Attachment L - Reference Questionnaire.pdf

PDF 154 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – Blackwater CF
Solicitation number
ITN-17259
Issued by
Santa Rosa County, Florida

About this file

This is a Reference Questionnaire form used by the Florida Department of Corrections (FDC) in connection with ITN-27-022 for the Operation and Management of Contractor-Operated Correctional Facilities, specifically the Blackwater River Correctional Facility. The form is designed to be completed by the Department through contact with vendor references listed on Form 4, Business Experience. The questionnaire collects information from reference organizations regarding the vendor's prior performance and service delivery capabilities.

The Reference Questionnaire contains twelve evaluation criteria scored by the Department through direct contact with the vendor's references. The scoring categories assess contract implementation quality (Excellent=8, Good=6, Acceptable=4, Fair=2, Poor=0), performance deadline adherence (Yes=4, No=0), timely and accurate reporting and invoicing (Yes=4, No=0), absence of sanctions or financial consequences (Yes=4, No=0), key staff quality and capability (Excellent=8, Good=6, Acceptable=4, Fair=2, Poor=0), absence of key staff dismissal requests (Yes=4, No=0), project manager effectiveness (Yes=4, No=0), customer service quality (Excellent=8, Good=6, Acceptable=4, Fair=2, Poor=0), staff knowledge of contract requirements (Yes=4, No=0), cooperative working relationship (Yes=4, No=0), and likelihood of future contract award (Yes=8, No=0). Reference responses are verified and documented with printed name, title, signature, and date on the form, with a total score calculated from all responses.

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Text version

ATTACHMENT L

REFERENCE QUESTIONNAIRE

FDC-ITN-27-022

Operation and Management of Contractor-Operated Correctional Facilities

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

Signature Date

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