Central-Southern Illinois _Community_Charging_IFB_Vendor_Reference_Form_033026.docx
DOCX document 5 MB Posted
- Solicitation number
- 26-560IFA-IFA56-B-51619
- Issued by
- Adams County, Illinois
About this file
This is a Vendor Reference Submission Form issued by the Illinois Finance Authority (IFA) for the Central & Southern Illinois Community Charging Program Invitation for Bid (IFB). The form requires vendors responding to the IFB to submit references from clients who have completed similar electric vehicle supply equipment (EVSE) procurement, installation, construction, and maintenance work. At minimum, one reference must originate from a government entity. The form requests vendor information including legal name, primary contact details, and email and phone contact information. Vendors must provide reference organization details, including the organization name, type (municipality, county, state agency, utility, private entity, or other), and contact information for a reference representative.
The form requires documentation of relevant project experience with specific scope of work categories including EV charging station installation, Level 2 charging, DC Fast Charging (DCFC), electrical and utility work, site preparation and construction, operations and maintenance, and program management. Vendors must disclose project name and description, location, project duration with start and end dates, and approximate contract value within specified ranges (under $100,000; $100,000–$250,000; $250,000–$500,000; over $500,000; or not disclosed). This reference documentation supports vendor qualification evaluation for the IFB, which seeks qualified firms to provide all labor, materials, equipment, and services necessary for the installation, operation, and maintenance of Level 2 and DC Fast Charging community electric vehicle charging stations at designated public sites across Central and Southern Illinois.
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Text version
ILLINOIS FINANCE AUTHORITY (IFA)
Central & Southern Illinois Community Charging Program – IFB Vendor Reference Submission Form Instructions to Vendor Vendors responding to the Community Charging Program IFB shall submit t () references from clients for whom it has completed similar EVSE procurement, installation, construction and maintenance work. At least one reference must be from a government entity.
Section 1: Vendor Information Vendor Legal Name: __________________________________________ IFB: Central & Southern Illinois Community Charging Program Primary Vendor Contact: ____________________________________ Email: _________________________________________________ Phone: _________________________________________________ Section 2: Reference Organization Information Organization Name: ________________________________________ Organization Type (check one):
☐ Municipality ☐ County ☐ State Agency ☐ Utility ☐ Private Entity ☐ Other: __________ Reference Contact Name: ___________________________________ Title: _________________________________________________ Email: _________________________________________________ Phone: _________________________________________________ Section 3: Relevant Project Information Project Name / Description:
Project Location (City / County / State):
Scope of Work Performed (check all that apply):
☐ EV Charging Station Installation ☐ Level 2 Charging ☐ DC Fast Charging (DCFC) ☐ Electrical / Utility Work ☐ Site Preparation / Construction ☐ Operations & Maintenance ☐ Program Management ☐ Other: _____________________________________________ Project Duration:
Start Date: _____________ End Date (or Ongoing): _____________
Approximate Contract Value:
☐ Under $100,000 ☐ $100,000 – $250,000 ☐ $250,000 – $500,000 ☐ Over $500,000 ☐ Not disclosed
File details come from the government source that posted it. Updated .