ATTACHMENT D - Reference Check Form~2.pdf
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- Attached to
- RFP for Telephonic Interpretation Services
- Solicitation number
- S-47100-00015861
- Issued by
- Marion County, Oregon
About this file
This is a Reference Check Form for RFP S-47100-00015861 for Telephonic Interpretation Services. The form is designed for organizations currently using or having used the services of proposing contractors to evaluate their performance across five key service categories. References are asked to indicate the duration of their service relationship with the proposer and complete rating assessments for Scheduling and Coordination, Invoice Accuracy, Interpreter Qualifications, Issue Resolution, and Quality Assurance. Each category uses a 10-point scale with specific descriptors: 10 for Outstanding performance exceeding expectations, 7-9 for Very Good performance better than expected, 4-6 for Adequate performance meeting expectations, 1-3 for Fair performance below expectations, and 0 for Poor performance that was unacceptable. References must rate services only without providing narrative statements, then print, sign, and return the completed form by scanning and emailing it in response to the request.
The Reference Check Form serves as a critical evaluation tool in the contractor selection process, allowing the procuring agency to assess proposer performance history through existing client feedback. No specific pricing terms, set-asides, or funding information is contained within this evaluation form. The form emphasizes objective rating of service delivery metrics rather than subjective commentary, streamlining the reference verification process and enabling consistent comparison of competing proposals based on documented customer experience with telephonic interpretation services.
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Text version
RFP S-47100-00015861– Telephonic Interpretation Services
ATTACHMENT D – REFERENCE CHECK FORM
RFP S-47100-00015861
Telephonic Interpretation Services
Offeror
Reference
How long has the proposer been providing your organization with the Services? Years:
Please download and print this form and rate each of the service categories provided by Offeror. Once you have entered your rating for each category, please print and sign the bottom of the form and scan the completed form and return a scanned copy of the form by replying to the email. It is not necessary to provide a narrative statement. Only your rating of the services provided is required.
The table below is intended only as an example of how the points may be assigned to each of the categories.
10 OUTSTANDING – Performance exceeded all expectations.
7 – 9 VERY GOOD – Performance was better than expected.
4 - 6 ADEQUATE – Performance was as expected.
1 – 3 FAIR – Performance was below expectations.
0 POOR – Performance was not acceptable.
SCHEDULING AND COORDINATION – Did the interpreter call in timely at the scheduled start time? Was the scheduling process with the contractor straightforward and effective?
INVOICE ACCURACY - Were the invoices received representative of the particular services provided? Were the invoices accurate and in alignment with the agreed upon rates?
INTERPRETER QUALIFICATIONS – Were the Interpreters provided by the contractor courteous and professional on all assignments? Did the Interpreters provided by the Proposer possess the knowledge, skills and abilities to perform the service to your satisfaction?
ISSUE RESOLUTION - Did the Proposer have an effective process for addressing customer concerns? Was the Proposer responsive when alerted to performance issues with Interpreters? Was the Proposer responsive when resolving issues with invoices or scheduling matters?
QUALITY ASSURANCE – Did the Proposer have Quality Assurance Processes in place? Did the services provided by the Proposer meet the quality standards of your organization?
Reference Signature Date
RFP S-47100-00015861
Telephonic Interpretation Services
Offeror
Reference
How long has the proposer been providing your organization with the Services? Years:
Please download and print this form and rate each of the service categories provided by Offeror. Once you have entered your rating for each category, please print and sign the bottom of the form and scan the completed form and return a scanned copy of the form by replying to the email. It is not necessary to provide a narrative statement. Only your rating of the services provided is required.
The table below is intended only as an example of how the points may be assigned to each of the categories.
10 OUTSTANDING – Performance exceeded all expectations.
7 – 9 VERY GOOD – Performance was better than expected.
4 - 6 ADEQUATE – Performance was as expected.
1 – 3 FAIR – Performance was below expectations.
0 POOR – Performance was not acceptable.
SCHEDULING AND COORDINATION – Did the interpreter call in timely at the scheduled start time? Was the scheduling process with the contractor straightforward and effective?
INVOICE ACCURACY - Were the invoices received representative of the particular services provided? Were the invoices accurate and in alignment with the agreed upon rates?
INTERPRETER QUALIFICATIONS – Were the Interpreters provided by the contractor courteous and professional on all assignments? Did the Interpreters provided by the Proposer possess the knowledge, skills and abilities to perform the service to your satisfaction?
ISSUE RESOLUTION - Did the Proposer have an effective process for addressing customer concerns? Was the Proposer responsive when alerted to performance issues with Interpreters? Was the Proposer responsive when resolving issues with invoices or scheduling matters?
QUALITY ASSURANCE – Did the Proposer have Quality Assurance Processes in place? Did the services provided by the Proposer meet the quality standards of your organization?
Reference Signature Date
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