Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Solicitation number
- 26-8619
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by Collier County, Florida's Procurement Services Division for use in evaluating vendor performance and qualifications during the selection process for the Uninterrupted Power Systems Maintenance, Repairs, Replacement & Installation contract. The form requires bidders to submit one completed questionnaire for each required reference, with the reference being a previous client for whom the bidding company has performed work. The evaluator completes the form by rating the company and its key personnel across ten performance criteria on a scale of 1 to 10, where 10 indicates very satisfied and willingness to rehire, and 1 indicates very unsatisfied and unwillingness to rehire. The evaluation criteria include ability to manage project costs and schedule, quality of work and consultative advice, professionalism and personnel management, project administration, communication clarity, risk management, adherence to contract requirements, and overall customer satisfaction. Respondents must also provide basic information about the project, including its description, completion date, budget, and duration.
The form requires that all ten performance criteria be scored; any blank responses will be automatically scored as zero. References must be fully completed and returned with the bid or proposal submittal as part of the vendor's application package. Historically, Collier County departments have spent approximately $150,000 annually for uninterrupted power systems maintenance, repairs, replacement, and installation services, though this figure may not be indicative of future spending patterns. The reference evaluation process is designed to assist the County in identifying qualified vendors capable of managing the scope of work effectively while meeting performance expectations.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 5 Reference Questionnaire
(USE ONE FORM FOR EACH REQUIRED REFERENCE – FORM MUST BE FULLY COMPLETED AND RETURNED
WITH BID/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: |
File details come from the government source that posted it. Updated .