BUSINESS REFERENCE FORMS~11.docx

DOCX document 38 KB Posted

Attached to
Optometry RFR 2026
Solicitation number
BD-26-1053-1053C-CSR-130338
Issued by
Hampden County, Massachusetts

About this file

This is a Business Reference Form template for the Massachusetts Veterans Home at Holyoke's Request for Response (RFR) for Optometry services. The form requires bidders to submit a specified number of business references (to be determined by the issuing agency) who can attest to the bidder's qualifications and ability to deliver comprehensive, compassionate, and timely in-house eye care services for veteran residents. The department reserves the right to deem a bidder's response unresponsive if listed references cannot be reached after reasonable contact attempts.

The Business Reference Form requests detailed information for each reference, including the reference organization name, primary contact person, complete address, email address, phone number, and fax or alternative contact number. Bidders must also provide a description of the commodities or services provided to each reference along with the dates of service delivery. The template accommodates up to three references and requires bidders to clearly identify their company name, the RFR title and number, and other relevant submission details.

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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.

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 .