Attachment_17_-_Key_Staff_Refernce_Form.pdf

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Attached to
Multipurpose Senior Services Program - Organizational Change Management
Solicitation number
RFO2526-04
Issued by
Sacramento County, San Francisco City, California

About this file

This is an attachment form from the California Department of Aging for RFO-2526-04 concerning MSSP (Multipurpose Senior Services Program) Organizational Change Management. The document is Attachment 17: Key Staff Reference Form, which respondents must complete for each key staff member listed in their Attachment 16: Key Staff Qualifications Form. The reference number on the form must correspond to the numbering used in the Key Staff Qualifications Form. The form requests basic information about referenced staff members, including the staff member's name, reference number, company name, street address, city/state/zip code, contact name, telephone number, dates of service in MM/DD/YYYY format, and a brief description of services provided by that staff member.

This form serves as a verification document to validate the qualifications and experience of key personnel proposed by bidders responding to the RFO. No pricing information, contract terms, award dates, or renewal options are addressed in this particular attachment. The form is a standard supporting document designed to ensure accountability and verification of staff credentials during the procurement evaluation process.

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California Department of Aging RFO Number: RFO-2526-04 MSSP – Organizational Change Management

ATTACHMENT 17

KEY STAFF REFERENCE FORM

1. RESPONDENT INSTRUCTIONS:

Complete one (1) Staff Reference form for each corresponding staff member listed in the Respondent's ATTACHMENT 16: KEY STAFF QUALIFICATIONS FORM. The Reference Number should match the number listed in ATTACHMENT 16: KEY

STAFF QUALIFICATIONS FORM.

KEY STAFF NAME:

REFERENCE #

Name of Company

Street Address:

City, State, Zip Code:

Contact Name:

Telephone Number:

Dates of Service

(MM/DD/YYYY – MM/DD/YYYY):

Brief Description of Service Provided:

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