Attachment D - Reference Check Form.docx
DOCX document 36 KB Posted
- Solicitation number
- S-10700-00014608
- Issued by
- Clackamas County, Oregon
About this file
This document is a Reference Check Form for the State of Oregon's Request for Proposal (RFP S-10700-00014608) for Autoclave and Related Equipment Inspection, Calibration, and Repair Services. The form is designed to gather detailed feedback from references about a potential vendor's performance, with rating scales from 0-10 across multiple service dimensions including overall quality, service delivery, customer responsiveness, and emergency response time.
The reference evaluation covers critical performance metrics such as overall service quality, delivery effectiveness, customer service responsiveness, and emergency call response. References are asked to provide numerical scores and corresponding comments for each category, with the completed form to be submitted via email to Nathan Ramos at the Oregon Department of Administrative Services (DAS) Procurement Services. The form appears to be part of a comprehensive vendor evaluation process to ensure high-quality service provider selection for specialized equipment maintenance and inspection services.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment H - Key Persons Resumes and Applicable Credentials.docx | DOCX document | |
| NOI SHI 26455336.pdf | ||
| Attachment E - Price Proposal Form.xlsx | XLSX spreadsheet | |
| Attachment C - Proposer Informatoin and Certification .docx | DOCX document | |
| Attachment G - Responsibility Inquiry.docx | DOCX document | |
| S-10700-00014608.pdf | ||
| Attachment A - Sample Contract~1.docx | DOCX document | |
| Attachment B - Disclosure Exemption Affidavit~1.docx | DOCX document | |
| Attachment F - COBID_Outreach Plan.docx | DOCX document |
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Text version
RFP [###-####-##] – [RFP title]
ATTACHMENT F - REFERENCE CHECK FORM
RFP S-10700-00014608 AUTOCLAVE AND RELATED EQUIPMENT INSPECTION, CALIBRATION AND REPAIR SERVICES
ATTACHMENT D - REFERENCE CHECK FORM
| Proposer Name: | __________________________________________ |
| Reference Entity: | __________________________________________ |
| Reference Contact Name: | __________________________________________ |
| Contact Telephone Number: | __________________________________________ |
| Contact Email Address: | __________________________________________ |
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: ______________________________________________________________________________ How would you rate the Proposer’s response time to EMERGENCY or urgent calls for service?
Score: __________ Comments: ______________________________________________________________________________ Completed Reference Sheets shall be returned to the State of Oregon via email at Nathan.Ramos@DAS.Oregon.gov
| Version 1.0 - November 19, 2014 | Page 1 of 2 |
| DAS Procurement Services, Version 2.0 – December 9, 2016 | Page 1 of 2 |
File details come from the government source that posted it. Updated .