Attachment-L.-Reference-Checks.pdf

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Attached to
R00B6600195 - Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for DORS Client (CS #26-05)
Solicitation number
BPM057623
Issued by
Maryland

About this file

This is a Reference Checks attachment for a state and local contract opportunity issued by the Maryland Division of Rehabilitation Services (DORS) for solicitation R00B6600195, which seeks a qualified contractor to provide vehicle equipment adaptation and prescription services for a DORS client with functional limitations due to disabilities. The attachment, effective April 2024, establishes the reference check requirements that bidders and offerors must fulfill as part of the procurement process. Bidders are required to submit one or more references from customers who can document the contractor's ability to provide the specified goods and services. References must be from customers for whom the bidder has provided comparable goods or services within the timeframe specified in Section 3, Table A of the solicitation. The form requests detailed information for each reference, including company name, address, contact person details, solicitation title and number, project title and type, contract value, performance dates, and a detailed description of goods or services provided that are comparable to the solicitation requirements.

References used to satisfy Minimum Qualifications outlined in Section 1 of the IFB/RFP may also be used to fulfill this reference check requirement. All reference contacts must be accessible and knowledgeable regarding the bidder's performance, with points of contact reachable via email or telephone. The Procurement Officer reserves the right to request additional references or utilize references not submitted by the bidder. If the Procurement Officer deems the references insufficient, the bidder may be determined Not Responsible, resulting in bid or proposal rejection. Bidders must provide clear, legible information and may add additional pages as necessary to submit more than the four reference templates provided.

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Other files

File Type Posted
IFB_CS #26-05_K. Kuhlman.pdf PDF
Attachment-F.-Bidder-Offeror-Information-Sheet.pdf PDF
Appendix-1.-Abbreviations-and-Definitions.pdf PDF
Addendum 3 Signature Sheet.pdf PDF
Attachment-S.-Non-Disclosure-Agreement-Contractor.pdf PDF
Kuhlman, Kylie ROF Video 3 of Van set up.mov MOV file
CS# 26-05_ROF VEAPA_AMENDED for Procurement with Changes Following Pre-Bid Mtg..xlsx XLSX spreadsheet
Professional-Services-Supplemental_CS # 26-05 Vehicle Modification.pdf PDF
Attachment-I.-Conflict-of-Interest-Affidavit.pdf PDF
Kuhlman, Kylie ROF Video 1 of Van set up.mov MOV file
Attachment-A.-Bid-Proposal-Affidavit.pdf PDF
Attachment-1.-No-Bid_Proposal-Notice_Vendor-Feedback-Form.pdf PDF
Exhibit-2-Sample-Contract_CS # 26-05.pdf PDF
Attachment-N.-Legal-Action-Summary.pdf PDF
Attachment-U.-Contract-Affidavit.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Kuhlman, Kylie_Pic in Driver's Seat with set up.jpeg JPEG file
Appendix-2.-Price-Form-Instructions.pdf PDF
Attachment-M.-List-of-Current-or-Prior-State-Contracts_4.9.26.pdf PDF
Kuhlman, Kylie ROF Video 2 of Van set up.mov MOV file
Attachment-H.-Federal-Funds-Attachment.pdf PDF
CS# 26-05_ROF VEAPA_AMENDED for Procurement.xlsx XLSX spreadsheet
Addendum 2_Pre-Bid Conference Confirmation.pdf PDF
Addendum 1_VEAPA.pdf PDF
CS# 26-05_ROF VEAPA_AMENDED for Procurement.xlsx XLSX spreadsheet
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Text version

Attachment L. Reference Checks effective date: April, 2024

ATTACHMENT L. REFERENCE CHECKS.

One or more references are requested from customers who are capable of documenting the Bidder/Offeror’s ability to provide the goods or services specified in this solicitation.

References used to meet any Minimum Qualifications (see Section 1 of the IFB/RFP) may also be used to meet this reference check request.

Each reference shall be from a customer for whom the Bidder/Offeror has provided goods or services within the timeframe specified in the solicitation Section 3, Table A and shall include the information requested in the boxes below.

Information furnished in response to this Attachment and any verification made by the Procurement Officer shall provide a basis for determining the responsibility of Bidders/Offerors. The Procurement Officer reserves the right to request additional references or utilize references not provided by the Bidder/Offeror. Points of contact must be accessible and knowledgeable regarding the Bidder’s/Offeror’s performance.

In the event that references are deemed insufficient by the Procurement Officer, the Procurement Officer may determine the Bidder/Offeror to be Not Responsible, which would cause the Bid/Proposal to be rejected.

If more space is needed for the type of service provided, please list on an additional sheet. All references must be reachable and willing to furnish information by email or telephone conversation.

Please PRINT clearly.

Reference #1

Company Name:

Address:

City: State: Zip Code:

Contact Person - Name and Title:

Solicitation Title:

Solicitation Number:

Name of Company/Firm (Bidder/Offeror):

VEHICLE EQUIPMENT ADAPTATION PRESCRIPTION

AND AGREEMENT (VEAPA) FOR DORS CLIENT CS #26-05

R00B6600195

Phone No. for Contact Person:

Email Address for Contact Person:

Project Title/Type of Project:

Contract Value: $

Date(s) contract was performed:

Please describe in detail the goods or services that were provided that are comparable to the requirements in the solicitation. If requested, include the size and type of facility where goods or services were provided here.

Reference #2

Company Name:

Address:

City:

State: Zip Code:

Contact Person - Name and Title:

requirements in the solicitation. If requested, include the size and type of facility where goods or

Reference #3 requirements in the solicitation. If requested, include the size and type of facility where goods or

Reference #___ requirements in the solicitation. If requested, include the size and type of facility where goods or

Add more pages as necessary for additional references.

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