Att H - Reference Check Form.docx
DOCX document 36 KB Posted
- Attached to
- RFP 27-88872 Toxicology ServicesBid Documents
- Solicitation number
- 27-88872
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form attachment for Request for Proposal/Partnership 27-88872 issued by the State of Indiana Department of Administration. The form serves as a standardized evaluation tool to gather feedback from vendor references regarding their qualifications and past performance. Potential bidders responding to this solicitation are required to submit completed reference check forms from previous clients or partners who have directly worked with them. The form must be submitted via email to HHScategory@idoa.in.gov with the subject line clearly stating "RFP 27-88872 Reference - [INSERT COMPANY NAME]," with a specified due date and time to be completed in Eastern Time.
The reference check form requests comprehensive information about the vendor's performance across thirteen evaluation areas, including the duration of past working relationships, stakeholder communication capabilities, financial audit history, corrective action requests, quality of services and staff, engagement and communication practices, resource allocation, and cost and schedule management. References are asked to rate vendors on a scale of poor, satisfactory, above average, or superior for each performance category, with supporting explanations required. The form also provides space for references to decline participation and identify any concerns about the vendor, as well as an opportunity to raise additional topics that the State of Indiana should consider during evaluation. Questions regarding the reference process should be directed to the specified State of Indiana contact representative listed on the form.
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Other files
| File | Type | Posted |
|---|---|---|
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| Att B - Sample Contract.docx | DOCX document | |
| Att I - Pre-Proposal Network Form.docx | DOCX document | |
| Att- K SOW (Toxicology).docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att B1 - IOT-IaaS.docx | DOCX document | |
| Att D - Cost Proposal.xlsx | XLSX spreadsheet | |
| Att E - Business Proposal.docx | DOCX document | |
| Att M-Infrastructure Overview.docx | DOCX document | |
| Att A1 - INSBP Commitment Form.docx | DOCX document | |
| Att A - IVOSB Commitment Form.docx | DOCX document | |
| Att F - Technical Proposal (Toxicology).docx | DOCX document | |
| Att B2 - IOT-PaaS.docx | DOCX document | |
| Att K1 - Full Analyte List.docx | DOCX document | |
| Att B3 - IOT-SaaS.docx | DOCX document | |
| RFP 27-88872 Main Document Tox.pdf | ||
| Att L-Artificial Intelligence - Technical Proposal Questions.docx | DOCX document |
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Text version
Request for Proposal/Partnership 27-88872 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:
HHScategory@idoa.in.gov.
The subject line of the email submissions must clearly state the following:
RFP 27-88872 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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