Business Reference Form~16.docx
DOCX document 45 KB Posted
- Attached to
- Religious Services Master Agreement (MA) RFR
- Solicitation number
- BD-15-1022-DMH07-7110A-00000003893
- Issued by
- Worcester County, Massachusetts
About this file
This document is a Business Reference Form related to a state and local contract opportunity. The form requires the bidder to provide a set number of business references, which will be contacted to confirm the bidder's abilities and qualifications. The department may deem the bidder's response unresponsive if a reference is not obtainable from a listed reference after reasonable attempts. The bidder must also provide information about any services provided to a Massachusetts agency in the last three years, including the name of the agency, a description of the services, the dates the services were provided, and a contact person at the agency.
The related state and local contract opportunity is for a Religious Services Master Agreement (MA) RFR in the state of Massachusetts. The scope of work, project details, response dates, award information, and contract term are not provided in this document.
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| Commonwealth of Massachusetts Standard Contract Form~8.docx | DOCX document | |
| Commonwealth Standard Contract Instruction_Contractor Certifications_Terms.pdf | ||
| SDP_Plan_Form~4.xlsx | XLSX spreadsheet | |
| Contractor Authorized Signatory Listing.doc | DOC document | |
| Electronic Funds Transfer Sign Up Form~14.pdf | ||
| MA Form_W-9~9.pdf | ||
| Religious Services MA RFR~3.doc | DOC document | |
| SDP_Spending_Report~6.xlsx | XLSX spreadsheet | |
| Response Cover Sheet.doc | DOC document | |
| DMH RELIGIOUS SERVICES MA RFR APPROVED VENDORS 2023.docx | DOCX document |
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Text version
Business Reference Form
Reference Guidelines The bidder must provide Insert number here business references.
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.
Do not include Massachusetts state agencies as references. If the provider has provided services to a Massachusetts agency in the last three (3) years, provide as an attachment to this form the following: the name of the agency; a description of the services provided; the dates the services were provided and a name and telephone number for a person at that agency who may be most familiar with the bidder’s work.
Request for Response (RFR) Information
| Bidder: | Click here to enter text. | |
| RFR Name/Title: | Click here to enter text. | |
| RFR Number: | Click here to enter text. |
Reference Information
| Reference Name: | Click here to enter text. | Contact: | Click here to enter text. | ||
| Address: | Click here to enter text. | Email Address: | Click here to enter text. | ||
| Phone Number: | Click here to enter text. | Fax/Other Number: | Click here to enter text. |
Description and dates(s) of commodities/services provided: Click here to enter text.
| Reference Name: | Click here to enter text. | Contact: | Click here to enter text. | ||
| Address: | Click here to enter text. | Email Address: | Click here to enter text. | ||
| Phone Number: | Click here to enter text. | Fax/Other Number: | Click here to enter text. |
| Reference Name: | Click here to enter text. | Contact: | Click here to enter text. | ||
| Address: | Click here to enter text. | Email Address: | Click here to enter text. | ||
| Phone Number: | Click here to enter text. | Fax/Other Number: | Click here to enter text. |
Sensitivity Level: Low
File details come from the government source that posted it. Updated .