Att H - Reference Check Form.docx
DOCX document 39 KB Posted
- Solicitation number
- 27-88284
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form (Attachment H) for Request for Proposal/Partnership 27-88284 issued by the State of Indiana Department of Administration. The form serves as a standardized evaluation instrument used during the competitive solicitation process to gather feedback from references provided by vendors responding to the state's RFP. Reference check forms must be completed and submitted to idoareferences@idoa.in.gov by October 28th, 2026, at 3:00 PM Eastern Time, with the subject line clearly stating "RFP 27-88284 Reference - [INSERT COMPANY NAME]."
The Reference Check Form requires references to provide detailed information about their experience working with the vendor, including the duration and scope of services rendered. References must evaluate the vendor across thirteen key criteria: financial audit history, performance issues and corrective actions, quality of services and work, business knowledge, staff quality, stakeholder engagement and communication, resource and staffing adequacy, cost and schedule performance, and an overall vendor rating. Each evaluation category uses a four-point scale (poor, satisfactory, above average, or superior) with supporting explanations required. References are also invited to provide additional comments or topics they believe the State of Indiana should consider during its evaluation. The form requests contact information for the reference company and specific details about the vendor's interaction with internal and external stakeholders throughout contracted work.
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Request for Proposal/Partnership 27-88284 Reference Check Form Attachment H
Reference Check Form Due Date: October 28th, 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 direct your inquiries to the State of Indiana representative listed on the bottom right 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:
RFP 27-88284 Reference – [INSERT COMPANY NAME]
Vendor Name
Reference Contact Information Reference Company Name
Contact Name
Contact Title
Contact Telephone Number
Contact Email
Company Mailing Address
Company City, State, Zip
Company Website Address
Industry of Company
State of Indiana Contact:
Alexis Humbert, Procurement Consultant alehumbert@idoa.in.gov Indiana Department of Administration 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 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, please briefly describe the issue and any corrective actions that were 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, please briefly describe the issue and any corrective actions that were 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 the vendor as poor, satisfactory, above average, or superior? Please provide an explanation supporting the rating you have selected.
7. Would you rate the vendor’s knowledge of your business as poor, satisfactory, above average, or superior? Please provide an explanation supporting the rating you have selected.
8. Would you rate the overall quality of the vendor’s staff as poor, satisfactory, above average, or superior? Please provide an explanation supporting the rating you have selected.
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 provide an explanation supporting the rating you have selected.
10. Would you rate the vendor’s ability to provide the appropriate staff and resources as needed for the project as poor, satisfactory, above average, or superior? Please provide an explanation supporting the rating you have selected.
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 provide an explanation supporting the rating you have selected.
12. Are there any additional topics you believe Indiana should consider during its reference evaluation, or any further 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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