Att H - Reference Check Form.docx
DOCX document 36 KB Posted
- Attached to
- E-Rate ServiceBid Documents
- Solicitation number
- RFP 27-88394
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form created by the State of Indiana Department of Administration for use in evaluating vendor proposals submitted in response to a Request for Proposal (RFP XX-XXXXX). The form serves as a standardized instrument for gathering reference information from organizations that have previously worked with vendors bidding on state contracts. Vendors are required to provide reference contacts who will complete the form and submit it to idoareferences@idoa.in.gov by the specified due date and time. The form requests detailed reference company information, including contact details, mailing address, website, and industry classification, along with contact information for the State of Indiana representative overseeing the evaluation.
The Reference Check Form contains thirteen comprehensive evaluation questions designed to assess vendor performance across multiple dimensions. References are asked to provide information regarding the duration of their working relationship with the vendor, the scope of internal and external stakeholder communications, any financial audit issues or corrective action requests, and ratings of the vendor's service quality, business knowledge, staff quality, stakeholder engagement, resource allocation, and performance regarding cost and schedule management. Each rating category uses a four-point scale consisting of poor, satisfactory, above average, and superior, with references required to provide explanatory details supporting their selections. The form also solicits any additional comments or considerations the state should evaluate during its reference assessment process.
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Text version
Request for Proposal/Partnership XX-XXXXX Reference Check Form Attachment H
Reference Check Form Due Date: MONTH XX, 20XX @ TIME 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 XX-XXXXX 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:
NAME, TITLE
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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