Attachment D - Reference Check Form.docx

DOCX document 35 KB Posted

Attached to
Acquisition of Water Meter Tapes
Solicitation number
S-69000-00006816
Issued by
Marion County, Oregon

About this file

This document is an Attachment D - Reference Check Form related to an RFP for the Acquisition of Water Meter Tapes issued by the State of Oregon. The RFP is seeking to enter into a Price Agreement for gauging and water measurement devices with suppliers to serve Marion County and the City of Salem. The reference check form requests the reference to rate the proposer's overall quality of services, delivery of service, and responsiveness to customer service issues on a 0-10 scale, as well as provide comments to support the ratings. The reference is also asked to describe the type of services provided, the proposer's customer service, satisfaction with the business relationship, methods for problem resolution, likelihood of using the proposer's services again, aspects of the proposer's services with which the reference is most and least satisfied, how well the proposer stayed within the proposed timeline, and how the final project cost compared to the initial proposed cost.

The contract opportunity is for the Acquisition of Water Meter Tapes, with the State of Oregon's Office of Water Resources Development (OWRD) as the lead agency. The contract will serve Marion County and the City of Salem in Oregon.

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Text version

RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

RFP S-69000-00006816 – Acquisition of Water Meter Tapes Att D

ATTACHMENT D - REFERENCE CHECK FORM

Proposer Name:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________

[Select one option, delete the other, and edit to fit] [OPTION 1 – Reference assigns a score] Please rate the following questions on a scale of 0-10:

0 = Not satisfied 5 = Moderately satisfied 10 = Extremely satisfied.

How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?

Score: __________ Comments: ______________________________________________________________________________ How would you rate the Proposer’s delivery of service?

Score: __________ Comments: ______________________________________________________________________________ How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?

Score: __________ Comments: ______________________________________________________________________________ [OPTION 2 – Reference answers questions. Evaluators assign score] 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 .