S-10000-00016630 Attachment E References~1.docx
DOCX document 35 KB Posted
- Solicitation number
- S-10000-00016630
- Issued by
- Oregon
About this file
This is a Reference Check Form attachment for the Request for Grant Proposal (RFGP) S-10000-00016630 issued by the State of Oregon Department of Human Services, Office of Self-Sufficiency Programs, Refugee Program. The form is designed to evaluate proposers' past performance and service quality through structured reference checks conducted with entities that have previously engaged the proposer's services. The form requests information regarding the type of services provided, quality of customer service delivery, satisfaction with the business relationship, problem resolution methods, likelihood of future service engagement, and specific strengths and weaknesses in service delivery. Additionally, the form assesses the proposer's ability to adhere to project timelines.
The Reference Check Form does not contain pricing information, set-asides, or funding details. Rather, it serves as an evaluation tool to gather qualitative feedback from reference entities about proposer performance, including timeline adherence and service quality metrics. This form is part of the larger RFGP for Financial Assistance for HR1 (2025) impacted refugees and humanitarian immigrants statewide, which appears designed to support vulnerable populations through grant funding rather than traditional procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| S-10000-00016630 Attachment G Responsibility Inquiry.docx | DOCX document | |
| S-10000-00016630 Attachment A Proposer Info and Cert Sheet~1.docx | DOCX document | |
| S-10000-00016630 RFGP.pdf | ||
| S-10000-00016630 Attachment H Disclosure Exemption Affidavit.docx | DOCX document | |
| S-10000-00016630 Attachment I Sample Grant Agreement.pdf |
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Text version
RFP [###-####-##] – [RFP title]
ATTACHMENT F - REFERENCE CHECK FORM
RFGP S-10000-00016630 –Financial Assistance for HR1 Impacted Immigrants Att D
ATTACHMENT D - REFERENCE CHECK FORM
| Proposer Name: | __________________________________________ |
| Reference Entity: | __________________________________________ |
| Reference Contact Name: | __________________________________________ |
| Contact Telephone Number: | __________________________________________ |
| Contact Email Address: | __________________________________________ |
Please respond to the following questions:
1. For what type of services did you engage Proposer?
Describe the services listed in response to question 1.
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?
With which aspect(s) of Proposer’s services are you the most satisfied?
Which aspect(s) of Proposer’s services are you the least satisfied?
How well did the Proposer stay within the proposed timeline?
| Version 1.0 - November 19, 2014 | Page 1 of 2 |
| DAS Procurement Services, Version 2.0 – December 9, 2016 | Page 1 of 2 |
File details come from the government source that posted it. Updated .