Attachment E - Reference Questionnaire_FINAL.docx
DOCX document 66 KB Posted
- Attached to
- Laboratory Information Management System RFP
- Solicitation number
- 24-448DOIT-APP44-B-38919
- Issued by
- St. Clair County, Illinois
About this file
This is a Reference Questionnaire form (Attachment E) for a Laboratory Information Management System RFP (24-448DOIT-APP44-B-38919) issued by the State of Illinois Department of Innovation and Technology and Department of Public Health. The document outlines a questionnaire that must be completed by the Offeror's clients as part of the proposal evaluation process. The completed questionnaire must be submitted to Lori.Andrews@illinois.gov.
The questionnaire consists of eight questions focusing on the vendor's performance history, including length of contractual relationship, types of services provided (system maintenance, infrastructure hosting, solution development), vendor responsiveness, ability to meet deadlines, quality of deliverables, problem-solving capabilities, and industry understanding. The form requires client information, including organization name, address, contact details, and a brief description of services provided by the Offeror, along with an authorized signature and date.
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Text version
STATE OF ILLINOIS
Department of Innovation and Technology Department of Public Health Request for Proposal Laboratory Information Management System RFP
24-448DOIT-APP44-B-38919
Attachment E – Reference Questionnaire
OFFEROR’S NAME:
DUE DATE & TIME: Click here to enter date. at Click here to enter time.Central Standard Time The Offeror specified above intends to submit a proposal to the State of Illinois in response to the referenced RFP. The Offeror is solely responsible for ensuring receipt of this form by the State as described below.
As a part of this proposal, the Offeror’s clients must ensure a number of completed reference questionnaires are provided (using this form). Each individual responding to this reference questionnaire is asked to follow these instructions:
· Complete this questionnaire (either using the form provided or an exact duplicate of this document);
· Sign and date the completed questionnaire (electronic signature is acceptable);
· Email the completed, signed, and dated questionnaire to Lori.Andrews@illinois.gov.
· Your response shall be used as part of the Evaluation Process of Offeror’s Proposal.
Please provide the following information about the individual completing this reference questionnaire on behalf of the above-named Offeror.
Client Information
Organization Name (Client): Click or tap here to enter text.
Organization Address: Click or tap here to enter text.
Person Providing the Reference: Click or tap here to enter text.
Title: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.
Email Address: Click or tap here to enter text.
Brief Description of Services the Offeror is/has provided: Click or tap here to enter text.
| Signature |
| Print Name Click or tap here to enter text. |
| Date Click or tap here to enter text. |
Questions
1. How long have you been contracting with this Vendor?
| 1-2 years |
| ☐ |
| 3-5 years |
| ☐ |
| 5-10 years |
| ☐ |
| 10-15 years |
| ☐ |
| 15+ years |
| ☐ |
2. Please check line for each type of service provided to your organization for this project. Please explain other roles and provide additional details for checked items in the box below.
| System maintenance and operations (i.e., batch and interface maintenance, minor defect development, and configuration changes, etc.) |
| ☐ |
| Infrastructure hosting (i.e., SaaS, PaaS) |
| ☐ |
| Solution Development (i.e., major defect development, component replacement) |
| ☐ |
| Other: |
| ☐ |
| Click or tap here to enter text. |
3. Would you hire this Vendor again for similar projects?
Yes ☐ No ☐ Please explain.
Click or tap here to enter text.
4. Did the Vendor provide open, timely communications and remain responsive and flexible to your needs?
Yes ☐ No ☐ Please explain.
Click or tap here to enter text.
5. Overall, what was the Vendor’s ability to meet due dates? If due dates were not met, what actions were taken by the Vendor to remediate the issue?
Click or tap here to enter text.
6. What was the overall quality of the Vendor’s deliverables?
Click or tap here to enter text.
7. Which of the following statements regarding the Vendor’s problem-solving abilities is most true considering all aspects of the project? Please provide additional details in the box below.
There were no issues caused by any weakness in the Vendor’s problem-solving abilities.
| ☐ |
| Vendor’s weak problem-solving abilities caused some problems that were minor in nature and were remediated in a timely fashion. |
| ☐ |
| Vendor’s lack of problem-solving abilities was significant, but the Vendor was willing to adequately remediate the problems. |
| ☐ |
| Vendor’s lack of problem-solving abilities was significant, and the Vendor was unable or unwilling to adequately remediate the problems. |
| ☐ |
Click or tap here to enter text.
8. Did the Vendor display a keen understanding of the industry within the assigned market area for your project?
Yes ☐ No ☐ Please explain.
Click or tap here to enter text.
| 1 |
| 1 |
File details come from the government source that posted it. Updated .