S-DASOBO-00012374 Attachment D Reference Check Form.docx

28 KB Posted

Attached to
Request for Proposal: ALERT IMMUNIZATION INFORMATION SYSTEM (ALERT IIS)
Solicitation number
S-DASOBO-00017475
Issued by
Oregon

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Written by GovTribe AI ·

This is a Reference Check Form attachment for RFP S-DASOBO-00012374, issued by the State of Oregon on behalf of the Oregon Health Authority (OHA) through the All Statewide Procurement Services (AS SPS) for the ALERT Immunization Information System (ALERT IIS) replacement project. The form is designed to evaluate proposer performance based on feedback from reference entities that have previously engaged with the contractor. The RFP seeks to replace the current ALERT IIS with a modern system that supports statewide data modernization and OHA's 2030 health equity goals, with an expected contract award for one vendor and a target go-live date of December 2027. The procurement contemplates an initial contract term of 5 to 10 years with renewal options available.

The Reference Check Form requires evaluating proposers across eleven criteria using a 0-10 satisfaction scale, including overall quality of services, service delivery, responsiveness to customer service issues, customer service quality, business relationship, problem resolution methods, likelihood of future engagement, service strengths and weaknesses, and adherence to proposed timelines and costs. References must identify the type of services previously provided, provide detailed descriptions of those services, and submit narrative comments supporting their satisfaction scores. This evaluation tool enables the state to assess proposer reliability, performance history, and organizational capacity prior to final selection for the ALERT IIS modernization initiative.

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Other files

File Type Posted
S-DASOBO-00012374_Questions_and_Answers - INFORMATIONAL PURPOSES ONLY~1.pdf PDF
S-DASOBO-00012374 Attachment I Scope of Work.docx DOCX document
S-DASOBO-0012374_PREPROPOSAL_ATTENDANCE - INORMATIONAL PURPOSES ONLY~1.xlsx XLSX spreadsheet
S-DASOBO-00012374 ALERT IIS Request for Proposals.docx DOCX document
S-DASOBO-00012374 Attachment A Sample Contract.docx DOCX document
S-DASOBO-00012374 Attachment J Statewide Information Technology IT Control Standards Spreadsheet.xlsx XLSX spreadsheet
S-DASOBO-00012374 Attachment E Preliminary Price Proposal Form.xlsx XLSX spreadsheet
S-DASOBO-00012374 Attachment H Business Needs_Solution Requirements.xlsx XLSX spreadsheet
S-DASOBO-00012374 Attachment F Certified Disadvantaged Business Outreach Plan.docx DOCX document
S-DASOBO-00012374 Attachment B Affidavit of Exemption from Disclosure.docx DOCX document
S-DASOBO-00012374 Change in Solicitation Number NOTICE~1.docx DOCX document
ALERT IIS RFP Pre-ProposalConference_6.24.26 - Informational Purposes Only~1.pptx PPTX presentation
S-DASOBO-00012374 Attachment C Proposer Information and Certification Sheet.docx DOCX document
S-DASOBO-00012374 Attachment G Responsibility Inquiry.docx DOCX document
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RFP S-DASOBO-00012374 ALERT Information System (“ALERT IIS”)

ATTACHMENT D -REFERENCE CHECK FORM

Proposer Name: __________________________________________ OregonBuys® Bid#: ___________ Reference Entity:__________________________________________ Reference Contact Name:__________________________________________ Contact Telephone Number:__________________________________________ Contact Email Address: __________________________________________

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

Comments: ______________________________________________________________________________

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

Comments: ______________________________________________________________________________

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: ______________________________________________________________________________

4. Describe Proposer’s Customer Service and rate your satisfaction with the Proposer’s Customer Service.

Score: __________ Comments: ______________________________________________________________________________

5. Describe your satisfaction with the business relationship with Proposer.

Score: __________ Comments: ______________________________________________________________________________

6. Describe Proposer’s methods for problem resolution and rate your satisfaction.

Score: __________ Comments: ______________________________________________________________________________

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

Score: __________ Comments: ______________________________________________________________________________

8. With which aspect(s) of Proposer’s services are you the most satisfied with and how would you rate your satisfaction?

Score: __________ Comments: ______________________________________________________________________________

9. With which aspect(s) of Proposer’s services are you the least satisfied with and how would you rate your dissatisfaction ?

Score: __________ Comments: ______________________________________________________________________________

10. How well did Proposer stay within the proposed timeline?

Score: __________ Comments: ______________________________________________________________________________

11. How did the final project cost compare to the initial proposed cost?

Score: __________ Comments: ______________________________________________________________________________

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