Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- Watersports Instruction at Sugden Regional Park
- Solicitation number
- 26-8681
- Issued by
- Collier County, Florida
About this file
This is a Reference Questionnaire form issued by the Collier County Board of County Commissioners Procurement Services Division for use in evaluating firms and key personnel responding to the Watersports Instruction at Sugden Regional Park solicitation in Florida. The form requires proposers to submit one completed questionnaire for each required reference, with the evaluator assessing the referenced company or individual's prior performance on a project. The questionnaire collects basic information about the evaluator, their company, and contact details, along with a description of the project for which the reference firm was previously engaged, including the project completion date, budget, and duration.
The evaluation criteria consist of ten performance-based categories scored on a scale of one to ten, with ten representing complete satisfaction and likelihood of future engagement and one representing complete dissatisfaction and unwillingness to rehire. The scored criteria address cost management and change order minimization, schedule adherence, work quality, consultative advice quality, personnel management and professionalism, project administration and documentation, communication and documentation clarity, risk management capabilities, compliance with contract documents and regulations, and overall customer satisfaction. All items must be completed with numeric scores, and any blank responses will be scored as zero. The total score of all items is calculated at the conclusion of the form, and all completed reference questionnaires must be returned with the bid or proposal submittal.
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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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