Addendum_1_-_Attachment_4_-_Customer_References.xlsx

XLSX spreadsheet 34 KB Posted Oct 2, 2024

Attached to: Temporary Healthcare Staffing Services RFP 5249923
Solicitation number: 5249923
Issued by: California

About this file

Written by GovTribe AI · Oct 28, 2024

This document is an Addendum for a Request for Proposal (RFP) issued by the California Department of General Services, Procurement Division (DGS-PD) for Temporary Healthcare Staffing Services. The RFP is to establish mandatory Master Service Agreements (MSAs) for Temporary Healthcare Provider Personnel (THPP) across various healthcare classifications. Proposers must submit customer references for each THPP classification they are proposing, with a minimum of two references per proposed Healthcare Group. The initial term of the resulting MSAs is three years, with the option to extend for two additional one-year periods, for a maximum of five years.

The RFP requires proposers to complete an Excel spreadsheet with customer reference contact information and classification details. Proposers must email a Microsoft Customer Reference Form link to each customer reference and copy the MSA Solicitations email address. The spreadsheet provides instructions for this process. Pricing terms, set asides, incumbent providers, funding sources, and other salient details are not included in this addendum document.

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Other files

File	Type	Posted
Exhibit_C_-_General_Terms_and_Conditions.docx	DOCX document	Oct 2, 2024
Exhibit_E_-_Definitions.docx	DOCX document	Oct 2, 2024
Exhibit_A_-_Scope_of_Work.docx	DOCX document	Oct 2, 2024
Attachment_1_-_Key_Action_Dates.docx	DOCX document	Oct 2, 2024
Attachment_4_-_Customer_References.xlsx	XLSX spreadsheet	Oct 2, 2024
Addendum_1_-_Attachment_3_-_Narrative_Response.xlsx	XLSX spreadsheet	Oct 2, 2024
Addendum_1_-_Exhibit_B.1_-_Rate_Sheet.docx	DOCX document	Oct 2, 2024
Addendum_1_-_Attachment_2_-_Cost_Workbook.xlsx	XLSX spreadsheet	Oct 2, 2024
Addendum_1_-_Question_and_Answer_Set_1.xlsx	XLSX spreadsheet	Oct 2, 2024
Addendum_1_-_RFP_5249923.docx	DOCX document	Oct 2, 2024
Exhibit_B.1_-_Rate_Sheet.docx	DOCX document	Oct 2, 2024
RFP_5249923.docx	DOCX document	Oct 2, 2024
Exhibit_A.2_-_Service_Area_Map.docx	DOCX document	Oct 2, 2024
Attachment_2_-_Cost_Workbook.xlsx	XLSX spreadsheet	Oct 2, 2024
Exhibit_B_-_Budget_Detail_and_Payment_Provisions.docx	DOCX document	Oct 2, 2024
5249923_THSS_Proposer_Conference_Slides.pdf	PDF	Oct 2, 2024
Addendum_1_-_Attachment_1_-_Key_Action_Dates.docx	DOCX document	Oct 2, 2024
5249923_Proposer_Conference_Script_10.15.2024.docx	DOCX document	Oct 2, 2024
Attachment_3_-_Narrative_Response.xlsx	XLSX spreadsheet	Oct 2, 2024
Exhibit_D_-_Insurance_Provisions.docx	DOCX document	Oct 2, 2024
Attachment_5_-_Proposing_Regions_and_Healthcare_Groups.xlsx	XLSX spreadsheet	Oct 2, 2024
Addendum_1_-_Cover_Sheet_RFP_5249923.docx	DOCX document	Oct 2, 2024
Attachment_6_-_Proposed_Agreement.docx	DOCX document	Oct 2, 2024

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Instructions

Department of General Services, Procurement Division (DGS-PD)
Master Agreements Unit 1 (MAU1)
Temporary Healthcare Staffing Services Solicitation \| Event ID: 5249923
Addendum 1 Attachment 4 - Customer References
PROPOSER NAME:
CUSTOMER REFERENCE - INSTRUCTIONS
Workbook Information:	- Proposers must not alter this workbook.
	- Some cells have been locked to maintain the integrity of the workbook.
	- Review all instructions prior to filling out any worksheets within this workbook.
Requirement:	- Per RFP Section 3.6.2, Proposers must submit a customer reference for each Temporary Healthcare Provider Personnel (THPP) Classification they are prosing.
	- Proposers must submit a minimum of two customer references for each proposed Healthcare Group.
	- Per RFP Section 3.6.3, customer references may be contacted for verification.
Instructions:	- Enter the Proposer's legal entity name in cell "B5" and complete the Customer References spreadsheet.
	- Additional instructions are identified within the Customer References tab.
	- Refer to Request for Proposal (RFP) for more information.

