Att.D_ReferenceCheckForm~1.docx

DOCX document 35 KB Posted

Attached to
Intermediate Request for Proposals | Rulemaking and Fiscal Impact Statement Services
Solicitation number
S-66000-00015662
Issued by
Marion County, Oregon

About this file

This is a Reference Check Form attachment for an Intermediate Procurement issued by the Oregon Department of Land Conservation and Development (DLCD) for consulting services related to rulemaking and fiscal impact statement development. The form serves as part of the evaluation process for RFP #S-66000-00015662 and requires offerors to provide three professional references. Each reference entry requests the reference entity name, contact person name, telephone number, and email address, allowing the procuring agency to verify the offeror's qualifications and prior performance on similar projects.

The Reference Check Form is a standard evaluation document with no specific pricing, contract term, or award information detailed within the attachment itself. The form functions as a due diligence mechanism to validate offeror credentials and experience in developing Fiscal Impact Statements, Housing Impact Statements, and Racial Equity Statements for rulemaking efforts. No set-asides, incumbent information, funding amounts, or contract renewal options are specified in this particular document.

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Text version

RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

INTERMEDIATE PROCUREMENT #S-66000-00015662 – Rulemaking and Fiscal Impact Statements Att D

ATTACHMENT D - REFERENCE CHECK FORM

Offeror Name: __________________________________________

Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________
Version 1.0 - November 19, 2014Page 1 of 2
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