E-_Form_4_Reference_Questionnaire.pdf
PDF 305 KB Posted
- Attached to
- Design Services for Northeast Service Area Utility Infrastructure Improvements State and local contract opportunity
- Solicitation number
- 25-8615
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by Collier County, Florida's Procurement Services Division for evaluating the qualifications and past performance of firms and key personnel responding to the Request for Professional Services (RPS No. 25-8615) for Design Services for Northeast Service Area Utility Infrastructure Improvements. The form requires proposing firms to submit one completed questionnaire for each required reference, with responses due by the proposal deadline of November 24, 2025, at 3:00 PM EST. The pre-proposal conference is scheduled for October 29, 2025, at 11:30 AM EST. The design services project encompasses constructing up to eight new Irrigation Quality wells, potable water and IQ booster re-pump station improvements at multiple sites including Brightshore Village, Town of Big Cypress/Rivergrass, and Camp Keais Utility Site, along with utility transmission mains on Oil Well Road. The selected design team will perform preliminary design, geotechnical and land surveying, subsurface utility engineering, hydraulic modeling, final design, permitting, bidding packages, opinion of probable costs, public involvement services, construction administration, and construction warranty services.
The Reference Questionnaire requires evaluators to rate proposing firms and their personnel on ten criteria using a scale of 1 to 10, with 10 representing very satisfied and 1 representing very unsatisfied. The evaluation criteria include ability to manage project costs and schedule, quality of work, quality of consultative advice, professionalism and personnel management, project administration, communication and documentation, risk management, contract compliance, and overall customer satisfaction. References must provide project description, completion date, project budget, and project duration. Collier County has allocated 25 points of its 100-point evaluation system to past performance, making the reference information a significant component in the selection process. Forms must be fully completed and returned with the proposal submittal to the Collier County Procurement Services Division Online Bidding System.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 4 Reference Questionnaire
(USE ONE FORM FOR EACH REQUIRED REFERENCE – FORM MUST BE FULLY COMPLETED AND RETURNED
WITH PROPOSAL SUBMITTAL)
Solicitation:
Reference Questionnaire for:
(Name of Company Requesting Reference Information)
(Name of Individuals Requesting Reference Information)
Name:
(Evaluator completing reference questionnaire)
Company:
(Evaluator’s Company completing reference)
Email: FAX: Telephone:
Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.”
Project Description: ___________________________ Completion Date: _____________________________
Project Budget: _______________________________ Project Number of Days: _______________________
Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope).
2 Ability to maintain project schedule (complete on-time or early).
3 Quality of work.
4 Quality of consultative advice provided on the project.
5 Professionalism and ability to manage personnel.
6 Project administration (completed documents, final invoice, final product turnover;
invoices; manuals or going forward documentation, etc.)
7 Ability to verbally communicate and document information clearly and succinctly.
8 Abiltity to manage risks and unexpected project circumstances.
9 Ability to follow contract documents, policies, procedures, rules, regulations, etc.
10 Overall comfort level with hiring the company in the future (customer satisfaction).
TOTAL SCORE OF ALL ITEMS
| Text25: |
| Text26: |
| Name of Company Requesting Reference Information: |
| Text27: |
| Text28: |
| Text29: |
| Text30: |
| Text31: |
| Project Description: |
| Completion Date: |
| Project Budget: |
| Project Number of Days: |
| Score must be completedAbility to manage the project costs minimize change orders to scope: |
| Score must be completedAbility to maintain project schedule complete ontime or early: |
| Score must be completedQuality of work: |
| Score must be completedQuality of consultative advice provided on the project: |
| Score must be completedProfessionalism and ability to manage personnel: |
| Score must be completedProject administration completed documents final invoice final product turnover invoices manuals or going forward documentation etc: |
| Score must be completedAbility to verbally communicate and document information clearly and succinctly: |
| Score must be completedAbiltity to manage risks and unexpected project circumstances: |
| Score must be completedAbility to follow contract documents policies procedures rules regulations etc: |
| Score must be completedOverall comfort level with hiring the company in the future customer satisfaction: |
| Score must be completedTOTAL SCORE OF ALL ITEMS: |
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