Form_4_Reference_Questionnaire.pdf
PDF 305 KB Posted
- Attached to
- BIOSOLIDS HAULING SERVICES (GRANT FUNDED)
- Solicitation number
- 25-8403R
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by the Collier County Board of County Commissioners Procurement Services Division for use in evaluating proposals submitted in response to RFP 25-8403R for Biosolids Hauling Services. The form is completed by previous clients of firms or key personnel submitting proposals and serves as a mandatory evaluation tool for the County's selection process. Proposers must submit one completed Reference Questionnaire for each required reference as part of their proposal package. The questionnaire requires evaluators to rate the referenced firm or individual on ten performance criteria using a scale of 1 to 10, with 10 indicating very satisfied and willing to hire again, and 1 indicating very unsatisfied and unwilling to hire again. The evaluated criteria include ability to manage project costs and maintain schedule, quality of work and consultative advice, professionalism and personnel management, project administration, communication clarity, risk management, contract compliance, and overall customer satisfaction. The form requires project description, completion date, project budget, and project duration information to contextualize the reference.
The biosolids hauling services procurement, with a May 7, 2026 submission deadline, encompasses transportation and disposal services from five county wastewater facilities, with work scheduled Monday through Saturday, 5:00 AM to 5:00 PM. Proposers may select between non-dewatering locations (2,000 and 1,791 tons monthly) or dewatering-required locations (three facilities requiring specific gallonage handling), with the County intending to award multiple contractors under an initial five-year term with three optional five-year renewal periods. The County historically spent approximately $3,700,000 annually on biosolids hauling. Qualified proposers must meet all federal, state, and local regulatory requirements; maintain specified insurance coverage including $1,000,000 per occurrence commercial general liability; furnish a Payment and Performance Bond; be enrolled in E-Verify; and comply with zero offsite odors, spills, and fugitive dust emission standards. All proposals must remain valid for 180 days from submission, and the solicitation is grant-funded.
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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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