RFPAttD - REFERENCE CHECK FORM.docx

DOCX document 38 KB Posted

Attached to
RFP 6192 - Reverse Osmosis Point of Use Water Treatment Installation and Maintenance
Solicitation number
S-44300-00015159
Issued by
Multnomah County, Oregon

About this file

This is a Reference Check Form attachment for RFP 6192 issued through OregonBuys (Bid # S-44300-00015159) for Reverse Osmosis Point of Use Water Treatment Installation and Maintenance services. The form is designed to be completed by reference entities to evaluate proposer performance and capability. References are asked to rate proposers on a 0-10 scale across three primary categories: overall quality of services and business relationship, delivery of service, and responsiveness to customer service issues and special requests, with 0 indicating not satisfied and 10 indicating extremely satisfied. The form requires references to provide the proposer name, reference entity name, reference contact information including name, telephone number, and email address.

The Reference Check Form also requests detailed narrative responses regarding the types of services provided, quality of customer service, overall satisfaction with the business relationship, problem resolution methods, likelihood of future engagement, aspects of services with which the reference is most and least satisfied, adherence to project timeline, and cost performance relative to initial proposals. This evaluation tool allows the state or local agency to assess proposer experience and track record through third-party validation prior to contract award.

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RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

RFP 6192: Reverse Osmosis Point of Use Water Treatment Installation AttD and Maintenance (OregonBuys Bid # S-44300-00015159)

ATTACHMENT D - REFERENCE CHECK FORM

Proposer Name:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________

Please respond to the following questions.

For Questions 1-3, please provide Ratings for Proposer on a scale of 0-10 and provide any additional comments in support of your rating. (Rating Scale: 0 = Not satisfied; 5 = Moderately satisfied; 10 = Extremely satisfied.)

1. How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?

Rating (0-10):

Comments:

2. How would you rate the Proposer’s delivery of service?

Rating (0-10):

Comments:

3. How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?

Rating (0-10):

Comments:

For Questions 4-10, please provide your responses in the table below each question.

For what type of services did you engage Proposer?

Describe the services listed in response to question 4.

Describe Proposer’s customer service.

Describe your satisfaction with the business relationship with Proposer.

Describe Proposer’s methods for problem resolution.

How likely would you be to use Proposer’s services again?

1. With which aspect(s) of Proposer’s services are you the most satisfied?

1. With which aspect(s) of Proposer’s services are you the least satisfied?

How well did Proposer stay within the project timeline?

6. How well did Proposer stay within the project budget? In other words, how did the Proposer’s final costs for the project compare to the initial proposed costs for the project?

Version 1.0 - November 19, 2014Page 1 of 2
Version 1.0 - November 19, 2014Page 1 of 2

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