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
Form 4 Reference Questionnaire Summary
This is a Reference Questionnaire form utilized by Collier County's Procurement Services Division for the evaluation of firms and key personnel responding to the Biosolids Hauling Services RFP 25-8403R. The form requires proposers to submit one completed questionnaire for each required reference, with evaluations to be returned alongside the proposal submission by the May 7, 2026 deadline at 3:00 PM EST. The questionnaire requests detailed information about past project performance across ten evaluation criteria, including project description, completion date, project budget, and number of days required for completion. Responses are scored on a scale of 1 to 10, with 10 indicating very satisfied (would hire again) and 1 indicating very unsatisfied (would never hire again), with blank responses scored as zero. The evaluation criteria encompass cost management and change order minimization, schedule adherence, work quality, quality of consultative advice, personnel professionalism, project administration, communication clarity, risk management, contract compliance, and overall customer satisfaction.
The Reference Questionnaire serves as a mandatory submission requirement, with completed forms directly influencing the County's contractor selection process for biosolids hauling services. Responses must be provided by evaluators with direct knowledge of the referenced firm's performance, including their name, company affiliation, email, telephone, and fax contact information. All ten scoring items are mandatory, and failure to complete required fields will result in a total score of zero for that item. The cumulative total score across all criteria will be factored into the overall evaluation of proposers competing for the five-year initial contract term (with three optional five-year renewals) covering transportation, dewatering, and disposal of biosolids from five county wastewater facilities.
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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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