attachment_5_-_proposer_references.pdf
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- Solicitation number
- 0000040419
- Issued by
- California
About this file
This is a Proposer References attachment for RFP 27-3001 issued by the California Department of Social Services for a Workers Compensation Third Party Administrator contract. The attachment is a mandatory submission component that requires proposers to provide three business references for services performed within the last eight years that are similar in scope to the services to be performed under the agreement. Each reference must include complete and verifiable information including the firm name, street address, city, state, zip code, contact person, title, email, telephone number, dates of service, value or cost of service, and a brief description of services provided.
A critical requirement states that if a proposer has been awarded a contract valued greater than $10,000 with the California Department of Social Services within the last five years, a reference from that CDSS contract must be included as one of the three required business references. Failure to complete and return this attachment with the proposal may result in the proposal being rejected as nonresponsive.
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RFP 27-3001 Attachment 5 California Department of Social Services Page 1 of 2
Proposer References
Proposer Name:
Submission of this Attachment is mandatory. 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 eight (8) years which are similar to the scope of work to be performed by the Proposer in this Agreement. All fields must be completed and verifiable.
Note: if Proposer 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.
Reference 1
Name of Firm:
Street Address:
City: State: Zip:
Contact Person: Title:
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:
Reference 2
Name of Firm:
Street Address:
City: State: Zip:
Contact Person: Title:
Contact Email:
Telephone Number: (XXX) XXX-XXXX
RFP 27-3001 Attachment 5 California Department of Social Services Page 2 of 2
Dates of Service: MM/YYYY to MM/YYYY
Value or Cost of Service:
Brief Description of Service Provided:
Reference 3
Name of Firm:
Street Address:
City: State: Zip:
Contact Person: Title:
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:
| Proposer References |
| Reference 1 |
| Reference 2 |
| Reference 3 |
File details come from the government source that posted it. Updated .