Appendix C.docx
DOCX document 31 KB Posted
- Solicitation number
- RFSQ-BHS-FY23-0108
- Issued by
- Santa Clara County, California
About this file
This is Appendix C of a Request for Statements of Qualifications (RFSQ) issued by the County of Santa Clara Behavioral Health Services Department for Substance Use Residential Withdrawal Management Services (RFSQ-BHS-FY23-0108). The document establishes customer reference requirements for respondents seeking to provide residential withdrawal management services consistent with American Society of Addiction Medicine (ASAM) Level 3.2 standards to adult County residents (age 18 and above) with an average length of stay of 5-7 days. Respondents must submit a minimum of three external references from organizations with whom they have provided same or similar program services within the last three years, with the option to include a maximum of one reference from the BHSD itself.
Each reference submission must include the organization name, address, contact person, telephone number, email address, dates services were provided, and a description of the services delivered. The document provides space for up to ten reference entries, indicating that respondents may exceed the minimum requirement. The County specifically encourages references from previous or existing public sector entities to validate the respondent's past performance on programs of similar size and scope.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Appendix E (With Local Preference).docx | DOCX document | |
| Addendum 2.pdf | ||
| Appendix G.docx | DOCX document | |
| Attachment E.pdf | ||
| Appendix A.docx | DOCX document | |
| Appendix J.docx | DOCX document | |
| Solicitation_Document.pdf | ||
| Appendix E (Without Local Preference).docx | DOCX document | |
| Attachment A.pdf | ||
| Appendix F.docx | DOCX document | |
| Appendix B.docx | DOCX document | |
| Attachment B.pdf | ||
| Appendix H.docx | DOCX document | |
| Addendum 5.pdf | ||
| Addendum 1.pdf | ||
| Addendum 4.pdf | ||
| Addendum 3.pdf | ||
| Attachment D.pdf | ||
| Appendix I.xlsx | XLSX spreadsheet | |
| Solicitation_Document_1.pdf | ||
| Appendix D.docx | DOCX document | |
| Attachment C.pdf | ||
| RFSQ-BHS-FY23-0108.pdf |
Show all 23
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
County of Santa Clara – Behavioral Health Services Department
RFP-BHS-FYXX-XXXX: RFP TITLE
APPENDIX C
County of Santa Clara – Behavioral Health Services Department RFSQ-BHS-FY23-0108: Substance Use Residential Withdrawal Management Services
CUSTOMER REFERENCES
Respondent shall include external references from organizations who Respondent has done business with to provide same or similar program services in the last three (3) years, who are willing to validate Respondent’s past performance on similar programs of size and scope.
· Respondent may add a maximum of one (1) reference from the BHSD.
· Respondent shall include at least three (3) different external references.
· The County encourages references to be of previous or existing public sector entities.
· The minimum information that should be provided for each reference is as follows:
| 1. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 2. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 3. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 4. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 5. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 6. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 7. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 8. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 9. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
| 10. |
| ORGANIZATION NAME: |
ADDRESS:
CONTACT PERSON:
TELEPHONE NUMBER:
E-MAIL:
DATES SERVICES PROVIDED:
DESCRIPTION OF SERVICES:
File details come from the government source that posted it. Updated .