E-_Form_4_Reference_Questionnaire.pdf
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- 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 the Collier County Procurement Services Division in Florida for evaluating firms and key personnel proposed for the Design Services for Northeast Service Area Utility Infrastructure Improvements project (RPS No. 25-8615). The questionnaire is completed by previous clients of the proposing firm and assesses performance across ten criteria on a scale of 1 to 10, where 10 represents very satisfied and 1 represents very unsatisfied. The form requires evaluators to rate the firm's ability to manage project costs and schedule, quality of work, quality of consultative advice, professionalism and personnel management, project administration, communication skills, risk management, contract compliance, and overall customer satisfaction. One completed Reference Questionnaire form must be submitted for each required reference and returned with the proposal. The evaluation criteria and scoring methodology directly support the county's past performance evaluation component, which accounts for 25 of the 100 total points available in the RPS selection process. Proposals for design services are due November 24, 2025, at 3:00 PM EST, with a pre-proposal conference scheduled for October 29, 2025, at 11:30 AM EST.
The Reference Questionnaire requires evaluators to provide project-specific information including project description, completion date, project budget, and number of days to complete, enabling the evaluation committee to assess performance in comparable project contexts. Responses are mandatory for all ten evaluation criteria, with blank responses automatically scored as zero. The total score from all items is calculated and used in conjunction with other evaluation factors, including ability of professional personnel (20 points), certified minority business enterprise participation (5 points), project approach and time/budget requirements (20 points), location (10 points), and recent/current/projected workloads (20 points). The design services scope encompasses preliminary design, geotechnical and land surveying, subsurface utility engineering, hydraulic modeling, final design, permitting, bidding packages, cost estimates, public involvement, construction administration, and construction warranty services for up to eight irrigation quality wells, booster re-pump station improvements, and utility transmission mains across multiple sites in northeastern Collier County.
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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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