Business Reference Form HSD FY17-02.doc

DOC document 24 KB Posted

Attached to
HSD FY18-02, Grocery, frozen, Ecolab and paper goods
Solicitation number
BD-18-1057-HSD01-HSPMT-18506
Issued by
Hampshire County, Massachusetts

About this file

This document is a Business Reference Form for a Request for Response (RFR) issued by the Massachusetts Department of Health and Human Services (HSD) for solicitation HSD FY17-02. The form requires bidders to provide a minimum number of business references, including the reference name, contact information, and a description of the commodities and services previously provided by the bidder. The references will be contacted to confirm the bidder's abilities and qualifications, and the department may deem the bidder's response unresponsive if a reference is not obtainable.

The related state and local contract opportunity is for HSD FY18-02, which seeks bids for the provision of grocery, frozen, Ecolab, and paper goods. The contract is issued by the state of Massachusetts. Pricing terms, set asides, incumbent information, funding requirements, and other specific details are not provided in the given document.

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Other files

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Prompt payment Discount Form.doc DOC document
HSD FY18-02Ecolab Bid Sheet.xlsx XLSX spreadsheet
HSD FY18-02 Paper Goods Bid Sheet.xls XLS spreadsheet
Contractor Authorized Signatory Form HSD FY17-02.doc DOC document
HSD FY18-02 Frozen Foods Bid Sheet.xls XLS spreadsheet
Commonwealth Terms and Conditions Form HSD FY17-02.doc DOC document
standard-contract-frm - HSD FY18-02.doc DOC document
EFT_FORM HSD FY17-02.pdf PDF
w-9 HSD FY17-02.doc DOC document
HSD FY18-02 Staple Goods Bid Sheet.xls XLS spreadsheet
Grocery Frozen Foods Paper and Ecolab Products FY18-02 Specifications~1.rtf RTF text file
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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 .