Form_4_Reference_Questionnaire.pdf
PDF 305 KB Posted
- Solicitation number
- 24-8285R
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form used by Collier County's Procurement Services Division to evaluate the qualifications and past performance of firms and key personnel bidding on public transit construction projects. The form requires bidders to provide one completed questionnaire for each required reference, which must be submitted with their proposal. References are evaluated by previous clients who provide scores across ten performance criteria on a scale of 1 to 10, with 10 indicating high satisfaction and 1 indicating low satisfaction. The evaluation areas 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, compliance with contract documents and regulations, and overall customer satisfaction. References must provide project details including project description, completion date, project budget, and project duration.
The questionnaire requires references to leave items blank if they lack sufficient knowledge in a particular area, which results in a score of zero for that item. The form collects contact information from the evaluator including name, company, email, fax, and telephone number. All ten criteria must be scored and totaled to provide an overall assessment of the contractor's performance. This reference evaluation process is part of Collier County's selection methodology for establishing a pool of qualified contractors to provide general construction and construction-related services for public transit projects, including bus shelters, structures, roadway and walkway improvements, landscaping, utility work, electrical, plumbing, HVAC, roofing, and signage. Projects are anticipated to be funded through Federal Transit Administration funds, FEMA, Florida Department of Transportation (FDOT), and local county dollars.
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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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