2. Business Reference Form.docx
DOCX document 45 KB Posted
- Attached to
- Hearing Officer RFR
- Solicitation number
- BD-18-1022-DMH08-8210C-19004
- Issued by
- Suffolk County, Massachusetts
About this file
The document provided is a Business Reference Form for a Request for Response (RFR) issued by a state agency. The form requires bidders to submit a specified number of business references, which will be contacted to confirm the bidder's qualifications and abilities. The RFR is for the purpose of creating a pool of individuals that the state agency may use as hearing officers to conduct fair hearings involving the agency and/or individuals seeking or receiving the agency's services. The state agency's General Counsel, or designee, will assign hearings to the qualified, interested, and available hearing officers.
The document does not provide details on pricing terms, set asides, incumbents, funding requirements, or other salient information beyond the reference requirements and the general purpose of the RFR.
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Text version
Business Reference Form
Reference Guidelines The bidder must provide Insert number here business references.
References will be contacted to confirm the bidder’s abilities and qualifications as stated in the bidder’s response. The department may deem the bidder’s response unresponsive if a reference is not obtainable from a listed reference after reasonable attempts.
Request for Response (RFR) Information
| Bidder: | Click here to enter text. | |
| RFR Name/Title: | Click here to enter text. | |
| RFR Number: | Click here to enter text. |
Reference Information
| Reference Name: | Click here to enter text. | Contact: | Click here to enter text. | ||
| Address: | Click here to enter text. | Email Address: | Click here to enter text. | ||
| Phone Number: | Click here to enter text. | Fax/Other Number: | Click here to enter text. |
Description and dates(s) of commodities/services provided: Click here to enter text.
| Reference Name: | Click here to enter text. | Contact: | Click here to enter text. | ||
| Address: | Click here to enter text. | Email Address: | Click here to enter text. | ||
| Phone Number: | Click here to enter text. | Fax/Other Number: | Click here to enter text. |
| Reference Name: | Click here to enter text. | Contact: | Click here to enter text. | ||
| Address: | Click here to enter text. | Email Address: | Click here to enter text. | ||
| Phone Number: | Click here to enter text. | Fax/Other Number: | Click here to enter text. |
Sensitivity Level: Low
File details come from the government source that posted it. Updated .