S-DASOBO-00001174_AttD_Reference Check Form Final.pdf
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- Solicitation number
- S-DASOBO-00001174
- Issued by
- Multnomah County, Oregon
About this file
This document is an Attachment D - Reference Check Form from RFP [S-DASOBO-00001174] for Engineering Services issued by the Department of Administrative Services Procurement Services. The RFP requests proposals for two project phases: Phase 1 is for an extreme atmospheric river precipitation analysis report, and Phase 2 depends on the Phase 1 report and a review of Hydro-meteorological Report 57. The jurisdictions involved are Marion County and the City of Salem, Oregon.
The reference check form includes questions to rate the proposer's overall quality of services, delivery of service, and responsiveness to customer service issues on a scale of 0-10. The form includes space for three reference entities to provide responses.
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Text version
RFP [S-DASOBO-00001174] – [Engineering Services]
DAS Procurement Services, Version 2.0 – December 9, 2016 Page 1 of 3
ATTACHMENT D - REFERENCE CHECK FORM
No. 1:
Proposer Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
Contact Telephone Number: __________________________________________
Contact Email Address: __________________________________________
Please rate the following questions on a scale of 0-10:
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?
Score: __________
Comments: ______________________________________________________________________________
2. How would you rate the Proposer’s delivery of service?
Score: __________
Comments: ______________________________________________________________________________
3. How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?
Score: __________
Comments: ______________________________________________________________________________
DAS Procurement Services, Version 2.0 – December 9, 2016 Page 2 of 3
No. 2:
Proposer Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
Contact Telephone Number: __________________________________________
Contact Email Address: __________________________________________
Please rate the following questions on a scale of 0-10:
0 = Not satisfied 5 = Moderately satisfied 10 = Extremely satisfied.
4. How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?
Score: __________
Comments: ______________________________________________________________________________
5. How would you rate the Proposer’s delivery of service?
Score: __________
Comments: ______________________________________________________________________________
6. How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?
DAS Procurement Services, Version 2.0 – December 9, 2016 Page 3 of 3
No. 3:
Proposer Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
Contact Telephone Number: __________________________________________
Contact Email Address: __________________________________________
Please rate the following questions on a scale of 0-10:
0 = Not satisfied 5 = Moderately satisfied 10 = Extremely satisfied.
7. How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?
Score: __________
Comments: ______________________________________________________________________________
8. How would you rate the Proposer’s delivery of service?
Score: __________
Comments: ______________________________________________________________________________
9. How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?
| No. 1: |
| Proposer Name: __________________________________________ |
| Reference Entity: __________________________________________ |
| Reference Contact Name: __________________________________________ |
| Contact Telephone Number: __________________________________________ |
| Contact Email Address: __________________________________________ |
| No. 2: |
| Proposer Name: __________________________________________ |
| Reference Entity: __________________________________________ |
| Reference Contact Name: __________________________________________ |
| Contact Telephone Number: __________________________________________ |
| Contact Email Address: __________________________________________ |
| No. 3: |
| Proposer Name: __________________________________________ |
| Reference Entity: __________________________________________ |
| Reference Contact Name: __________________________________________ |
| Contact Telephone Number: __________________________________________ |
| Contact Email Address: __________________________________________ |
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