Att H - Reference Check Form.docx
DOCX document 39 KB Posted
- Solicitation number
- 26-87776
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form created by the State of Indiana Department of Administration for solicitation RFS 26-87776. The form is designed to be completed by organizations that have previously worked with vendors responding to the state's current solicitation. References must be submitted to idoareferences@idoa.in.gov with the subject line clearly stating "RFS 26-87776 Reference - COMPANY NAME" by July 22nd, 2026 at 3:00 PM Eastern Time. The form requests detailed contact information for the reference company and contact person, including the company name, mailing address, website, telephone, fax, email, and industry classification. Vendors are expected to provide references that can speak to their performance and qualifications.
The Reference Check Form contains thirteen evaluation questions designed to assess vendor performance across multiple dimensions. References are asked to evaluate the duration of their working relationship with the vendor, stakeholder communication requirements, any financial audit issues or corrective action requests, and ratings on service quality, business knowledge, staff quality, stakeholder engagement, resource availability, and cost/schedule performance. Each rating category uses a four-point scale of poor, satisfactory, above average, or superior, with respondents required to provide detailed explanations for their ratings. References may also decline to provide a reference with an explanation of their reasons. The form allows references to provide additional comments or topics for the State of Indiana's consideration during its evaluation process.
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Other files
| File | Type | Posted |
|---|---|---|
| Att G - Q&A 26-87776.xlsx | XLSX spreadsheet | |
| Att B3 - IOT-SaaS.docx | DOCX document | |
| Att D - Cost Proposal.xlsx | XLSX spreadsheet | |
| Infrastructure Overview.docx | DOCX document | |
| Att K - SOW.pdf | ||
| Att E - Business Proposal.docx | DOCX document | |
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| RFS Main Document 26-87776.pdf | ||
| Att B - Sample Contract.docx | DOCX document | |
| Att B2 - IOT-PaaS.docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att F- Technical Proposal.docx | DOCX document | |
| Att B1 - IOT-IaaS.docx | DOCX document | |
| Artificial Intelligence - Technical Proposal Questions.docx | DOCX document | |
| Att I - Pre-proposal Network Form.docx | DOCX document |
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Text version
Attachment HState of Indiana Contact:
Mitchell Roelecke, Procurement Specialist Mroelecke@idoa.IN.gov Indiana Department of Administration
Reference Check Form
RFS 26-87776
Reference Check Form Due Date:
July 22nd, 2026 @ 3:00 PM Eastern Time
INSTRUCTIONS: You have been asked by the vendor listed below to provide a reference as they are responding to 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:
RFS 26-87776 Reference – 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?
File details come from the government source that posted it. Updated .