ATTACHMENT 16.4- Scrum Master - REFERENCE FORM.pdf

ATTACHMENT 16.4: Scrum Master - 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 10-13.

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 10-13 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 Department of Cannabis Control

RFP 2026-001

Bidder Response

June 19, 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

Circle only one number for each question (10-13) below.

Reference Ratings

(Total possible rating score = 32)

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

How would you rate the individual’s effectiveness at communicating (orally and in writing) with project members and stakeholders?

0 3 5 8

How would you rate the individual’s effectiveness in dealing with conflicting priorities?

0 3 5 8

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:

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, supervisory, or Product Owner 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:

State of California Department of Cannabis Control

RFP 2026-001

Bidder Response

TO BE COMPLETED BY PROPOSED KEY STAFF'S REFERENCE

Phone:

State of California Department of Cannabis Control

RFP 2026-001

Bidder Response

ATTACHMENT 16.4: Scrum Master - REFERENCE FORM