solicitation number
0000039767
Issued by
California

About this file

This is a Key Staff Reference Form for a Maintenance and Operations Manager position issued by the State of California's Interagency Council on Homelessness (ICH) in response to RFP 27-ICH-001. The form serves as a structured evaluation tool to assess proposed key staff members based on references' satisfaction ratings regarding their performance on relevant projects. Bidders must complete Part A of the form with staff and project information, attach the corresponding Key Staff Qualifications Form, and distribute the form to references who will complete Part B. References rate the key staff member's performance using a standardized scale ranging from 0 (Unsatisfactory) to 8 (Exceeds Expectations), with a total possible score of 54 points. The bidder must submit completed reference forms for each project cited on the Key Staff Qualifications Form as part of the proposal submission.

Part B of the reference form requires references to rate the key staff member across seven competency areas, including overall performance, effectiveness in managing enterprise data warehouse environments, cloud-based application operations, cross-functional team coordination, production data environment management, Agile and SCRUM methodology application, and role-specific effectiveness on the cited project. References must be individuals who performed management or supervisory roles on the cited project and were employed by the company for which the project was completed. The form includes a declaration section requiring the reference to confirm the accuracy of information provided in Part A and their eligibility as a qualified reference based on their management or supervisory involvement in the project.

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ATTACHMENT 16.2: Maintenance and Operations Manager -

REFERENCE FORM

STAFF - REFERENCE FORM

Purpose: Based on the satisfaction ratings received from the proposed Key Staff's references, the State will use the ratings to score the Key Staff.

Instructions to Bidder: Complete Part A, items 1-8 of this Key Staff Reference Form, attach the corresponding Key Staff Qualifications Form and send to references to complete Part B, items 10-16.

Once the Key Staff Reference Form is completed, the Bidder must submit it with its proposal.

The Bidder must complete and submit a Key Staff Reference Form for each of the projects cited on the corresponding Key Staff Qualification Form.

Instructions to the Key Staff’s Reference: Complete Part B, items 10-16 of this form using the rating scale in “Reference Satisfaction Rating” field (item 9). Rate your satisfaction with the Key Staff who performed the services described in item 8, Project Description & Key Staff's role on the project, and confirm that the information in Part A is consistent and corresponds with the corresponding Key Staff Qualification Form attached. Complete the bottom of this Attachment and return the form to the Bidder.

PART A: TO BE COMPLETED BY BIDDER

1 Bidder:

2 Key Staff Name:

3 Project Name:

Name of Company for whom the Project was completed:

Contact Name and Information of the Key Staff's Reference:

Key Staff's Start and End Dates on the Project:

7 Contract Amount: $ $

Project Description & Key Staff'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 KEY STAFF'S REFERENCE

Reference Satisfaction Rating:

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

0 = Unsatisfactory, 3 = Marginal, 5 = Satisfactory, 8 = Exceeds Expectations, NA = Not Applicable (Enter “Not Applicable” if the question does not apply to your experience and was not selected in the staff qualification form)

Circle only one number for each question (10-16) below.

Reference Ratings

Total Possible Rating Score = 54.

10 How would you rate the individual’s overall performance? 0 3 5 8

How would you rate the individual’s effectiveness in managing the maintenance and operational support of an enterprise data warehouse environment?

0 3 5 8 NA

12 How would you rate the individual’s effectiveness in managing operations for cloud-based applications?

0 3 5 8 NA

How would you rate the individual’s effectiveness in coordinating across cross-functional teams—including program, technical, and vendor partners—to support business needs and data warehouse requirements?

0 3 5 8 NA

How would you rate the individual’s effectiveness when working in a production data environment, including incident response, change control processes, and SLA tracking?

0 3 5 8 NA

How would you rate the individual’s effectiveness in managing and delivering projects using Agile methodology and the SCRUM framework?

0 3 5 8 NA

16 How would you rate the individual’s effectiveness in the role they were in for the cited project?

0 3 5 8

By completing this reference form, I declare the following:

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 the corresponding Key Staff 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 PROPOSED KEY STAFF'S REFERENCE

Signature:

Printed Name:

Date:

Title or role on the project:

Email:

Phone:

California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

ATTACHMENT 16.2: Maintenance and Operations Manager - REFERENCE FORM
STAFF - REFERENCE FORM

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