Business Reference Form~22.docx

DOCX document 45 KB Posted

Attached to
RFR 2025-DMH-3134-01 Medical Equip Inspections, Inventory Serv, and Repairs
Solicitation number
BD-24-1022-DMH02-8420A-99954
Issued by
Bristol County, Massachusetts

About this file

The document provided is a Business Reference Form related to a state and local contract opportunity in Massachusetts. The contract opportunity is for Medical Equipment Inspections, Inventory Services, and Repairs, and involves the jurisdictions of Worcester County and Worcester City. The bidder must provide a specific number of business references, which will be contacted to confirm the bidder's abilities and qualifications. If the bidder has provided services to a Massachusetts state agency in the last three years, they must provide additional information about the agency, services provided, dates, and a contact person. The contract opportunity details, including the RFR name, number, and bidder information, are provided in the document.

The pricing terms, set-asides, incumbents, funding requirements, and other salient information are not explicitly stated in the provided document. The document focuses on the business reference requirements and the state and local contract opportunity details.

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Attachment B Central Mass Area Contract Information.docx DOCX document
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Attachment E WRCH Medical Equipment Inventory FY24.xls XLS spreadsheet
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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 .