Attachment-L.-Reference-Checks.pdf
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- Solicitation number
- BPM057724
- 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 Vehicle Equipment Adaptation Prescription Agreement (VEAPA) services. The attachment serves as a standardized form for bidders and offerors to provide customer references that demonstrate their capability to furnish goods and services specified in the solicitation, specifically the modification and adaptive equipment installation for a 2026 Toyota Sienna XSE to accommodate a consumer with disabilities. The form requires bidders to submit one or more references from customers for whom they have provided comparable goods or services within the timeframe specified in the solicitation's Section 3, Table A. Each reference must include detailed company information, contact person details with phone and email, project title, contract value, performance dates, and a comprehensive description of goods or services provided that are comparable to the solicitation requirements, including facility size and type where applicable.
References provided by bidders must be from accessible and knowledgeable points of contact willing to furnish information via email or telephone conversation. The Procurement Officer reserves the right to request additional references or contact references not provided by the bidder, and references used to meet any Minimum Qualifications may also satisfy this reference check requirement. If the Procurement Officer deems references insufficient, the bidder may be determined Not Responsible, resulting in rejection of the bid or proposal. The attachment allows bidders to submit up to four or more references by adding additional pages as necessary, with clear printing required for all submitted information.
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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 #26-02
R00B6600161
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 .