Attachment B - Reference Submittal Form.pdf
PDF 161 KB Posted
- Attached to
- RFP No. 2130386 - Employee Health Benefits Plan
- Solicitation number
- RFP No. 2130386 - Employee Health Benefits Plan
- Issued by
- Florida
About this file
This document is a Reference Submittal Form for the City of Miami's Request for Proposal (RFP) 2130386 for an Employee Health Benefits Plan. The form is specifically Attachment B, which requires potential bidders to provide past performance references to demonstrate their qualifications and capability to deliver health benefits services. The form has space for three separate reference checks, allowing vendors to document their previous work in similar health benefits contracts by listing details such as company/organization name, address, contact information, contract dates, and whether they served as a prime or subcontractor.
The form is designed to support Section 2.8 of the RFP's Special Conditions, enabling the City of Miami to verify bidders' past performance and assess their suitability for the employee health benefits contract. Each reference section provides fields for comprehensive documentation, including contact details and an opportunity to describe the service provided and total contract value. By requiring multiple reference checks, the City aims to thoroughly validate potential vendors' experience, performance history, and reliability in delivering health benefits plans.
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Text version
City of Miami - Attachment B RFP 2130386 Employee Health Benefits Plan
Reference Submittal Form
FIRM NAME:
Reference Section 2.8 Summarized Requirements: Refer to the details in Section 2, Special Conditions, to verify that the information provided will suffice as proof of meeting the requirements of this solicitation.
Past Performance Reference Check #1
Company/Organization Name:
Address:
Contact Person:
Contact Phone Number:
Contact Email (if applicable):
Date of Contract or Sale:
Prime or Subcontractor:
Other (Description of Service, Total dollar value of Contract, etc.):
Past Performance Reference Check #2
Company/Organization Name:
Address:
Contact Person:
Contact Phone Number:
Contact Email (if applicable):
Date of Contract or Sale:
Prime or Subcontractor:
Other (Description of Service, Total dollar value of Contract, etc.):
City of Miami - Attachment B RFP 2130386 Employee Health Benefits Plan
Reference Submittal Form
Past Performance Reference Check #3
Company/Organization Name:
Address:
Contact Person:
Contact Phone Number:
Contact Email (if applicable):
Date of Contract or Sale:
Prime or Subcontractor:
Other (Description of Service, Total dollar value of Contract, etc.):
| FIRM NAME: |
| CompanyOrganization Name: |
| Address: |
| Contact Person: |
| Contact Phone Number: |
| Contact Email if applicable: |
| Date of Contract or Sale: |
| Prime or Subcontractor: |
| Other Description of Service Total dollar value of Contract etc: |
| CompanyOrganization Name_2: |
| Address_2: |
| Contact Person_2: |
| Contact Phone Number_2: |
| Contact Email if applicable_2: |
| Date of Contract or Sale_2: |
| Prime or Subcontractor_2: |
| Other Description of Service Total dollar value of Contract etc_2: |
| CompanyOrganization Name_4: |
| Address_3: |
| Contact Person_3: |
| Contact Phone Number_3: |
| Contact Email if applicable_3: |
| Date of Contract or Sale_3: |
| Prime or Subcontractor_3: |
| Other Description of Service Total dollar value of Contract etc_3: |
File details come from the government source that posted it. Updated .