BUSINESS REFERENCE FORMS~9.docx

This is a Business Reference Form template for the Massachusetts Veterans Home at Holyoke's Request for Response (RFR) for Audiology Services. The form requires bidders to provide a specified number of business references that demonstrate their qualifications and experience delivering audiology services. The template includes fields for bidder information, RFR name and number, and multiple reference entries. Each reference section requires the reference name, contact person, complete address, email address, phone number, and fax or other contact number. Bidders must also describe the commodities or services provided by the reference and include the dates those services were delivered. The department reserves the right to deem a bidder's response unresponsive if a listed reference cannot be obtained after reasonable contact attempts.

The form does not contain specific pricing information, set-aside provisions, or funding requirements. It serves as a qualification verification tool rather than a pricing or contractual document. The template is designed for completion by bidders responding to the Audiology Services RFR for the Massachusetts Veterans Home at Holyoke and will be used to validate bidder capabilities through third-party verification of past performance and experience in delivering similar services.