Bidder Reference Form-PKGDOC1526349-0004.pdf
PDF 170 KB Posted
- Attached to
- Mobile Diagnostic Imaging
- Solicitation number
- BD-25-1053-1053C-CSR-111609
- Issued by
- Hampden County, Massachusetts
About this file
This is a Business Reference Form template that requires bidders to provide three business references as part of their Request for Response (RFR) submission. The form outlines that references will be contacted to confirm the bidder's abilities and qualifications as stated in their response, and warns that the department may deem a bidder's response unresponsive if a reference cannot be reached after reasonable attempts.
The form includes fields for basic RFR information (Bidder name, RFR Name/Title, and RFR Number) and three identical sections for reference information. Each reference section requests the reference company name, contact person, address, phone number, email address, fax/other number, and a description field for documenting the commodities/services provided including dates. The document is marked with a "Low" sensitivity level.
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Text version
Sensitivity Level: Low
Business Reference Form
Reference Guidelines
1. The bidder must provide 3 business references.
2. References will be contacted to confirm the bidder’s abilities and qualifications as stated in the bidder’s response. The department may deem the bidder’s response unresponsive if a reference is not obtainable from a listed reference after reasonable attempts.
Request for Response (RFR) Information
Bidder:
RFR Name/Title:
RFR Number:
Reference Information Reference Name:
Fax/Other Number:
Description and dates(s) of commodities/services provided:
Address:
Phone Number:
Email Address:
Contact:
Reference Name:
Fax/Other Number:
Description and dates(s) of commodities/services provided:
Address:
Phone Number:
Email Address:
Contact:
Reference Name:
Fax/Other Number:
Description and dates(s) of commodities/services provided:
Address:
Phone Number:
Email Address:
Contact:
| Business Reference Form |
| Reference Guidelines |
| Bidder: |
| RFR Name/Title: |
| RFR Number: |
| Reference1: |
| Reference1Address: |
| Reference1Phone: |
| Reference1Contact: |
| Reference1Email: |
| Reference1Fax: |
| Reference1Description: |
| Reference2: |
| Reference2Address: |
| Reference2Phone: |
| Reference2Contact: |
| Reference2Email: |
| Reference2Fax: |
| Reference2Description: |
| Reference3: |
| Reference3Address: |
| Reference3Phone: |
| Reference3Contact: |
| Reference3Email: |
| Reference3Fax: |
| Reference3Description: |
| Print PDF: |
File details come from the government source that posted it. Updated .