Attachment D - Reference Check Form~2.docx
DOCX document 38 KB Posted
- Solicitation number
- S-10700-00015096
- Issued by
- Clackamas County, Oregon
About this file
This document is a Reference Check Form for a Request for Proposal (RFP S-10700-00015096) issued by the State of Oregon for Autoclave and Related Equipment Inspection, Calibration, and Repair Services. The form is designed to collect feedback from references about a proposer's performance, with rating scales from 0-10 covering areas such as overall service quality, service delivery, customer responsiveness, and emergency response times. The reference is asked to provide a score and comments for each evaluation category.
The form is structured to help the State of Oregon procurement team assess a vendor's past performance through third-party validation. References are requested to complete the form and return it via email to Nathan.Ramos@DAS.Oregon.gov, with the goal of gathering objective insights into the proposer's capabilities and service standards. The document suggests a thorough evaluation process that goes beyond basic vendor qualifications by soliciting detailed feedback from previous clients or project partners.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment G - Responsibility Inquiry~2.docx | DOCX document | |
| Attachment B - Disclosure Exemption Affidavit~3.docx | DOCX document | |
| Attachment H - Key Persons Resumes and Applicable Credentials~2.docx | DOCX document | |
| Attachment F - COBID_Outreach Plan~1.docx | DOCX document | |
| Attachment A - Sample Contract~3.docx | DOCX document | |
| RFP - S-10700-00015096.pdf | ||
| Attachment E - Price Proposal Form~1.xlsx | XLSX spreadsheet | |
| Attachment C - Proposer Informatoin and Certification ~1.docx | DOCX document | |
| ITB 2025-72 Clarifying Questions 1.pdf | ||
| Attachment I - Example Autoclave PM checklist.pdf |
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Text version
RFP [###-####-##] – [RFP title]
ATTACHMENT F - REFERENCE CHECK FORM
RFP S-10700-00015096 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 .