BUSINESS REFERENCE FORMS~9.docx

DOCX document 38 KB Posted

Attached to
Audiology Services RFR 2026
Solicitation number
BD-27-1053-1053C-CSR-130337
Issued by
Hampden County, Massachusetts

About this file

This is a Business Reference Form template used by a state or local government agency to collect and verify vendor qualifications and prior performance history. The form requires bidders to submit a specified number of business references (quantity to be determined by the procuring agency) that will be contacted to confirm the bidder's stated abilities and qualifications. References must be obtainable; failure to provide accessible references may result in the bidder's response being deemed unresponsive. The template provides fields for the bidder to enter identifying information, the RFR name and number, and detailed reference data including reference organization name, primary contact person, complete address, email, phone number, and fax or alternative contact method. For each reference, bidders must describe the specific commodities or services provided and the dates those services were rendered.

The form contains three reference entry sections with identical fields, allowing for multiple references to be documented. The document is structured as a fillable template with placeholder text indicating where agency personnel and bidders should insert specific information. No pricing terms, contract amounts, or financial requirements are specified in this form, as it functions solely as a reference verification mechanism to support the agency's evaluation of bidder qualifications and past performance during the procurement process.

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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 .