Central-Southern Illinois _Community_Charging_IFB_Vendor_Reference_Form.docx

DOCX document 5 MB Posted

Attached to
CANCELED. Central & Southern Illinois CFI Community Charging Program
Solicitation number
26-560IFA-IFA56-B-50921
Issued by
Illinois

About this file

This is a vendor reference submission form developed 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 demonstrating relevant experience with electric vehicle charging infrastructure, electrical installation, construction, maintenance, or related services. Vendors must provide information about reference organizations they have worked with, including the organization's name, type (municipality, county, state agency, utility, private entity, or other), and contact information for a reference representative. The form requests details about relevant projects, including project name and location, specific scope of work performed such as EV charging station installation, Level 2 charging, DC fast charging, electrical/utility work, site preparation and construction, operations and maintenance, or program management, along with project duration and approximate contract value ranges.

The reference submission form does not contain pricing information, set-asides, incumbent details, or funding sources within its content. Rather, it serves as a qualification and documentation tool for vendors to demonstrate their experience and capability to perform work under the Community Charging Program 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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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 demonstrating relevant experience with electric vehicle (EV) charging infrastructure, electrical installation, construction, maintenance, or related services.

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 .