Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- BAYSHORE BEAUTIFICATION MSTU - ROAD MAINTENANCE
- Solicitation number
- 26-8651
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by Collier County, Florida's Procurement Services Division for the Bayshore Beautification MSTU Road Maintenance contract opportunity. The form is designed to collect reference information on bidding firms and their key personnel to evaluate their qualifications for performing landscape maintenance and right-of-way mowing services within the Bayshore Municipal Service Taxing Unit. Bidders are required to submit one completed Reference Questionnaire form for each reference, and these forms must accompany the bid or proposal submittal. The form requests project details including project description, completion date, project budget, and project duration in days.
The Reference Questionnaire evaluates vendor performance across ten criteria using a numerical scale from 1 to 10, with 10 indicating high satisfaction and willingness to rehire, and 1 indicating dissatisfaction and unwillingness to rehire. Evaluation criteria include ability to manage project costs and minimize change orders, maintenance of project schedules, quality of work, quality of consultative advice, professionalism and personnel management, project administration and documentation, communication and documentation clarity, risk management, adherence to contract documents and regulations, and overall customer satisfaction. Any criteria left blank will be scored as zero. The form requires the evaluator's name, company affiliation, email, telephone, and facsimile information, and a total score must be calculated from all rated items. Based on historical spending patterns, Collier County anticipates annual expenditures of approximately $200,000 for these services, though future spending may vary.
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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: |
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