Att H - Reference Check Form.docx
DOCX document 36 KB Posted
- Solicitation number
- RFP 27-88055
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form issued by the Indiana Department of Administration for RFP 27-88055. The form is completed by references provided by vendors responding to the State of Indiana solicitation and must be submitted to idoareferences@idoa.in.gov by October 28th, 2026 at 3:00 PM ET. The form collects information about the reference company, contact person, and their industry, and serves as a standard evaluation tool used by the State of Indiana during the competitive procurement process. Questions from references may be directed to Allyssa Wright, Procurement Specialist, at the Indiana Department of Administration.
The reference form requests comprehensive responses addressing vendor performance across multiple dimensions, including the duration of the working relationship, stakeholder communication requirements, financial audit issues, corrective action requests, quality of services and staff, engagement and communication effectiveness, resource availability, cost and schedule management, and any additional considerations relevant to Indiana's evaluation. References rate vendor performance in each category using a four-point scale of poor, satisfactory, above average, or superior, with detailed explanations required for each rating. The form requires submission via email with a subject line clearly identifying the RFP number and company name.
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Attachment H Reference Check Form
RFP 27-88055
Reference Check Form Due Date:
October 28th, 2026 by 3:00PM ET
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 27-88055 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
State of Indiana Contact:
Allyssa Wright, Procurement Specialist AllyWright@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 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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