25-83916 Att H - Reference Check Form .V2.docx
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- Attached to
- Early Intervention Coaching Model Training SystemBid Documents State and local contract opportunity
- Solicitation number
- RFP 25-83916
- Issued by
- Indiana
About this file
The document is a Reference Check Form issued by the Indiana Department of Administration (IDOA) for RFP 25-83916, specifically for the Early Intervention Coaching Model. The solicitation seeks a contractor to implement a statewide professional development training program for early intervention providers, with a focus on a caregiver coaching framework using a train-the-trainer model. The key deliverables include recruiting and training at least 100 early intervention providers annually across two cohort types, developing online modules, orientation webinars, in-person learning communities, and providing ongoing support. The proposal submission deadline is September 9, 2025, at 3:00 PM Eastern Time, with a pre-proposal conference scheduled for July 1, 2025. The contract is structured as a four-year base contract with potential for two one-year renewals, totaling six years.
The procurement includes specific subcontractor commitment goals: 8% for Minority Business Enterprises, 11% for Women Business Enterprises, and 3% for Indiana Veteran Owned Small Businesses. Respondents must be certified on the State of Indiana Certified M/W/IVOSB list and provide detailed documentation of their business status. Evaluation criteria total 103 points, with 50 points for management assessment/quality, 30 points for cost, and additional points for Buy Indiana Initiative and minority/women/veteran business enterprise participation. The infrastructure will primarily utilize cloud-based solutions within a state-owned cloud tenant in Microsoft Azure or Amazon Web Services, with strict security and compliance requirements. Pricing must remain firm for 180 days from the award date, and the state encourages Indiana businesses by offering preference points for companies demonstrating significant economic impact or capital investment in the state.
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Text version
Attachment HState of Indiana Contact:
Angela Embry, Sourcing Analyst anembry@idoa.in.gov Indiana Department of Administration
Reference Check Form
RFP 25-83916
Early Intervention Coaching Model
Reference Check Form Due Date:
August 15, 2025 September 9, 2025 by 3:00PM Eastern Time
INSTRUCTIONS: You have been asked by the vendor listed below to provide a reference as they are responding the current solicitation with the state of Indiana. This is a standard form created by the State of Indiana and your input is very much appreciated. During this competitive process, a representative from the State of Indiana, may contact you directly for more detail. If you have any questions, please contact the State of Indiana contact listed in the box in the top left side of the form.
Please provide the information requested below and submit this reference check form to:
idoareferences@idoa.in.gov:
The subject line of the email submissions must clearly state the following:
RFX 25-83916 Reference – Early Intervention Coaching Model
VENDOR NAME
REFERENCE CONTACT INFORMATION
Reference Company Name
Contact Name
Contact Title
Company Mailing Address
Company City, State, Zip
Company Website Address
Contact Telephone Number
Contact Fax Number
Contact Email
Industry of Company
QUESTIONS: Please provide a response to each of the questions listed below regarding the vendor listed above.
1. If you decline to provide a reference, please indicate that below and provide any comments you would be willing to share regarding the reason.
2. How long did you/have you and/or members of your team worked with the vendor? Please provide the specific dates of service.
3. With what type of internal and external stakeholders did the vendor have to communicate with?
4. Has the vendor been cited for any financial audit issues? If you are able to, please describe the issue briefly, and any corrective actions required. Did the vendor ultimately address the issue(s) in a satisfactory manner?
5. Has the vendor been subject to any requests for corrective action to cure performance issues? If you are able to, please describe the issue briefly, and any corrective actions required. Did the vendor ultimately address the issue(s) in a satisfactory manner?
6. Would you rate your experience with the quality of services/work provided by vendor as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
7. Would you rate the vendor's knowledge of your business as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
8. Would you rate the overall quality of the vendor’s staff as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
9. Would you describe the quality of the vendor’s engagement and communication with stakeholders (internal and external) throughout the project as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
10. Would you rate the vendor’s ability to provide appropriate staff and resources for the project, as needed, at all times as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
11. Would you rate the vendor's performance regarding cost and/or schedule overruns on the project as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
12. Are there any other topics you believe Indiana should consider during its reference evaluation or comments you would like to share?
13. Would your overall rating of the vendor be poor, satisfactory, above average or superior?
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