Northern Illinois _Community_Charging_IFB_Vendor_Reference_Form.docx
DOCX document 5 MB Posted
- Attached to
- Northern Illinois Community Charging Program IFB
- Solicitation number
- 26-560IFA-IFA56-B-50776
- Issued by
- Cook County, Illinois
About this file
This is a Vendor Reference Submission Form issued by the Illinois Finance Authority (IFA) for the Northern 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 vendor information including legal name, primary contact details, and reference organization information with contact persons. The form requests documentation of relevant project experience across multiple service 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.
The reference submission form allows vendors to document project scope, location, duration, and contract value across multiple bands ranging from under $100,000 to over $500,000. The form does not specify pricing terms, set-asides, incumbent information, or funding sources in the reference submission document itself, as it functions solely as a vehicle for vendors to demonstrate qualifications and past performance on relevant projects. Vendors must complete this supplementary documentation as part of their broader response to the Northern Illinois Community Charging Program IFB.
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Text version
ILLINOIS FINANCE AUTHORITY (IFA)
Northern 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: Northern 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 .