RFPAttD Reference Check Form~1.doc

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Attached to
RFP 6220 - TECHNICAL BED NEED ANALYSIS OF CERTIFICATE OF NEED APPLICATIONS
Solicitation number
S-44300-00015843
Issued by
Oregon

About this file

This is a Reference Check Form attachment for RFP 6220 issued by the State of Oregon, Oregon Health Authority (OHA), for technical bed need analysis of Certificate of Need applications. The form serves as a standardized evaluation tool to gather feedback from references regarding proposer performance on similar past projects. The reference check process captures information about the type and scope of services previously provided, proposer performance in customer service, communication timeliness, project coordination, and documentation practices. The form also evaluates proposer availability for consultation and responsiveness to client inquiries and requests throughout project execution.

The form includes nine open-ended questions and three quantitative rating scales. Open-ended questions address service descriptions, cost variance between initial proposals and final invoices, likelihood of future engagement, areas of satisfaction and dissatisfaction, and timeline adherence with quality assessment. The quantitative section requires ratings on a 0-10 scale for overall quality of services and customer relationship, delivery of service, and responsiveness to customer service issues and special requests. This structured reference check format enables the State of Oregon to conduct consistent evaluations of proposer qualifications and track records prior to contract award.

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RFP 6220 - Technical Bed Need Analysis of Certificate of Need Applications

AttD

(OregonBuys Bid # S-44300-00015843)

RFP 6220 - Technical Bed Need Analysis of Certificate of Need Applications

AttD

(OregonBuys Bid # S-44300-00015843)

ATTACHMENT D - REFERENCE CHECK FORM

Proposer Name:

Reference Entity:

Reference Contact Name and Title:

Contact Telephone Number:

Contact Email Address:

Please respond to the following questions.

1. For what type of services did you engage Proposer?

2. Describe the services listed in response to Question 1.

3. Describe Proposer’s customer service, particularly regarding timeliness and effectiveness of communication, project coordination, and documentation.

4. Describe Proposer’s availability for consultation including how Proposer responded to and followed up on questions and requests.

5. How did the final project cost compare to the initial proposed cost? If any additional costs were required to complete a project, what services were associated with those costs?

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

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

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

9. How well did Proposer stay within the proposed timeline? Describe whether deliverables were provided on schedule and with acceptable quality.

For the following questions, #10 – #12, please include ratings on a scale of 0-10:

0 = Not satisfied 5 = Moderately satisfied 10 = Extremely satisfied.

10.

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

Score: __________

Comments:

11.

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

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

Version 1.0 - November 19, 2014 Version 1.0 - November 19, 2014

File details come from the government source that posted it. Updated .