Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- Planning and Regulation Staffing
- Solicitation number
- 26-8634
- Issued by
- Collier County, Florida
About this file
Form 5 Reference Questionnaire - Collier County Planning and Regulation Staffing
This is a reference questionnaire form issued by Collier County's Procurement Services Division in Florida for use in evaluating proposals submitted in response to RFP 26-8634 for Planning and Regulation Staffing services. Proposers are required to submit one completed Form 5 Reference Questionnaire for each reference as part of their bid or proposal package. The form requests that references provide evaluator information including name, company, email, fax, and telephone contact details, along with project details such as project description, completion date, project budget, and number of project days. Proposals were due March 12, 2026, at 3:00 PM EST through the Collier County Procurement Services Division Online Bidding System. The awarded contract will have an initial three-year term with two optional one-year renewal periods.
The reference questionnaire requires evaluators to score the proposing firm or key personnel on ten criteria using a scale of 1 to 10, with 10 representing very satisfied and willingness to hire again, and 1 representing very unsatisfied and unwillingness to hire again. The scored criteria include ability to manage project costs and maintain schedule, quality of work and consultative advice, professionalism and personnel management, project administration, communication abilities, risk management, contract compliance, and overall customer satisfaction. Any criteria left blank will be scored as zero. The completed questionnaire with all scores and a total score calculation must be returned with the bid or proposal submittal. This reference evaluation process is designed to assess the past performance of firms and their key personnel in support of the County's selection process.
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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
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| Name of Company Requesting Reference Information: |
| Text27: |
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| 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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