Att H - Reference Check Form.docx
DOCX document 36 KB Posted
- Solicitation number
- RFP 27-88778
- Issued by
- Indiana
About this file
This is a Reference Check Form (Attachment H) issued by the Indiana Department of Administration for Request for Proposal/Partnership 27-88778. The form is designed to collect reference information from clients or organizations that have previously worked with vendors responding to the state solicitation. Vendors are required to submit completed reference check forms from their references by November 30, 2026, at 3:00 PM Eastern Time to HHScategory@idoa.IN.gov, with the email subject line clearly stating "RFP 27-88778 Reference - [INSERT COMPANY NAME]." The form requires vendors to provide their name, reference contact information including company name, contact person, title, telephone, email, and website address, as well as the industry classification of the reference company.
The reference check form contains thirteen evaluation questions designed to assess vendor performance across multiple dimensions. References are asked to provide information regarding their working relationship duration with the vendor, stakeholder communication requirements, financial audit issues, performance-related corrective action requests, quality of services or work, vendor knowledge of the reference's business, staff quality, stakeholder engagement and communication, ability to provide appropriate staff and resources, cost and schedule management, and an overall vendor rating. Each question uses a four-tier rating scale (poor, satisfactory, above average, or superior) where applicable and requests supporting explanations. Questions also allow references to decline participation and provide additional comments or topics for consideration by the State of Indiana during the evaluation process. The point of contact for inquiries is Alexis Humbert, Procurement Consultant, at AleHumbert@idoa.in.gov.
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| Att B3 - IOT-SaaS.docx | DOCX document | |
| Att L - AI Technical Proposal Questions.docx | DOCX document | |
| Att M - Infrastructure Overview.docx | DOCX document | |
| Att K - SOW.docx | DOCX document | |
| Att A1 - INSBP Commitment Form.docx | DOCX document | |
| RFP Main Document - 88778.pdf | ||
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| Att B - Sample Contract.docx | DOCX document | |
| Att B1 - IOT-IaaS.docx | DOCX document | |
| Att A - IVOSB Commitment Form.docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att E - Business Proposal.docx | DOCX document | |
| Att B2 - IOT-PaaS.docx | DOCX document | |
| Pre-Proposal General Presentation.pptx | PPTX presentation | |
| Att D - Cost Proposal.xlsx | XLSX spreadsheet | |
| Att F - Technical Proposal.docx | DOCX document | |
| Att I - Pre-Proposal Network Form.docx | DOCX document |
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Text version
Request for Proposal/Partnership 27-88778 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:
HHScategory@idoa.IN.gov
The subject line of the email submissions must clearly state the following:
RFP 27-88778 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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