Att H - Reference Check Form.docx
DOCX document 36 KB Posted
- Attached to
- Banking for Unemployment BenefitsBid Documents
- Solicitation number
- 26-87282
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form created by the Indiana Department of Administration for RFP 26-87282, a Request for Proposal/Partnership solicitation with the State of Indiana. The form is designed to be completed by references provided by vendors responding to the current solicitation. Reference check forms must be submitted to PScategory@idoa.in.gov by November 30, 2026, at 3:00 PM Eastern Time, with the subject line clearly stating "RFP 26-87282 Reference - [INSERT COMPANY NAME]." The form requires references to provide detailed information about their experience working with the vendor, including the duration of the working relationship and the types of internal and external stakeholders with whom the vendor communicated.
The Reference Check Form contains thirteen evaluation questions designed to assess the vendor's performance across multiple dimensions, including financial audit history, corrective actions, quality of services or work, business knowledge, staff quality, stakeholder engagement and communication, ability to provide appropriate resources, and performance regarding cost and schedule management. References are asked to rate the vendor as poor, satisfactory, above average, or superior across multiple categories, providing supporting explanations for each rating. The form also provides space for references to decline participation and offer comments, as well as to submit any additional topics or concerns for Indiana's consideration. Questions regarding the reference check form should be directed to Grant Durnil, Procurement Consultant, at gdurnil@idoa.in.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| Att B1 - IOT-IaaS (1).docx | DOCX document | |
| RFP Boilerplate vFinal.docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att F- Technical Proposal (1).docx | DOCX document | |
| Att I - Pre-Proposal Network Form.docx | DOCX document | |
| Att A - IVOSB Commitment Form.docx | DOCX document | |
| Att B3 - IOT-SaaS (1).docx | DOCX document | |
| Att N - RFP Glossary.docx | DOCX document | |
| Att A1 - INSBP Commitment Form.docx | DOCX document | |
| Att K - SOW.docx | DOCX document | |
| Att B - Sample Contract (2).docx | DOCX document | |
| Att L-Artificial Intelligence - Technical Proposal Questions.docx | DOCX document | |
| Att E - Business Proposal.docx | DOCX document | |
| Att D - Cost Proposal vFINAL1.xlsx | XLSX spreadsheet | |
| Att B2 - IOT-PaaS (1).docx | DOCX document | |
| Att M-Infrastructure Overview.docx | DOCX document | |
| Att G - Q&A Template.xlsx | XLSX spreadsheet |
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Text version
Request for Proposal/Partnership 26-87282 Reference Check Form Attachment H
Reference Check Form Due Date: November 30, 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:
PScategory@idoa.in.gov.
The subject line of the email submissions must clearly state the following:
RFP 26-87282 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:
Grant Durnil, Procurement Consultant gdurnil@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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