Business Reference Form HSD FY17-02.doc

DOC document 24 KB Posted

Attached to
HSD-FY22-01, Grocery Bid, Ecolab Products, Dry Goods and Paper Goods
Solicitation number
BD-22-1057-HSD01-HSPMT-65618
Issued by
Massachusetts

About this file

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This document is a Business Reference Form for a Request for Offer (RFO) issued by the Massachusetts Health Services Department (HSD) under Contract Number FY17-02. The bidder must provide a specified number of business references, including the reference name, contact information, and a description of the commodities and services the reference provided to the bidder. The references will be contacted to confirm the bidder's abilities and qualifications as stated in the bid response. If a reference is not obtainable after reasonable attempts, the department may deem the bidder's response unresponsive.

The related state and local contract opportunity is HSD-FY22-01, which is a Grocery Bid for Ecolab Products, Dry Goods, and Paper Goods issued by the Massachusetts Health Services Department. The contract term and any renewal options are not specified in the provided information.

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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.

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