Att H - Reference Check Form.docx
DOCX document 38 KB Posted
- Attached to
- Early Intervention Professional Development SystemBid Documents State and local contract opportunity
- Solicitation number
- RFP 25-84140
- Issued by
- Indiana
About this file
This document is a Reference Check Form issued by the State of Indiana's Department of Administration (IDOA) for RFP 25-84140, specifically for an Early Intervention Professional Development System solicitation. The reference form is due on November 21, 2025, by 3:00 PM Eastern Time, and requires potential vendors to submit reference contact information and detailed performance evaluations from previous clients. Vendors are instructed to have their references complete a comprehensive questionnaire covering multiple aspects of their past performance, including project communication, staff quality, stakeholder engagement, and overall service delivery.
The reference form is designed to provide the State of Indiana with a thorough assessment of potential vendors' capabilities, with questions covering financial audit history, corrective action experiences, service quality, staff knowledge, communication effectiveness, resource allocation, and cost/schedule performance. References are asked to rate the vendor's performance across multiple dimensions using a scale of poor, satisfactory, above average, or superior, and are encouraged to provide detailed explanations for their ratings. The form allows references to submit their completed evaluations via email to idoareferences@idoa.in.gov, with specific instructions for email subject line formatting to ensure proper processing and tracking of reference submissions.
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Text version
Attachment HState of Indiana Contact:
Angela Embry Sourcing Specialist kmarch@idoa.in.gov Indiana Department of Administration
Reference Check Form
RFP 25-84140
Early Intervention Professional Development System
Reference Check Form Due Date:
November 21, 2025 by 3:00 PM 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:
RFP 25-84140 Reference – [INSERT COMPANY NAME]
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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