Reference Questionnaire~1.docx
DOCX document 38 KB Posted
- Attached to
- External Quality Review Organization
- Solicitation number
- 40DHHS-S2224
- Issued by
- Clark County, Nevada
About this file
This document is a Reference Questionnaire for a Request for Proposals (RFP) issued by the State of Nevada. The State is requesting business references from current or former customers for projects of similar size and scope as the Proposing Vendor. The RFP number, due date, and State single point of contact email address are provided. Respondents are asked to rate the Proposing Vendor on various criteria such as knowledge, expertise, flexibility, customer service, scheduling, billing accuracy, and problem resolution. Respondents are also asked to provide any additional comments and indicate their likelihood of recommending the vendor in the future.
The related state and local contract opportunity is for an External Quality Review Organization in the jurisdiction of Carson City, Nevada. No additional details regarding the scope, term, or value of the contract were provided in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachments for Signature S2224.pdf | ||
| Federal Laws and Authorities~1.pdf | ||
| Proposed Staff Resume~1.docx | DOCX document | |
| Scope of Work 40DHHS-S2224 Revised 12.22.22.docx | DOCX document | |
| Cost Schedule Revised 1.4.23.xlsx | XLSX spreadsheet | |
| Quote Instructions.pdf | ||
| Standard Form Contract.pdf | ||
| Terms and Conditions for Services~1.pdf | ||
| Insurance Schedule S2224.pdf | ||
| RFP 40DHHS-S2224 EQRO External Quality Review Org.docx | DOCX document | |
| Answers to the Questions S2224.xlsx | XLSX spreadsheet |
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Text version
REFERENCE QUESTIONNAIRE
BUSINESS REFERENCE INSTRUCTIONS
As part of a Request for Proposals (RFP) the State of Nevada is requesting Proposing Vendors submit references from current and/or former customers for projects of similar size and scope.
This Reference Questionnaire is to provide a business reference for the company (Proposing Vendor) in Section 2.
Once you have completed the Reference Questionnaire please submitted to the email address in Section 2.
Please reference the RFP Number in Section 2 in the email subject line.
The completed Reference Questionnaire must be received no later than the due date in Section 2.
Do not return the Reference Questionnaire to the Proposing Vendor.
In addition to the Reference Questionnaire, the State may contact references by phone for further clarification.
The State requests all questions be answered.
If an answer is not known, please answer as ‘U/K’.
If the question is not applicable, please answer as ‘N/A’.
If additional space is needed to answer a question or provide a comment, please attach additional pages.
If attaching additional pages, please place your company/organization name on each page and reference the appropriate RFP number.
Completed Reference Questionnaires are designated as confidential business information by the Administrator pursuant to NRS 333.020(5(b) and not public information pursuant to NRS 333.333.
PROPOSING VENDOR TO COMPLETE
| RFP NUMBER |
| DUE DATE |
STATE SINGLE POINT OF CONTACT EMAIL ADDRESS
NAME OF PROPOSING VENDOR
IF APPLICABLE, NAME OF SUBCONTRACTOR FOR PROPOSING VENDOR
COMPANY PROVIDING REFERENCE
CONFIDENTIAL INFORMATION WHEN COMPLETED
Company Providing Reference:
Contact Name:
Title:
Contact Telephone:
Contact Email Address:
RATING SCALE FOR RESPONSE TO QUESTIONS
Where a rating is requested and using the Rating Scale provided below, rate the questions in Section 5, Questions by noting the appropriate number for each item.
Please provide any additional comments you feel would be helpful to the State regarding this vendor.
| Category |
| Rating |
| Poor or Inadequate Performance |
| 0 |
| Below Average Performance |
| 1 – 3 |
| Average Performance |
| 4 – 6 |
| Above Average Performance |
| 7 – 9 |
| Excellent Performance |
| 10 |
QUESTIONS
| QUESTION |
| COMMENT |
| RATING |
In what capacity have you worked with this vendor in the past?
N/A
Rate the vendor’s knowledge and expertise.
Rate the vendor’s flexibility relative to changes in the project scope and timelines.
Rate your level of satisfaction with soft and/or hard copy materials produced by the vendor.
Rate the dynamics/interaction between the vendor and your staff.
Rate your satisfaction with the products developed by the vendor.
Rate how well the agreed upon, planned schedule was consistently met and deliverables provided on time. (This pertains to delays under the control of the vendor.)
Rate the overall customer service and timeliness in responding to customer service inquiries, issues, and resolutions.
Rate the knowledge of the vendor’s assigned staff and their ability to accomplish duties as contracted.
Rate the accuracy and timeliness of the vendors billing and/or invoices.
Rate the vendor’s ability to quickly, and thoroughly resolve a problem related to the services provided.
Rate the vendor’s flexibility in meeting business requirements.
Did the vendor have a local office and/or contact. If so, how satisfied were you with their response time and customer service.
Rate the likelihood of your company/organization recommending this vendor to others in the future.
With which aspect(s) of this vendor’s services are you most satisfied?
N/A
Would you recommend this vendor to your organization again?
N/A
GENERAL INFORMATION
DATES OF SERVICES PROVIDED
During what period did the vendor provide these services for your organization?
Include both the month and the year in the table below:
From:
To:
Revised: April 2021 Page 1 of 4
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