Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- Feral Cat Trap-Neuter-Vacinate-Release (TNVR)
- Solicitation number
- 26-8652
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire Form issued by Collier County's Procurement Services Division for use in evaluating vendor proposals submitted in response to the Invitation to Negotiate (ITN 26-8652) for Trap-Neuter-Vaccinate-Release (TNVR) program services. The form requires proposers to submit one completed questionnaire for each required reference, with references to be returned as part of the bid/proposal submittal package. The TNVR program represents Collier County's first formal feral cat management initiative and will involve comprehensive services including humane trapping operations, animal transportation, temporary housing coordination, veterinary surgery coordination, post-surgical monitoring, medical record retention, data reporting, and emergency disaster preparedness for free-roaming and feral cats throughout Collier County. Proposals are due March 17, 2026, at 3:00 P.M., submitted electronically through the Collier County Procurement Services Division Online Bidding System. The proposed contract term is three years with one two-year renewal option.
The Reference Questionnaire evaluates vendors across ten criteria on a scale of 1 to 10, including 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, contract compliance, and overall customer satisfaction. Evaluators must provide a total score across all items, with blank responses scored as zero. The form requires completion of project description, completion date, project budget, and project duration fields. Reimbursement for TNVR services will be provided on a per-cat basis with tiered rates: $25.00 for healthy, sterilized, vaccinated community cats; $10.00 for cats requiring extended medical treatment or adoptable cats; and $5.00 for cats requiring humane euthanasia. No veterinary costs are borne by the vendor, as all surgical and medical services are provided at no cost by Collier County or County-approved veterinary partners.
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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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