Customer References

Department of General Services, Procurement Division (DGS-PD)
Master Agreements Unit 1 (MAU1)
Temporary Healthcare Staffing Services Solicitation
Addendum 1 Attachment 4 - Customer References
PROPOSER:
PROPOSER TO COMPLETE SPREADSHEET BELOW
Additional Instructions - PART 1:	- Using the spreadsheet below, enter the contact information for each customer reference that will be included in the submitted proposal.
	- All customer references listed must meet the minimum requirements as stated in RFP Section 3.6.2.
	- If proposing on a Healthcare Group, a customer reference must be provided for EACH Classification within the Healthcare Group.
	- Column D contains cells with a drop-down menu of all the possible Classifications. (Click each cell to view the drop-down options.)
	- Ensure the emails entered below are accurate.
	- A single customer may provide a reference for multiple Classifications.
Additional Instructions - PART 2:	- Once the customer reference list is completed, the Proposer must complete the steps listed below to ensure customer references are collected and verified correctly:
	- NOTE: Proposers are recommended to use the Email Template (tab) provided, but may add additional information to their correspondence.
	1. For every customer providing a reference, the Proposer must email the solicitation Microsoft Customer Reference Form link to each customer.			Customer Reference MS Form Link:	https://forms.office.com/g/PhYmjd219z
	2. The MSA Solcitations email MUST be cc'd in the email to the customer reference to be validated.			MSA Solicitations Email Address:	MSASolicitations@dgs.ca.gov
	3. In the email to the customer, clearly identify the list of classifications the customer is providing a reference for, as identified in the Email Template (tab).
	4. Once all email addresses are entered in Column B, use the "SEND CUSTOMER REFERENCE EMAIL" hyperlink(s) in Column E to create the email to the customer.
	Subject:
	Temporary Healthcare Staffing Services Solicitation, Event ID: 5249923 \| Customer Reference (Action Required)
	Email Instructions:
	Paste email body template here
CUSTOMER FULL NAME	CUSTOMER EMAIL	CUSTOMER AGENCY / COMPANY NAME	THPP CLASSIFICATION REFERENCE IS FOR	LINK TO SEND EMAIL TO REFERENCE	DETAILS (OPTIONAL)

Berrios, Kayla@DGS: Details (Optional): Proposers may use this column to provide any additional information or details regarding their reference.

Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
*Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.
Enter Customer Full Name	Enter Customer Email	Enter Customer Agency / Company Name	Select Classification	SEND CUSTOMER REFERENCE EMAIL	Enter details / notes.*

mailto:MSASolicitations@dgs.ca.govhttps://forms.office.com/g/PhYmjd219z Email Template

Subject:	Temporary Healthcare Staffing Services Solicitation, Event ID: 5249923 \| Customer Reference (Action Required)
Body:	Hello-

My entity is proposing on a solicitation for Temporary Healthcare Staffing Services (THSS). I have identified you as a customer reference for similar services that have been previously provided by our entity. Please use the following link to complete the Customer Reference Form (CRF) and provide a customer reference for the services mentioned in this email by (PROPOSER TO ENTER A DUE DATE FOR THEIR REFERENCE HERE.): https://forms.office.com/g/PhYmjd219z

Identified Classifications (Select the classifications listed in this email for CRF Question 9): PROPOSER: ENTER THE LIST OF ALL RELEVANT CLASSIFICATIONS THAT THE CUSTOMER IS PROVIDING A REFERENCE FOR HERE. (RECOMMENDED TO COPY-PASTE FROM ATTACHMENT 4 - CUSTOMER REFERENCE TABLE).

Proposer Name (Enter in CRF Question 5): PROPOSER: ENTER THE PROPOSING ENTITY NAME HERE. (ENSURE THIS IS THE SAME NAME USED FOR ALL REFERENCES.)

