6-Business References -Attachment 5.pdf

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Attached to
LABORATORY EQUIPMENT MAINTENANCE
Solicitation number
HSS-26-009
Issued by
New Castle County, Delaware

About this file

This document is a Business References form from the Delaware Health and Social Services, Division of Public Health, for Contract No. HSS 26 009 titled "Laboratory Equipment Maintenance". The form requires potential bidders to provide a minimum of three business references, including business name, mailing address, contact name and phone number, number of years doing business, and type of work performed. The document explicitly prohibits listing any State of Delaware personnel as references and requests that vendors who have held a state contract within the last 5 years provide a separate list of those contracts.

The form is structured to capture detailed information about three separate business references, with fields for contact details, email, phone/fax numbers, whether the reference is a current vendor, and the years and type of work associated with each reference. The form is part of an attachment (Attachment 5) to a competitive bidding process for laboratory equipment maintenance services, indicating that prospective vendors must complete this reference form as part of their proposal submission.

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Text version

Delaware Health and Social Services Division of Public Health

Attachment 5

Contract No. HSS 26 009 Contract Title: LABORATORY EQUIPMENT MAINTENANCE

BUSINESS REFERENCES (MUST COMPLETE THIS FORM IN ITS’ ENTIRELY)

List a minimum of three business references, including the following information:

Business Name and Mailing address Contact Name and phone number Number of years doing business with Type of work performed Please do not list any State Employee as a business reference. If you have held a State contract within the last 5 years, please provide a separate list of the contract(s).

1. Contact Name & Title:

Business Name:

Address:

Email:

Phone # / Fax #:

Current Vendor (YES or NO):

Years Associated & Type of Work Performed:

2. Contact Name & Title:

3. Contact Name & Title:

STATE OF DELAWARE PERSONNEL MAY NOT BE USED AS REFERENCES.

File details come from the government source that posted it. Updated .