Contracts Management Guide - Texas Comptroller of Public Accounts

Appendix 10
Best Value – Respondent Questionnaire
Respondent Questionnaire
Respondents must complete all of the following blanks and include all required attachments
in Respondent’s Offer AT THE TIME OF THE INITIAL SUBMISSION OF THE OFFER
TO Agency.
A. Respondent’s Contact Person. Respondent must list the name, title, email address, phone
number and fax number of the individual who will be the contact person for the term of any PO
resulting from this RFO.
Name: ___________________
Title:
E-mail address: ______
Telephone:
Fax: _________________________________________________
Email Address of Contact:
B. References. Respondent must provide a list of four (4) state agencies, corporations or other
entities other than agency for which Respondent has provided the requested or similar items in the
RFO during the past three (3) years. Respondent must include dates when requested or similar items
in the RFO were provided, names, telephone numbers and email addresses of state agency’s or firm’s
contact person. If none, specify none.
This information will be used in evaluating Respondent’s references, Respondent’s prior performance
and other indicators of Respondent’s probable performance under any PO resulting from this RFO.
(1) State Agency or Other Entity: ______
Date Item Provided:
Name of Contact: __________________
Telephone Number of Contact:
Email Address of Contact:
(2) State Agency or Other Entity: ______
Date Item Provided:
Name of Contact: ___________________
Telephone Number of Contact:
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