Business Reference Form~5.doc
DOC document 37 KB Posted
- Attached to
- DRM 2026_37 New Dialysis Room MCI Shirley
- Solicitation number
- BD-27-1025-DOCFS-1000E-132222
- Issued by
- Worcester County, Massachusetts
About this file
This is a Business Reference Form for the Commonwealth of Massachusetts, Department of Correction (DRM), related to a new dialysis room construction project at MCI Shirley. The project, designated DRM 2026_37, requires prospective bidders to complete pre-site visit documentation including Background Clearance and PREA (Prison Rape Elimination Act) Forms prior to site access. These required documents must be submitted via email to DRMProjectRequest@doc.state.ma.us no later than 1:00 PM on Wednesday, August 12, 2026. The form establishes the procedural requirements and documentation standards that bidders must satisfy to participate in the bidding process for this facility improvement project.
The Business Reference Form serves as a compliance and screening tool to ensure that all potential contractors meet the Department of Correction's security and regulatory requirements before engaging with the project. The form emphasizes the mandatory nature of background clearance and PREA compliance, indicating that these prerequisites are essential to bid eligibility and site visit authorization for the MCI Shirley dialysis room addition project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Background Clearance Form~1.pdf | ||
| PREA Form~1.pdf | ||
| Commbuys Vendor Registration.pdf | ||
| A1 - MCI Shirley HSU Dialysis Room.pdf | ||
| EPP Form~11.docx | DOCX document | |
| WageSchedule_20260807150001.pdf | ||
| Amended RFR New Dialysis Room 08.12.2026.pdf | ||
| RFR New Dialysis Room~2.pdf | ||
| How to Create a Quote.pdf | ||
| Appendix A~4.docx | DOCX document | |
| Response Form A~13.pdf |
Show all 11
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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 .