attachment_5.1_-_subcontractor_references.pdf
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- Solicitation number
- 0000040419
- Issued by
- California
About this file
This is a Subcontractor References attachment for RFP 27-3001 issued by the California Department of Social Services for a Workers Compensation Third Party Administrator contract. The document establishes mandatory submission requirements for any proposed subcontractors, requiring bidders to provide three separate reference sheets for each subcontractor utilized in the proposal. Each reference must document services performed within the last five years that are similar in scope to the work proposed under the agreement, with all fields requiring completion and verification.
The attachment specifies that for each of the three required references, bidders must provide the subcontractor firm name, complete street address, contact person information including email and telephone number, dates of service in MM/YYYY format, the value or cost of service rendered, and a brief description of services provided. A critical requirement mandates that if a proposed subcontractor has been awarded a contract exceeding $10,000 with CDSS within the last five years, one of the three required references must be from that previous CDSS contract. Failure to complete and submit this attachment with the proposal may result in the proposal being rejected as nonresponsive.
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Text version
RFP 27-3001 Attachment 5.1 California Department of Social Services Page 1 of 2
Subcontractor References
Subcontractor Name:
If applicable, submission of this Attachment is mandatory when subcontractor(s) are utilized. For each subcontractor proposed, complete and submit a separate reference sheet per subcontractor. Failure to complete and return this Attachment with your Proposal may cause your Proposal to be rejected and deemed nonresponsive.
List below three (3) references for services performed within the last years which are similar to the scope of work to be performed by the Subcontractor in this Agreement.
All fields must be completed and verifiable.
Note: If proposed Subcontractor has been awarded a contract greater than $10,000 with CDSS within the last five (5) years, a reference from that CDSS contract must be utilized as one (1) of the three (3) requested business references.
Subcontractor Reference 1
Name of Firm:
Street Address:
City: State: Zip:
Contact Person:
Contact Email:
Telephone Number: (XXX) XXX-XXXX
Dates of Service: MM/YYYY to MM/YYYY
Value or Cost of Service:
Brief Description of Service Provided:
Subcontractor Reference 2
Name of Firm:
Street Address:
City: State: Zip:
Contact Person:
Contact Email:
RFP 27-3001 Attachment 5.1 California Department of Social Services Page 2 of 2
Telephone Number: (XXX) XXX-XXXX
Dates of Service: MM/YYYY to MM/YYYY
Value or Cost of Service:
Brief Description of Service Provided:
Subcontractor Reference 3
Name of Firm:
Street Address:
City: State: Zip:
Contact Person:
Contact Email:
Telephone Number: (XXX) XXX-XXXX
Dates of Service: MM/YYYY to MM/YYYY
Value or Cost of Service:
Brief Description of Service Provided:
| Subcontractor References |
| Subcontractor Reference 1 |
| Subcontractor Reference 2 |
| Subcontractor Reference 3 |
File details come from the government source that posted it. Updated .