Attachment_2-E_Experience_and_References.pdf

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Attached to
Master Agreement AZ|CTR057030
Contract number
CTR057030
Issued by
Arizona

About this file

This document is a Request for Proposal (RFP) No. BPM003714 issued by the State of Arizona's Department of Child Safety, located in Phoenix, specifically from the Office of Procurement & Contracts. The solicitation is for a Process Improvement Psychological Consultant and includes Attachment 2-E, which details experience and reference requirements for potential offerors.

The attachment provides a template for offerors to submit three client references for assignments completed within the last five years that are similar to the RFP requirements. The references include contact information, dates of service, and brief descriptions of professional experiences. In the specific example filled out, the references include a retired supervisor from DCS, a post-doctoral supervisee in Arizona, and another post-doctoral supervisee, all with ongoing professional relationships spanning from 1994 to the present. The document emphasizes that the State of Arizona intends to conduct reference checks and may contact additional clients not initially presented by the offerors.

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Request for Proposal Solicitation No.

BPM003714

Description:

Process Improvement Psychological Consultant

State of Arizona

Department of Child Safety

Office of Procurement & Contracts

3003 N. Central Ave., 20th Fl.

Phoenix, AZ 85012

PART 2 of the Solicitation Documents SECTION 2-D: Offer Forms, Attachment 2-E

Page 26 of 34 2 A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

Attachment 2-E Experience and References

The State intends to conduct reference checks for all accounts provided by Offerors. The State may, at its sole discretion, contact additional clients not presented as references. Offerors shall provide at least three (3) client references for assignments that replicate or mirror the requirements of this RFP. All boxes must be completed.

All assignments shall be for assignments received and completed or current within the last five (5) years.

1 Client Company/Address Contact Begin Date End Date x x x x

Phone Number Email Address x x

Services performed similar to those described in Solicitation x

2 Client Company/Address Contact Begin Date End Date x x x x

3 Client Company/Address Contact Begin Date End Date x x x x

End of Attachment 2-E

4034 W Lake Echo Rd, Tucson, AZ 85742 Rose Diaz 1994 present

(520)954-0504 diazrose790@gmail.com

Retired supervisor that worked with me throughout my career at DCS.

Baltimore, MD & Tucson, AZ Sarah Leon 2010 present

(520)237-5757 leonsarah@gmail.com

I supervised Dr. Leon as she comleted her post-doctoral requirements for licensure in the State of Arizona for CCS.At that time Dr. Leon had a general caseload, which included CPS referrals.

New Zealand Larry Honig 2005 present n/a mmidi@aol.com

I supervised Dr. Honig as he completed his pot-doctoral requirements for licensure in the State of Arizona.

https://procure.az.gov/bso/

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