Attachment D References 27June2022.pdf

PDF 82 KB Posted

Attached to
Label Printer
Solicitation number
S-44300-00003610
Issued by
Marion County, Oregon

About this file

The document is an Attachment D - Reference Check Form for an offeror in response to a Request for Proposal (RFP) issued by the Oregon State Hospital (OSH) for a single award of goods and services to ensure the OSH Pharmacy meets compliance requirements. The RFP seeks proposals for an entire solution including printers, medication bottle labels, leaflets, training, and miscellaneous goods and services for medication bottles in dual, multiple languages. The jurisdictions included are Marion County and the City of Salem.

The reference check form evaluates the offeror's overall quality of services, delivery of service, and responsiveness to customer service issues and special requests on a scale of 0 to 10. No other details regarding pricing, set asides, incumbents, funding, or contract term are provided in this document.

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Text version

DAS Procurement Services, Version 1.0 August 16, 2021 Page 1 of 1

ATTACHMENT D - REFERENCE CHECK FORM

Offeror 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.

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

Score: __________

Comments: ______________________________________________________________________________

2. How would you rate the Offeror’s delivery of service?

Score: __________

Comments: ______________________________________________________________________________

3. How would you rate the Offeror’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?

Score: __________

Comments: ______________________________________________________________________________

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