RFP 26-86378 - Att H - Reference Check Form.docx
DOCX document 3 MB Posted
- Attached to
- Community Supports IT SystemsBid Documents
- Solicitation number
- RFP 26-86378
- Issued by
- Marion County, Indiana
About this file
This is a Reference Check Form issued by the Indiana Department of Administration for RFP 26-86378, Community Supports IT Systems. The form is designed to be completed by clients or organizations that have previously worked with vendors responding to this state of Indiana solicitation. References must be submitted by September 10, 2026, at 3:00 PM Eastern Time to idoareferences@idoa.in.gov with the subject line clearly stating "RFP 26-86378 Reference - [INSERT COMPANY NAME]." The form requires detailed contact information for both the reference provider and the vendor being evaluated, including company name, contact person, title, address, website, telephone, fax, email, and industry classification.
The reference evaluation focuses on thirteen assessment areas designed to provide the State of Indiana with comprehensive insight into vendor performance and suitability. References are asked to document the duration and nature of their working relationship with the vendor, identify internal and external stakeholder interactions, and evaluate the vendor across multiple dimensions including service quality, business knowledge, staff quality, stakeholder engagement and communication, resource allocation capabilities, cost and schedule management, and financial audit compliance. References are also requested to disclose any corrective action requests related to performance issues and provide an overall vendor rating. This standardized assessment tool allows the State of Indiana to conduct informed evaluations during the competitive procurement process.
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Attachment HState of Indiana Contact:
Nicole McClain, Procurement Specialist NMcclain@idoa.IN.gov Indiana Department of Administration
Reference Check Form
RFP 26-86378
Community Supports IT Systems
Reference Check Form Due Date:
September 10, 2026 @ 3:00 PM Eastern Time
INSTRUCTIONS: You have been asked by the vendor listed below to provide a reference as they are responding 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 contact the State of Indiana contact listed in the box in the top left side of the form.
Please provide the information requested below and submit this reference check form to:
idoareferences@idoa.in.gov:
The subject line of the email submissions must clearly state the following:
RFP 26-86378 Reference – [INSERT COMPANY NAME]
VENDOR NAME
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 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 the 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 to, please describe the issue briefly, and any corrective actions 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 to, please describe the issue briefly, and any corrective actions 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 vendor as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
7. Would you rate the vendor's knowledge of your business as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
8. Would you rate the overall quality of the vendor’s staff as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
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 elaborate on why you are giving the vendor this rating.
10. Would you rate the vendor’s ability to provide appropriate staff and resources for the project, as needed, at all times as poor, satisfactory, above average or superior? Please elaborate on why you are giving the vendor this rating.
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 elaborate on why you are giving the vendor this rating.
12. Are there any other topics you believe Indiana should consider during its reference evaluation or 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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