ATTACHMENT B - Customer Reference Questionnaire - B-35797~1.docx

STATE OF ILLINOIS

Attachment B – Customer Reference Questionnaire

Illinois Department of Juvenile Justice Trauma Informed Intervention BidBuy Reference # Bid 35797

OFFEROR’S NAME:

OFFEROR’S ADDRESS:

The Offeror specified above intends to submit a proposal to the Illinois Department of Juvenile Justice in response to the above referenced RFP. A scored component of this proposal is an evaluation of the Offeror’s proposed solution and services by current and/or past customers. As a customer representative whom was present and involved during the time when Offeror provided a solution and performed services, you have been asked to complete a Customer Reference Questionnaire using this form.

Please note: Customer Reference Questionnaires (CRQ) must be submitted in accordance with these instructions. Any CRQ received after the time and date Offeror proposal submission are due will not be accepted and the Offeror’s proposal will be awarded zero points for that reference.

To obtain and coordinate the submission of completed Customer Reference Questionnaires, Offerors are required to follow this process:

1) Send a copy of this Attachment B – Customer Reference Questionnaire to each customer chosen to provide a reference.

2) Instruct the customer representative who will provide a reference for the Offeror to:

a) Complete the Customer Reference Questionnaire,

b) Sign and date the completed Questionnaire, and

c) Scan and email the completed Customer Reference Questionnaire to:

Contact Email:

Stephen.Klokkenga@illinois.gov Project Title: Trauma Informed Intervention Reference: B-35797

Due Date: June 2nd, 2023, by 12:00 PM.

Completion of the Customer Reference Questionnaire must comply with the instructions in Section A.21. and this Attachment B of the RFP. The Offeror should also note the following:

1) The Agencies will not accept Customer Reference Questionnaires submitted by any means other than that which is described above;

2) Each Questionnaire submitted must be completed as required;

3) The Agencies will not review more than the four (4) Customer Reference Questionnaires requested; and

4) References may be contacted by the Agencies to verify customer responses, and/or to verify Offeror’s ability to provide a solution or perform services.

– END OF INSTRUCTIONS –

Customer Reference Questionnaire Please provide the following information about the customer representative completing this Customer Reference Questionnaire as applicable during the time Offeror provided a solution and performed services for Customer.

Customer Information

Company/Organization Name:

Organization Address:

Name of Representative Providing the Reference:

Title of Representative:

Phone Number of Representative:

Email Address of Representative:

Customer Reference Representative Signature, Printed Name, and Date:

Signature Printed Name Date

Please respond to the following questions specifically related to the Offeror and the resources they provide.

(1) How well did the resources supplied by the Offeror, deliver on the projects/tasks they were assigned? Did they have the skills requested? If no, please explain.

(2) Did the Offeror’s resources demonstrate a high degree of professionalism and strong capabilities direction from the management team/project manager?

(3) Were the Offeror’s resources able to work in a complex environment and take multiple perspectives into account?

(4) How responsive was the Offeror to your needs?

(5) Would you work with this Offeror again? If no, please explain.

SUBTOTAL - Questions/Response of the Reference Rating

Customer Reference - STOP HERE -

Points

Agencies Evaluator Score Based on above response from Reference Maximum of 25 points for excellent, and 0 points for no response

SUBTOTAL – Agencies Evaluator Score :

GRAND TOTAL (Maximum Total of 50 Points):