Att T - Reference Check Form.docx
DOCX document 36 KB Posted
- Attached to
- Correctional Health CareBid Documents
- Solicitation number
- RFP 26-85248
- Issued by
- Hendricks County, Indiana
About this file
This document is a Reference Check Form issued by the Indiana Department of Administration (IDOA) for Request for Proposal (RFP) 26-85248 for Correctional Health Care services. The form is designed for vendors to provide reference information and is due on October 23, 2025, by 3:00 PM Eastern Time. Vendors are required to complete blue-boxed sections with detailed reference information, including company name, contact details, and specific questions about previous work experiences.
The reference check form requires vendors to provide comprehensive information about past work, including dates of engagement, performed duties similar to the current solicitation, positive aspects of the interaction, potential areas of improvement, and additional relevant information. The form is to be submitted through the Supplier Portal and may involve follow-up contact by State of Indiana representatives to gather more detailed insights about the vendor's previous performance and capabilities. The form serves as a critical component of the vendor evaluation process for the correctional health care solicitation.
View the file
Other files
Show all 34
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment TState of Indiana Contact:
Angie Alexander Procurement Consultant angalexander@idoa.in.gov Indiana Department of Administration
Reference Check Form
RFP 26-85248
Correctional Health Care
Reference Check Form Due Date:
October 23, 2025, by 3:00PM (Eastern) Any changes will be notated on the RFP Main Document, section 1.24 Summary of Milestones
INSTRUCTIONS: Please insert your Company/Vendor Name and complete the blue boxes below. A representative from the State of Indiana may reach out to 1 or more of your references to ask specific questions that may be beneficial to our solicitation. Should you wish to explain anything about this reference to the State, please include those comments where applicable below.
Please provide the information requested below and submit the reference information along with your proposal on the Supplier Portal.
VENDOR NAME (Vendor submitting this proposal)
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
QUESTIONS: Please provide a response to each of the questions listed below regarding the reference listed above.
1. What were the dates you worked with this reference:
2. Please explain the duties that were performed which you feel would be similar in scope to this solicitation:
3. Please list three (3) items that you felt went well during this interaction:
4. Please list one (1) item that you feel could have been completed differently which would have resulted in a better outcome:
5. Please list any additional information that you feel would be beneficial for the State to know regarding your interaction with this reference:
File details come from the government source that posted it. Updated .