BUSINESS REFERENCE FORMS~14.docx

DOCX document 38 KB Posted

Attached to
Third party billed medical supplies
Solicitation number
BD-27-1053-1053C-CSR-134657
Issued by
Massachusetts

About this file

This document is a Business Reference Forms submission for the Veterans Home at Holyoke (VHH), a Massachusetts state agency, soliciting qualified bidders to provide and deliver prescribed third party billed medical supplies. The RFR (Request for Response) document contains detailed specifications and required response forms that bidders must complete as part of their submission. The business reference forms serve as a standardized method for applicants to demonstrate their qualifications, experience, and capability to fulfill the medical supply provision and delivery requirements outlined in the solicitation.

The document does not specify pricing terms, contract duration, renewal options, site visit requirements, bidders' meetings, response deadlines, or award dates within the business reference forms themselves, as these details are referenced as being contained in the separate RFR document. No set-asides, incumbent information, or specific funding amounts are identified in this forms document. Bidders are required to complete and submit the business reference forms as part of their proposal package to establish their eligibility and qualifications for consideration.

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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 .