Business Reference Form~6.docx

37 KB Posted

Attached to
Request for Response For Master Agreement For General Reference Laboratory Service Providers
Solicitation number
BD-18-1022-DMH08-8210C-28120
Issued by
Suffolk County, Massachusetts

About this file

Written by GovTribe AI ·

The document provided is a Business Reference Form related to a Request for Response (RFR) for a Master Agreement for General Reference Laboratory Service Providers issued by the Massachusetts Department of Mental Health (DMH). The DMH is seeking to establish a pool of general reference laboratory service providers from which the five Areas of the Department can purchase clinical referenced laboratory testing services on an as needed basis. The bidder must provide a specific number of business references, and these references will be contacted to confirm the bidder's abilities and qualifications as stated in the bidder's response.

The RFR requires bidders to provide reference information including the reference name, contact information, and a description of the commodities or services provided, including the dates. This information will be used to evaluate the bidder's qualifications and experience in providing the requested services.

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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.

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 .