6-08. Business Reference Form.pdf
PDF 47 KB Posted
- Attached to
- Student Support Contracted Nursing Services
- Solicitation number
- SSCNS-2026 RFP
- Issued by
- Cherokee County, Georgia
About this file
This is a Business Reference Form for vendor submissions to the Cherokee County School District in Georgia in response to a solicitation for Student Support Contracted Nursing Services. The form requires vendors to provide five business references and three references from past experience with the Cherokee County School District. For each business reference, vendors must document the business name, contact name, address, phone number, email, service dates (begin and end), and a description of services performed. Similarly, for Cherokee County School District references, vendors must provide the department name, contact information, service dates, and services rendered. The form specifies that all information submitted is subject to verification based on the details provided by the vendor.
The Business Reference Form serves as a qualification and due diligence document designed to assess vendor experience and reliability. By requiring vendors to supply both general business references and specific references from prior work with Cherokee County School District, the form enables the school district to evaluate vendor capability in delivering specialized nursing services for special education support. The form is designed to support the RFP evaluation process, allowing the district to verify vendor claims and assess their suitability for potential contract award, which may be made to multiple proposers as indicated in the solicitation.
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Text version
Cherokee County School District Business Reference Form
Vendor Name:
Contact Name:
1. Business Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
2. Business Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
3. Business Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
4. Business Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
5. Business Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
All information collected in this form is subject to being verified based on the information provided.
rev. 5.24.2024
Cherokee County School District Business Reference Form
1. Department Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
2. Department Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
3. Department Name:
Contact Name:
Address:
Phone:
Email:
Begin Date: End Date:
Service Performed:
PAST EXPERIENCE WITH THE CHEROKEE COUNTY SCHOOL DISTRICT
rev. 5.24.2024
Sheet1
| Vendor Name: |
| Contact Name: |
| Business Name: |
| Contact Name_2: |
| Address: |
| Phone: |
| Email: |
| Begin Date: |
| End Date: |
| undefined: |
| Business Name_2: |
| Contact Name_3: |
| Address_2: |
| Phone_2: |
| Email_2: |
| Begin Date_2: |
| End Date_2: |
| undefined_2: |
| Business Name_3: |
| Contact Name_4: |
| Address_3: |
| Phone_3: |
| Email_3: |
| Begin Date_3: |
| End Date_3: |
| undefined_3: |
| Business Name_4: |
| Contact Name_5: |
| Address_4: |
| Phone_4: |
| Email_4: |
| Begin Date_4: |
| End Date_4: |
| undefined_4: |
| Business Name_5: |
| Contact Name_6: |
| Address_5: |
| Phone_5: |
| Email_5: |
| Begin Date_5: |
| End Date_5: |
| undefined_5: |
| 1 Department Name: |
| Contact Name_7: |
| Address_6: |
| Phone_6: |
| Email_6: |
| Begin Date_6: |
| End Date_6: |
| undefined_6: |
| 2 Department Name: |
| Contact Name_8: |
| Address_7: |
| Phone_7: |
| Email_7: |
| Begin Date_7: |
| End Date_7: |
| undefined_7: |
| 3 Department Name: |
| Contact Name_9: |
| Address_8: |
| Phone_8: |
| Email_8: |
| Begin Date_8: |
| End Date_8: |
| undefined_8: |
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