Business Reference Form~79.doc

DOC document 39 KB Posted

Attached to
Clinical Services for Individuals with Disabilities
Solicitation number
BD-25-1071-AO-02021-105669
Issued by
Massachusetts

About this file

This document is a Business Reference Form related to a Request for Response (RFR) issued by the Massachusetts Rehabilitation Commission's Community Living Division and Vocational Rehabilitation Division. The RFR seeks to recruit qualified Masters and Doctoral level clinicians to provide a range of assessment, consultation, and treatment services to individuals with disabilities in the state of Massachusetts. The bidder must provide three business references, including the reference name, contact information, and a description of the commodities and services provided. References will be contacted to confirm the bidder's abilities and qualifications.

The state and local contract opportunity involves the provision of clinical services for individuals with disabilities in Massachusetts. The contract is being offered by the Massachusetts Rehabilitation Commission, which is seeking to engage qualified clinicians to deliver a variety of assessment, consultation, and treatment services to this target population.

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Text version

Business Reference Form

Bidder:

RFR Name/Title:

RFR Number:

The bidder must provide (indicate a number) ____3______ 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 .