BRDCOM-S3811-reference-questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Government Affairs
- Solicitation number
- BRDCOM-S3811
- Issued by
- Nevada
About this file
This is a reference questionnaire document issued by the Nevada State Purchasing Division, Department of Administration, on behalf of the Nevada Physical Therapy Board for solicitation number BRDCOM-S3811 seeking government relations services. The questionnaire serves as an evaluation tool for vendors to provide client references from current and former clients for projects of similar size and scope. Completed questionnaires must be submitted to Joel Wixon, Purchasing Officer II, at j.wixon@admin.nv.gov with the solicitation number in the subject line by the due date of May 4, 2026. The questionnaire is mandatory as part of the formal solicitation process and allows the State to assess vendor performance through client feedback before contract award.
The reference questionnaire requests evaluation across twelve rated criteria using a 1-10 scale, including vendor knowledge and expertise, flexibility regarding scope and timeline changes, satisfaction with delivered materials and products, schedule adherence, customer service and issue resolution, billing accuracy, and likelihood of future recommendations. Respondents must answer all questions, indicating "U/K" for unknown answers and "N/A" for non-applicable items. Completed questionnaires are designated as confidential business information under NRS 333.020(5)(b) and are not subject to public disclosure. The State reserves the right to contact references for additional clarification beyond the written responses provided.
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Other files
| File | Type | Posted |
|---|---|---|
| BRDCOM-S3811 Standard-form-contract.docx | DOCX document | |
| Quote Instructions.pdf | ||
| BRDCOM-S3811 SOW.pdf | ||
| BRDCOM-S3811 Cost Schedule.docx | DOCX document | |
| BRDCOM-S3811 INSURANCE REQUIREMENTS.pdf | ||
| BRDCOM-S3811 Terms-and-conditions-for-services.pdf | ||
| BRDCOM-S3811-Vendor-Information-Response.pdf | ||
| BRDCOM-S3811 RFP.docx | DOCX document | |
| BRDCOM-S3811 Certification-regarding-lobbying.pdf |
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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
Reference questionnaire
Due Date 05/04/2026
Solicitation number BRDCOM-S3811
Single point of contact name Joel Wixon, Purchasing Officer II
Single point of contact email j.wixon@admin.nv.gov
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.
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.
Evaluation items
In what capacity have you worked with this vendor in the past? (no rating)
Vendor’s knowledge and expertise, rating:
Vendor’s flexibility relative to changes in scope and timelines, rating:
Your satisfaction with delivered materials, rating:
Dynamics and interaction between the vendor and your staff, rating:
Your satisfaction with products developed by the vendor, rating:
Was the schedule met and deliverables timely? Rating:
Overall customer service and timeliness in response and issue resolution, rating:
Accuracy and timeliness of billing, rating:
Vendor’s ability to quickly and thoroughly resolve a service-related problem, rating:
Vendor’s flexibility in meeting business requirements, rating:
Response time and customer service of local office, if applicable, rating:
Likelihood of recommending this vendor to others in the future, rating:
Which aspects of this vendor’s services are you most satisfied with? (no rating)
Would you recommend this vendor to your organization again? (no rating)
Revised 2024-10 Page 2 of 2
Page 1 of 1 Reference questionnaire image1.png
File details come from the government source that posted it. Updated .