Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- LARGE MACHINE MOWING SERVICES
- Solicitation number
- 26-8620
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form used by Collier County, Florida's Procurement Services Division to evaluate the past performance of firms and key personnel bidding on county contracts. The form collects client feedback on contractors through a standardized scoring mechanism, with evaluators rating firms on ten specific criteria on a scale of 1 to 10. Bidders for the Large Machine Mowing Services contract (ITB 26-8620) are required to submit three to ten references from similar projects completed within the last five years, and this form serves as the official evaluation tool for those references. The form requests project-specific information including project description, completion date, project budget, and project duration, with all ten evaluation criteria requiring completion to avoid a zero score.
The ten evaluation criteria assessed through this form are: ability to manage project costs and minimize change orders; ability to maintain project schedules; quality of work; quality of consultative advice; professionalism and personnel management; project administration and documentation; verbal and written communication; risk management capabilities; compliance with contract documents and regulations; and overall customer satisfaction for future hiring. Evaluators completing the form must provide their name, company affiliation, email, fax, and telephone contact information. The form emphasizes that a score of 10 represents very high satisfaction and willingness to rehire the firm or individual, while a score of 1 represents very low satisfaction and unwillingness to rehire; blank responses are scored as zero. All completed reference questionnaires must be submitted with the bid or proposal package to Collier County by the April 13, 2026 deadline.
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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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