request for proposal no. 1004-rehab - Nevada Department of ...
request for proposal no. 1004-rehab - Nevada Department of ...
request for proposal no. 1004-rehab - Nevada Department of ...
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State <strong>of</strong> <strong>Nevada</strong><strong>Department</strong> <strong>of</strong> Employment, Training and RehabilitationRehabilitation Division1370 South Curry StreetCarson City, NV 89702Brian SandovalGover<strong>no</strong>rMaureen ColeAdministratorRFP # <strong>1004</strong>-REHAB REFERENCE QUESTIONNAIREFOR:(Name <strong>of</strong> company <strong>request</strong>ing reference)This <strong>for</strong>m is being submitted to your company <strong>for</strong> completion as a business reference <strong>for</strong> the companylisted above. This <strong>for</strong>m is to be returned to the State <strong>of</strong> <strong>Nevada</strong>, Rehabilitation Division, via facsimile at775-684-4186 or e-mail at jllufra<strong>no</strong>@nvdetr.org, <strong>no</strong> later than July 16, 2012, and must <strong>no</strong>t be returnedto the company <strong>request</strong>ing the reference.For questions or concerns regarding this <strong>for</strong>m, please contact the State <strong>of</strong> <strong>Nevada</strong>, RehabilitationDivision by telephone at 775-684-4075 or by e-mail at jllufra<strong>no</strong>@nvdetr.org. When contacting us,please be sure to include the Request <strong>for</strong> Proposal number listed at the top <strong>of</strong> this page.Company providingreference:Contact name andtitle/positionContact telephone numberContact e-mail addressQUESTIONS:CONFIDENTIAL INFORMATION WHEN COMPLETED1. In what capacity have you worked with this vendor in the past?COMMENTS:2. How would you rate this firm's k<strong>no</strong>wledge and expertise?(3 = Excellent; 2 = Satisfactory; 1 = Unsatisfactory; 0 = Unacceptable)COMMENTS:3. How would you rate the vendor's flexibility relative to changes in the project scope andtimelines?(3 = Excellent; 2 = Satisfactory; 1 = Unsatisfactory; 0 = Unacceptable)COMMENTS:ORIENTATION VIDEO PRODUCTION RFP No. <strong>1004</strong>-REHAB Page 31
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