Agency_Reference_Form.pdf

PDF 109 KB Posted

Attached to
Public Health Lab Billing System
Solicitation number
208-1018-25
Issued by
Trinity County, California

About this file

The document is an Agency Reference Form from Solano County, specifically a Request for Proposals (RFP) template designed to collect reference information from potential bidders. The form requires bidders to provide details for three references from government agencies or firms where similar services were provided within the last three years. Each reference section allows for comprehensive documentation, including agency/firm name, business address, contact person, telephone number, email address, description of service, and dates of service provision.

This reference form is part of Solano County's procurement process for a Public Health Lab Billing System, serving as a supporting document to evaluate vendor qualifications and past performance. By requiring bidders to list recent government or business references, the county aims to assess the vendor's experience, reliability, and capability to deliver the proposed laboratory billing solution. The form provides a standardized method for capturing critical reference information that will help county officials make informed decisions during the vendor selection process.

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Text version

SOLANO COUNTY

REQUEST FOR PROPOSALS (RFP)

AGENCY REFERENCE FORM

Supply Three (3) References of Government Agencies and/or Firms for whom Bidder has provided similar Services during the last three (3) years:

LIST OF REFERENCES

1. Agency or Firm Name:

Business Address:

Contact Person:

Telephone:

Email Address:

Description of Service:

Dates(s) When Service Provided

2. Agency or Firm Name:

Business Address:

Contact Person:

Telephone:

Email Address:

Description of Service

Dates(s) When Service Provided

3. Agency or Firm Name:

Business Address:

Contact Person:

Telephone:

Description Of Service

Dates(s) When Service Provided

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