D- Reference.docx
DOCX document 37 KB Posted
- Attached to
- RFP LANGUAGE AND ACCESSIBILITY SERVICES
- Solicitation number
- S-91400-00017528
- Issued by
- Oregon
About this file
This is a Reference Contact Form (Attachment D) for an RFP issued by the Oregon Health & Human Services (HHS) Office of Health Care Services (OHCS) for Language & Accessibility Services (BID # S-91400-00017528). The form serves as a standardized evaluation tool that proposers must include as part of their RFP submission, completed by client references who have direct experience with the proposer's service delivery. References are asked to provide detailed descriptions of services rendered, including type, duration, and key responsibilities, and must be returned by the proposer by the RFP-specified due date and time. The form directs all completed references to be submitted directly to OHCS Procurement & Contracts Specialist Andrea Gentry at Andrea.Gentry@hcs.oregon.gov or 971-272-5546.
The reference evaluation utilizes a 0-10 scoring scale across four criteria: Customer Service Responsiveness, Quality and Performance Expectations, Problem Solving and Communication, and Overall Satisfaction. Each score range corresponds to defined performance levels—9-10 (Excellent), 7-8 (Good), 4-6 (Fair/Mixed), and 0-3 (Poor)—with detailed scoring guidance provided to ensure consistency in assessments. References must rate proposers on their responsiveness to inquiries and issue resolution, adherence to quality and performance standards, communication clarity and reliability, and overall satisfaction with the vendor's performance. The form explicitly requests information regarding culturally responsive services delivery as part of the service description, indicating that cultural competency is a material factor in the evaluation of Language & Accessibility Services providers.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid S-91400-00017528 RFP Language and Accessibility Services.pdf | ||
| A-SAMPLE CONTRACT~1.pdf | ||
| F- RESPONSIBILITY INQUIRY~1.doc | DOC document | |
| Exhibit A- LANGUAGES SPOKEN AT HOME.pdf | ||
| E -Essential Cost Sheet.xlsm | XLSM spreadsheet | |
| B-DISCLOSURE EXEMPTION~1.doc | DOC document | |
| C- PROPOSER INFO CERT~1.doc | DOC document | |
| Exhibit B- NON-ENGLISH LANGUAGES.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
BID # S-91400-00017528 Language & Accessibility Services Attachment D
ATTACHMENT D - REFERENCE CONTACT
Thank you for providing a reference for the Proposer. Your feedback is an important component of the evaluation process. Please respond to the following questions based on your direct experience working with the Proposer. Your responses should reflect the accuracy, quality, and reliability of the Proposer’s performance during the period of service you received. For any questions regarding this form or the reference process, contact OHCS Procurement & Contracts Specialist Andrea Gentry at Andrea.Gentry@hcs.oregon.gov or 971‑272‑5546.
Note: This form must be returned to OHCS by the proposer as part of their RFP submission by the due date and time specified in the RFP.
Proposer Name: Click or tap here to enter text.
REFERENCE ENTITY
| Name: |
| Click or tap here to enter text. |
| Address: |
| Click or tap here to enter text. |
| Reference contact name: |
| Click or tap here to enter text. |
| E-mail & Phone Number: |
| Click or tap here to enter text. |
REFERENCE QUESTIONS
1. Please provide a brief description of the services the Provider delivered to your organization, including the type of services provided and the duration of the work. Include any key responsibilities or deliverables that help illustrate the vendor’s role.
Click or tap here to enter text.
2. Customer Service Responsiveness
• How responsive was the Provider to your inquiries, concerns, or requests?
• Did the Provider communicate promptly when issues or delays arose?
Click or tap here to enter text.
3. Quality and Performance Expectations
• To what extent did the Provider meet the quality and performance expectations outlined in your contract or project scope?
• Were deliverables completed on time and to the expected standard?
Click or tap here to enter text.
4. Based on your experience, how satisfied were you with the Provider’s performance overall?
• How would you describe the Provider’s communication quality, clarity, and reliability throughout the project?
• Would you choose to work with this Provider again?
Click or tap here to enter text.
ATTACHMENT D- REFERENCE CONTACT
The reference shall complete the entire Reference Form in full and return the completed form directly to the Proposer who issued the request.
Proposer Name:
Reference Entity: _________________________________________________ Address: __________________________________________________ Reference Contact Name: __________________________________________________ Contact Telephone Number __________________________________________________ Contact Email Address __________________________________________________ Date of Services __________________________________________________
Description of Services Provided (including culturally responsive services):
Please rate each question below on a scale of 0 to 10. Review the scoring guide provided before assigning ratings to any criterion.
1. Customer Service Responsiveness 0-3 ☐ 4-6 ☐ 7-8 ☐ 9-10 ☐
2. Quality and Performance Expectations 0-3 ☐ 4-6 ☐ 7-8 ☐ 9-10 ☐
3. Problem Solving and Communication 0-3 ☐ 4-6 ☐ 7-8 ☐ 9-10 ☐
4. Overall Satisfaction 0-3 ☐ 4-6 ☐ 7-8 ☐ 9-10 ☐
| Criterion |
| Scoring Guide |
1. Customer Service Responsiveness
2. Quality and Performance Expectations
3. Problem Solving and Communication
4. Overall Satisfaction
10–9 – Excellent Reference feedback is consistently strong across all areas. Proposer demonstrates high responsiveness, reliably meets or exceeds quality and performance expectations, and communicates and resolves issues effectively. No concerns identified.
8–7 – Good Reference feedback is mostly positive with only minor or isolated concerns. Proposer generally meets quality and performance expectations, is responsive, and communicates well.
6–4 – Fair / Mixed Reference feedback indicates notable concerns. Proposer shows inconsistent responsiveness, variable quality or performance, or challenges in communication or problem‑solving.
3–0 – Poor Reference feedback reveals significant concerns. Proposer is unresponsive, fails to meet expectations, or demonstrates poor communication or problem‑solving. Reference would hesitate to work with the contractor again.
File details come from the government source that posted it. Updated .