Attachment D Reference Check.docx

DOCX document 35 KB Posted

Attached to
RFP - PRESCRIPTION DRUG MONITORING DATABASE FOR CONTROLLED SUBSTANCES TRACKING
Solicitation number
S-44300-00017529
Issued by
Oregon

About this file

This is a Reference Check Form attachment for the State of Oregon, Oregon Health Authority (OHA), related to RFP 6070 for a Prescription Drug Monitoring Program (PDMP) software system. The form serves as an evaluation tool for assessing proposer qualifications and past performance. Proposers are required to provide references from entities for which they have previously delivered services, including the reference entity name, contact person, telephone number, and email address. The reference check mechanism allows the State to directly verify proposer capabilities and performance history through structured inquiry.

The Reference Check Form requires references to respond to ten specific evaluation criteria regarding the proposer's performance, including the nature of services provided, quality of customer service, overall satisfaction with the business relationship, problem resolution methods, likelihood of repeat engagement, areas of greatest and least satisfaction, adherence to project timelines, and cost management relative to initial proposals. This form was originally developed in November 2014 and updated by DAS Procurement Services in December 2016, establishing a standardized evaluation process for assessing vendor qualifications in support of the State's procurement decision-making for the PDMP SaaS solution acquisition.

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Other files

File Type Posted
Attachment B Disclosure Affadavit.docx DOCX document
Attachment I Scope of Work.pdf PDF
Attachment G Rsponsibility Inquiry.docx DOCX document
Attachment K Service Req and Proposal Crosswalk.xlsx XLSX spreadsheet
Attachment C Propoer Information.docx DOCX document
Attachment E cost sheet.docx DOCX document
Attachment A Sample Contract~5.pdf PDF
AttachmentM OStandards Spreadsheet.xlsx XLSX spreadsheet
6070 - S-44300-00017529 PDMP RFP.pdf PDF
Attachment L System Requirements.xlsx XLSX spreadsheet
Attachment F DISADVANTAGED BUSINESS FORM.docx DOCX document
Attachment H Enhancements and Hourly Rates.xlsx XLSX spreadsheet
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Text version

RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

RFP 6070 – Prescription Drug Monitoring Program (PDMP) Att D

ATTACHMENT D - REFERENCE CHECK FORM

Proposer Name:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
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, 2014Page 1 of 2
DAS Procurement Services, Version 2.0 – December 9, 2016Page 1 of 2

File details come from the government source that posted it. Updated .