Proposer Email (Enter in CRF Question 6): PROPOSER: ENTER THE EMAIL ADDRESS THAT WILL RECEIVE A COPY OF THE CUSTOMER REFERENCE SUBMISSION CONFIRMATION FILE.

Thank you!

Healthcare Groups - KEY

Healthcare Group	Service Type	THPP Classification	Data Validation Option
			Select Classification
1	Audiologist Services	Audiologist	1 - Audiologist
2	Clinical / Social Services	Clinical Social Worker	2 - Clinical Social Worker
3	Dental Services	Dental Assistant	3 - Dental Assistant
3	Dental Services	Dental Laboratory Technician	3 - Dental Laboratory Technician
3	Dental Services	Dentist	3 - Dentist
4	Registered Dental Services	Registered Dental Assistant	4 - Registered Dental Assistant
4	Registered Dental Services	Registered Dental Hygienist	4 - Registered Dental Hygienist
5	Dietetic Services	Dietetic Technician	5 - Dietetic Technician
5	Dietetic Services	Dietetics Assistant Director	5 - Dietetics Assistant Director
5	Dietetic Services	Dietetics Director	5 - Dietetics Director
5	Dietetic Services	Registered Dietician	5 - Registered Dietician
6	Laboratory Services	Clinical Laboratory Technologist	6 - Clinical Laboratory Technologist
6	Laboratory Services	Laboratory Assistant	6 - Laboratory Assistant
6	Laboratory Services	Laboratory Assistant (Phlebotomist)	6 - Laboratory Assistant (Phlebotomist)
7	Medical Support Services	Medical Assistant	7 - Medical Assistant
8	Nursing Services	Certified Nursing Assistant (CNA)	8 - Certified Nursing Assistant (CNA)
8	Nursing Services	Licensed Vocational Nurse (LVN)	8 - Licensed Vocational Nurse (LVN)
8	Nursing Services	Registered Nurse (RN)	8 - Registered Nurse (RN)
9	Optometry Services	Optometrist	9 - Optometrist
10	Pharmacy Services	Pharmacist I	10 - Pharmacist I
10	Pharmacy Services	Pharmacist II	10 - Pharmacist II
10	Pharmacy Services	Pharmacy Technician	10 - Pharmacy Technician
11	Podiatry Services	Podiatrist	11 - Podiatrist
12	Primary Care Services	Nurse Practitioner (NP)	12 - Nurse Practitioner (NP)
12	Primary Care Services	Physician	12 - Physician
12	Primary Care Services	Physician Assistant	12 - Physician Assistant
13	Psychology Services	Psychologist	13 - Psychologist
14	Psychology Services - Clinical	Psychologist (Clinical)	14 - Psychologist (Clinical)
15	Psychiatry Services	Psychiatric Technician	15 - Psychiatric Technician
15	Psychiatry Services	Psychiatrist	15 - Psychiatrist
16	Psychiatry Services - Correctional	Psychiatrist (Correctional)	16 - Psychiatrist (Correctional)
17	Psychiatry Services - Nursing	Nurse Practitioner (Psychiatric)	17 - Nurse Practitioner (Psychiatric)
18	Radiology Services	Radiologic Technologist	18 - Radiologic Technologist
19	Social Services - Behavioral	Behavior Specialist I	19 - Behavior Specialist I
19	Social Services - Behavioral	Behavior Specialist II	19 - Behavior Specialist II
20	Therapy Services - Occupational	Occupational Therapist	20 - Occupational Therapist
20	Therapy Services - Occupational	Occupational Therapy Assistant	20 - Occupational Therapy Assistant
21	Therapy Services - Physical	Physical Therapist I	21 - Physical Therapist I
21	Therapy Services - Physical	Physical Therapist II	21 - Physical Therapist II
21	Therapy Services - Physical	Physical Therapy Assistant	21 - Physical Therapy Assistant
22	Therapy Services - Recreational	Recreation Therapist	22 - Recreation Therapist
23	Therapy Services - Rehabilitation	Rehabilitation Therapist	23 - Rehabilitation Therapist
24	Therapy Services - Respiratory	Respiratory Care Practitioner	24 - Respiratory Care Practitioner
25	Therapy Services - Speech	Speech Pathologist I	25 - Speech Pathologist I
25	Therapy Services - Speech	Speech Pathologist II	25 - Speech Pathologist II

File details come from the government source that posted it. Updated Oct 28, 2024.