Attachment L - Reference Questionnaire.docx

DOCX document 27 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – South Bay CF
Solicitation number
ITN-17169
Issued by
Palm Beach County, Florida

About this file

This is a Reference Questionnaire form used by the Florida Department of Corrections to evaluate vendor performance for the Operation and Management of Contractor-Operated Correctional Facilities solicitation (FDC-ITN-27-023). The questionnaire is completed by the Department based on information vendors provide on Form 4, Business Experience, and is administered to references identified by prospective contractors. The form collects feedback from reference contacts regarding vendor performance on previous contracts through a structured scoring system.

The questionnaire consists of twelve evaluation questions that assess vendor performance across multiple dimensions, including quality of services rendered, contract implementation, adherence to deadlines, accuracy of reporting and invoicing, imposition of sanctions or penalties, key staff competency and cooperation, project management effectiveness, customer service quality, staff knowledge of contract requirements, cooperative working relationships, and willingness to engage the vendor for future contracts. Each question is assigned a specific point value, ranging from zero to eight points, with total possible scores aggregated across all responses. Reference verification is documented through printed signatures and titles of the individuals providing feedback, along with the date of verification.

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Other files

File Type Posted
FORM 2 - Notice of Conflict of Interest.pdf PDF
FORM 3 - Statement of No involvement.pdf PDF
Attachment H - Current Facility Program Plan - South Bay.pdf PDF
FORM 1 - Contact Information.pdf PDF
FORM 7 - Pass Fail Requirement Certification and Non-Collusion Certification.pdf PDF
FORM 5 - Subcontracting.pdf PDF
Attachment B - South Bay Fixtures, Furnishings & Equipment Inventory.pdf PDF
FORM 8 - PUR1355 Foreign Country of Concern Attestation.docx DOCX document
FORM 9 - PUR 7801 Vendor Certification Form.docx DOCX document
FORM 10 - PUR 2023 and PUR 2024 Combined.pdf PDF
Attachment G - Florida Department of Corrections Alphabetical State Drug Formulary August 2026.pdf PDF
Attachment E - South Bay Operating Per Diem.pdf PDF
Attachment J - Confidentiality and Non-Disclosure Agreement.pdf PDF
ITN-27-023 Contractor Operated CF SBay Final.pdf PDF
FORM 12 - REPLY BOND FORM.docx DOCX document
Exhibit K - Quarterly Performance Measures and Deliverables - South Bay.pdf PDF
Exhibit M - 27-28 IWTF Request Template.pdf PDF
FORM 6 - Mandatory Responsiveness Requiements.pdf PDF
Attachment F - Florida Department of Corrections Menu 2025-2026.pdf PDF
FORM 4 - Business Experience.pdf PDF
Attachment C - South Bay Price Sheet.xlsx XLSX spreadsheet
Exhibit J - Transition Schedule Requirements - South Bay.pdf PDF
FORM 11 - DRUG FREE WORKPLACE.pdf PDF
Attachment M - Business Associate Agreement for HIPPA.docx DOCX document
Exhibit I - Transition Plan Requirements - South Bay.pdf PDF
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Text version

ATTACHMENT L

REFERENCE QUESTIONNAIRE

This form will be completed by the Department utilizing the information provided on Form 4, Business Experience.

Vendor’s Name: ___________________________________________________________________

Reference’s Name:

Primary Contact Person:
Alternate Contact Person:
Primary Phone Number:
Alternate Phone Number:
The following questions will be asked of each reference.
Score
1. Briefly describe the services the Vendor performed for your organization:
N/A

2. How would you rate the contract implementation with this Vendor? Excellent = 8, Good = 6, Acceptable = 4, Fair = 2, Poor = 0

3. Did the Vendor consistently meet all of its performance/milestone deadlines? Yes = 4, No = 0

4. Did the Vendor submit reports and invoices that were timely and accurate? Yes = 4, No = 0

5. Did you impose sanctions, penalties, liquidated damages, or financial consequences on the Vendor during the last 12 months? Yes = 0, No = 4

6. How would you rate the Vendor’s key staff and their ability to work with your organization? Excellent = 8, Good = 6, Acceptable = 4, Fair = 2, Poor = 0

7. Did you ever request dismissal of any key staff? Yes = 0, No = 4

8. Did the Vendor’s project/Contract Manager effectively manage the contract? Yes = 4, No = 0

9. How would you rate the Vendor’s customer service? Excellent = 8, Good = 6, Acceptable = 4, Fair = 2, Poor = 0

10. Was the Vendor’s staff knowledgeable about the contract requirements and scope of services? Yes = 4, No = 0

11. Did the Vendor work cooperatively with the organization during the course of the contract? Yes = 4, No = 0

12. Would you contract with this Vendor again? Yes = 8, No = 0

Total Score:

Reference Verified by:

_____________________________________________________________________
Name (printed)Title
_____________________________________________________________________
SignatureDate

FDC-ITN-27-023

Operation and Management of Contractor-Operated Correctional Facilities

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