4-Administrative Form - Offeror Reference Form - Attachment 11.pdf

This is an Offeror Reference Form for the Atlanta Public Schools (APS) Workers Compensation Third-Party Administrator Services solicitation in Georgia. The form requires qualified vendors to provide three references from customers for whom they have completed work similar to the specifications outlined in the solicitation. Each reference entry must include the company name, full address, contact person name and title, telephone and fax numbers, email address, and a description of the scope of work performed along with the project date. Notably, vendors are explicitly prohibited from using Atlanta Public Schools as a reference. A pre-proposal conference will be held via Microsoft Teams on Monday, March 19, 2026, at 2:00 p.m. ET, with the meeting link and access details provided to interested parties.

The reference form is a standard administrative requirement that must be completed and submitted with the vendor's proposal response. No pricing information, contract term details, or other salient terms are specified within this particular document, as it serves solely as a reference verification tool to establish the offeror's relevant experience and qualifications in providing workers compensation third-party administrator services comparable to APS's requirements.