ATTACHMENT DD - 65DPS-S4060-Reference-Questionnaire.pdf
DoD Form PDF 176 KB Posted
- Attached to
- Commercial Portable Scale Calibration/Repair
- Solicitation number
- 65DPS-S4060
- Issued by
- Clark County, Fish Springs CDP, Nevada
About this file
This document is a Reference Questionnaire form issued by the Nevada State Purchasing Division, Department of Administration, for use in the solicitation 65DPS-S4060 regarding Commercial Portable Scale Calibration/Repair services for the Nevada Department of Public Safety, Nevada State Police. The questionnaire is designed to collect client feedback on proposing vendors or subcontractors for projects of similar size and scope. Completed reference questionnaires must be submitted to the single point of contact, Kasen Cornmesser at k.cornmesser@dps.state.nv.us, with the solicitation number in the subject line by the due date of November 30, 2026, at 9:00 AM. The form requests references from current and/or former clients to evaluate vendor performance on semi-portable and portable scale repair and calibration services to support the Nevada State Police-Highway Patrol operations in Las Vegas, Nevada.
The questionnaire employs a 1-10 rating scale for evaluation items, with ratings categorized as: poor or inadequate performance (0), below average performance (1-3), average performance (4-6), above average performance (7-9), and exceptional performance (10). Respondents are instructed to answer all questions or indicate "U/K" if unknown or "N/A" if not applicable. The evaluation criteria encompass vendor knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and products, staff interaction dynamics, schedule adherence, customer service responsiveness, billing accuracy, problem resolution capabilities, business requirement flexibility, and likelihood of future recommendation. Completed reference questionnaires are designated as confidential business information under Nevada Revised Statutes and are not subject to public disclosure. The State reserves the right to contact references for further clarification regarding vendor performance.
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Who attaches DD Form 65
| State | Files |
|---|---|
| Nevada | 1 |
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Text version
Nevada State Purchasing Division Department of Administration 515 E Musser St Ste 300 Carson City, NV 89701 purchasing.nv.gov nevadaepro.com
Revised 2024-10 Page 1 of 2
Reference questionnaire
Due Date
Solicitation number
Single point of contact name
Single point of contact email
Proposing vendor or subcontractor
Client providing the reference
Client contact name and title
Client telephone and email
Period of performance
1. CLIENT REFERENCE INSTRUCTIONS
1.1. As part of a formal solicitation the State of Nevada has requested vendors provide references from current and/or former clients for projects of similar size and scope. This reference questionnaire is to provide a client reference for the proposing vendor or subcontractor above. Once you have completed the reference questionnaire, please submit to the single point of contact via email, with the solicitation number in the subject line, no later than the due date above.
1.2. The State requests all questions be answered. If an answer is not known, please answer as ‘U/K’. If the question is not applicable, please answer as ‘N/A’. If additional space is needed to answer a question or provide a comment, please attach additional pages. If attaching additional pages, please place your company/organization name on each page and reference the appropriate RFP number.
1.3. Do not return the completed reference questionnaire to the proposing vendor. To allow for candid responses, completed reference questionnaires are designated as confidential business information by the Administrator pursuant to NRS 333.020(5(b) and not public information pursuant to NRS 333.333. In addition to the reference questionnaire, the State may contact references for further clarification.
1.1. Where a rating is requested, please provide a rating between 1-10. For all items, please provide any comments you feel would be helpful to the State in evaluation below each item. Poor or inadequate performance: 0; Below average performance: 1-3; Average performance: 4-6; Above average performance: 7-9; Exceptional performance: 10.
2. EVALUATION ITEMS
2.1. In what capacity have you worked with this vendor in the past? (no rating) https://purchasing.nv.gov/ https://nevadaepro.com/ https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec020 https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec020 https://www.leg.state.nv.us/nrs/nrs-333.html#NRS333Sec333
Page 2 of 2 Reference questionnaire
2.2. Vendor’s knowledge and expertise, rating:
2.3. Vendor’s flexibility relative to changes in scope and timelines, rating:
2.4. Your satisfaction with delivered materials, rating:
2.5. Dynamics and interaction between the vendor and your staff, rating:
2.6. Your satisfaction with products developed by the vendor, rating:
2.7. Was the schedule met and deliverables timely? Rating:
2.8. Overall customer service and timeliness in response and issue resolution, rating:
2.9. Accuracy and timeliness of billing, rating:
2.10. Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:
2.11. Vendor’s flexibility in meeting business requirements, rating:
2.12. Response time and customer service of local office, if applicable, rating:
2.13. Likelihood of recommending this vendor to others in the future, rating:
2.14. Which aspects of this vendor’s services are you most satisfied with? (no rating)
2.15. Would you recommend this vendor to your organization again? (no rating)
| 1. Client reference instructions |
| 1.1. As part of a formal solicitation the State of Nevada has requested vendors provide references from current and/or former clients for projects of similar size and scope. This reference questionnaire is to provide a client reference for the proposi... |
| 1.2. The State requests all questions be answered. If an answer is not known, please answer as ‘U/K’. If the question is not applicable, please answer as ‘N/A’. If additional space is needed to answer a question or provide a comment, please attach add... |
| 1.3. Do not return the completed reference questionnaire to the proposing vendor. To allow for candid responses, completed reference questionnaires are designated as confidential business information by the Administrator pursuant to NRS 333.020(5(b) a... |
| 1.1. Where a rating is requested, please provide a rating between 1-10. For all items, please provide any comments you feel would be helpful to the State in evaluation below each item. Poor or inadequate performance: 0; Below average performance: 1-3;... |
| 2. Evaluation items |
| 2.1. In what capacity have you worked with this vendor in the past? (no rating) |
| 2.2. Vendor’s knowledge and expertise, rating: |
| 2.3. Vendor’s flexibility relative to changes in scope and timelines, rating: |
| 2.4. Your satisfaction with delivered materials, rating: |
| 2.5. Dynamics and interaction between the vendor and your staff, rating: |
| 2.6. Your satisfaction with products developed by the vendor, rating: |
| 2.7. Was the schedule met and deliverables timely? Rating: |
| 2.8. Overall customer service and timeliness in response and issue resolution, rating: |
| 2.9. Accuracy and timeliness of billing, rating: |
| 2.10. Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating: |
| 2.11. Vendor’s flexibility in meeting business requirements, rating: |
| 2.12. Response time and customer service of local office, if applicable, rating: |
| 2.13. Likelihood of recommending this vendor to others in the future, rating: |
| 2.14. Which aspects of this vendor’s services are you most satisfied with? (no rating) |
| 2.15. Would you recommend this vendor to your organization again? (no rating) |
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| Solicitation-number: 65DPS-S4060 |
| POC-name: Kasen Cornmesser |
| POC-email: k.cornmesser@dps.state.nv.us |
| Proposing-vendor-or-subcontractor: |
| Client-providing-the-reference: |
| Client-contact-name-and-title: |
| Client-telephone-and-email: |
| Period-of-performance: |
| Due-date: November 30, 2026 at 0900 |
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