Business Reference Form HSD FY17-02.doc

DOC document 24 KB Posted

Attached to
HSD FY19-02, Grocery, frozen, Ecolab and paper goods
Solicitation number
BD-19-1057-HSD01-HSPMT-29283
Issued by
Hampshire County, Massachusetts

About this file

The document provided is a Business Reference Form for a state and local contract opportunity solicited by the Massachusetts State Department of Health Services (HSD) under RFR Number FY17-02. The bidder must provide a specified number of business references who can confirm the bidder's abilities and qualifications as stated in their response. The department may deem a bidder's response unresponsive if a reference is not obtainable after reasonable attempts. The related state and local contract opportunity is for the procurement of grocery, frozen, Ecolab, and paper goods under HSD FY19-02.

The pricing terms, set asides, incumbent contractors, funding requirements, and other salient information are not included in the provided document. However, the document indicates that the references will be contacted to validate the bidder's stated qualifications, and that the department may deem a response unresponsive if a reference cannot be obtained.

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HSD FY19-02 Staple Goods Bid Sheet.xls XLS spreadsheet
Contractor Authorized Signatory Form HSD FY17-02.doc DOC document
Prompt payment Discount Form.doc DOC document
Paper Products HSD FY19-02 Bid Sheet.xls XLS spreadsheet
standard-contract-frm - HSD FY19-02.doc DOC document
w-9 HSD FY17-02.doc DOC document
Frozen Foods HSD FY19-02 Bid Sheet.xls XLS spreadsheet
Commonwealth Terms and Conditions Form HSD FY17-02.doc DOC document
Grocery Bid Specifications HSD FY19-02.rtf RTF text file
Ecolab Bid Sheet - HSD FY19-02.xlsx XLSX spreadsheet
EFT_FORM HSD FY17-02.pdf PDF
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Text version

Business Reference Form

Bidder:

RFR Name/Title:

RFR Number:

The bidder must provide (indicate a number) __________ business references.

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 .