BUSINESS REFERENCE FORM.doc

DOC document 24 KB Posted

Attached to
DMH CLIENT GROCERY PURCHASE MASTER AGREEMENT RFR
Solicitation number
BD-19-1022-DMH08-8210C-36267
Issued by
Massachusetts

About this file

The document provided is a Business Reference Form related to the DMH CLIENT GROCERY PURCHASE MASTER AGREEMENT RFR issued by the Department of Mental Health in the state of Massachusetts. The RFR seeks to establish a Master Agreement consisting of pre-qualified vendors to allow for staff and clients of the Department to purchase groceries, personal care products, and typical household items. The form requests reference information, including contact details and a description of commodities and services provided, to confirm the bidder's abilities and qualifications. The department may deem a bidder's response unresponsive if a listed reference is not obtainable after reasonable attempts.

The pricing terms, set asides, incumbent vendors, funding requirements and sources, and other salient contractual details are not provided in this document. The focus is on the reference information required to validate the bidder's qualifications for the master agreement opportunity.

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Text version

DEPARTMENT OF MENTAL HEALTH

Business Reference Form

Bidder:

RFR Name/Title: DMH Client Grocery Purchase Master Agreement RFR

RFR Number: 2019-DMH-CLIENT-PURCH-01

Reference name:_____________________________________ Contact:

Address: ________________________________________________ Phone: # ( )

Fax/Internet address:

Description and date(s) of commodities and services provided:

Reference name: _______________________________________Contact:

Address: _______________________________________________

Reference name: ______________________________________ Contact:

Address: _______________________________________________

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.

Sensitivity level – low

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