Form_5_Reference_Questionnaire.pdf

PDF 259 KB Posted

Attached to
OEM Ford & Motorcraft Parts, Fluids and Supplies
Solicitation number
25-8399
Issued by
Collier County, Florida

About this file

The document is a Reference Questionnaire (Form 5) from the Collier County Procurement Services Division, designed to collect performance reference information from past clients. The form is intended to be completed by previous project clients to evaluate a company's performance across ten specific criteria, including project cost management, schedule adherence, work quality, professionalism, communication, and overall customer satisfaction. Each criterion is to be scored on a scale of 1 to 10, with 10 representing high satisfaction and 1 representing very poor performance.

The questionnaire provides a structured method for Collier County to gather comprehensive feedback about a company's past project performance. Evaluators are asked to rate the company on key performance indicators such as ability to manage project costs, maintain project schedules, provide quality work and consultative advice, manage personnel and risks, follow contract requirements, and overall customer satisfaction. The form allows for detailed documentation of project specifics including project description, completion date, budget, and number of project days, enabling a thorough assessment of the company's capabilities and reliability for potential future contract opportunities.

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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:
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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:

File details come from the government source that posted it. Updated .