Att H - Reference Check Form.docx
DOCX document 39 KB Posted
- Solicitation number
- RFP 27-87901
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form issued by the Indiana Department of Administration for RFP 27-87901. The form serves as a standardized evaluation tool requiring vendors responding to the State of Indiana solicitation to submit references from previous clients or business partners. Completed reference forms must be submitted to idoareferences@idoa.in.gov by August 26, 2026, at 3:00 PM Eastern Time, with the email subject line clearly stating "RFP 27-87901 Reference - COMPANY NAME." References must provide detailed contact information for their organization and a primary contact person, including company name, address, phone, fax, email, and industry classification.
The form requires references to respond to thirteen substantive questions evaluating the vendor across multiple performance dimensions. These include the duration and nature of the business relationship, types of stakeholder communications required, any financial audit issues or performance-related corrective action requests, and quality ratings on service delivery, business knowledge, staff quality, stakeholder engagement, resource availability, and cost/schedule management. References must rate vendors on a four-point scale (poor, satisfactory, above average, or superior) for each applicable criterion and provide detailed explanations supporting their ratings. The form allows references to decline participation and provides space for additional comments or concerns relevant to the State of Indiana's evaluation process. Inquiries regarding the reference submission process should be directed to Eli Sturgeon, Procurement Consultant, at esturgeon@idoa.in.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| 27-87901 Att G - QA Response.xlsx | XLSX spreadsheet | |
| Att A1 - IVOSB.docx | DOCX document | |
| Infrastructure Overview.docx | DOCX document | |
| Att F - Technical Proposal.docx | DOCX document | |
| Att C - Indiana Economic Impact Form.xls | XLS spreadsheet | |
| Att B2 - IOT-PaaS.docx | DOCX document | |
| Att E - Business Proposal.docx | DOCX document | |
| Artificial Intelligence - Technical Proposal Questions.docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att B1 - IOT-IaaS.docx | DOCX document | |
| Att D - Cost Proposal.xlsx | XLSX spreadsheet | |
| RFP Boilerplate Document.pdf | ||
| Att I - Pre-proposal Network Form.docx | DOCX document | |
| Att B3 - IOT-SaaS.docx | DOCX document | |
| Att K - Scope of Work.pdf | ||
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| Att B - Sample Contract.docx | DOCX document |
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Text version
Attachment HState of Indiana Contact:
Eli Sturgeon, Procurement Consultant esturgeon@idoa.in.gov Indiana Department of Administration
Reference Check Form
RFP 27-87901
Reference Check Form Due Date:
August 26, 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:
RFP 27-87901 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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