Form_5_Reference_Questionnaire.pdf
PDF 259 KB Posted
- Attached to
- Aerial Painting Services
- Solicitation number
- 26-8689
- Issued by
- Collier County, Florida
About this file
This is a Form 5 Reference Questionnaire file related to an Invitation for Qualification (IFQ) issued by the Collier County Board of County Commissioners Procurement Services Division on behalf of the Public Utilities Department in Florida. The IFQ seeks qualified proposers to provide comprehensive aerial painting services for county-owned above-ground potable water, wastewater, and irrigation quality pipes and appurtenances throughout Collier County. The awarded contractor(s) will be responsible for furnishing protective paint and coatings services, including all related materials, on an as-needed basis to support assessment, access, preparation, and painting of aerial crossings and related infrastructure. Historical spending for these services is approximately $675,380 annually, though future expenditures may vary.
The reference questionnaire format indicates this solicitation requires proposers to provide documented references and qualifications demonstrating their capability to perform aerial painting services. The document serves as part of the qualification evaluation process prior to the formal proposal submission phase. Specific pricing terms, set-asides, contract term duration, and renewal options would be detailed in the complete IFQ solicitation documents. The results of this qualification process may enable other Collier County departments to utilize awarded contractors' services in accordance with the Board of County Commissioners Procurement Ordinance.
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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: |
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| 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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