Att H - Reference Check Form.docx
DOCX document 41 KB Posted
- Solicitation number
- RFS 26-87589
- Issued by
- Indiana
About this file
This is a Reference Check Form issued by the State of Indiana for RFS 26-87589, designed to gather performance feedback from previous clients or partners of vendors responding to the solicitation. The form establishes a structured evaluation process whereby references are requested to provide detailed assessments of vendor performance across multiple dimensions. The reference check form must be completed and submitted to idoareferences@idoa.in.gov by July 29, 2026 at 3:00 PM Eastern Time, with the email subject line clearly identifying the RFS number and vendor company name.
The reference evaluation addresses thirteen specific performance criteria, including the duration of the working relationship, vendor communication with internal and external stakeholders, financial audit findings, corrective action requests, quality of services or work, business knowledge, staff quality, stakeholder engagement and communication, resource allocation and staffing availability, cost and schedule performance, and overall vendor rating. References are asked to rate vendor performance using a four-point scale consisting of poor, satisfactory, above average, and superior ratings, with written elaboration required for each assessment. The form also requests basic reference contact information including company name, contact person, title, mailing address, website, telephone, fax, email, and industry classification. References may decline to participate and provide explanatory comments regarding their decision.
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Other files
| File | Type | Posted |
|---|---|---|
| Att G - Q and A Responses Soil Sample.xlsx | XLSX spreadsheet | |
| RFS 26-87589 Addendum #1.docx | DOCX document | |
| Pre-Proposal Conference June 24 2026 Slides.pptx | PPTX presentation | |
| Att I - Pre-proposal Network Form.docx | DOCX document | |
| Att F- Technical Proposal Template.docx | DOCX document | |
| Att M - Infrastructure Overview.docx | DOCX document | |
| Att E - Business Proposal Template.docx | DOCX document | |
| Att L - Artificial Intelligence.docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| Att B - Sample Contract.docx | DOCX document | |
| Att K - SOW.docx | DOCX document | |
| RFS 26-87589 Main Document.pdf | ||
| Att C - Indiana Economic Impact Form.xls | XLS spreadsheet |
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Text version
Attachment H Reference Check Form
RFS 26-87589
Reference Check Form Due Date:
July 29, 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 on the top left side of this 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 26-87589 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?
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