busreffm.doc

DOC document 24 KB Posted

Attached to
RFR-EDUCATION DEPARTMENT CONTRACT SUPPORT
Solicitation number
BD-27-1368-CHE01-CHE04-134781
Issued by
Massachusetts

About this file

This Business Reference Form is a standardized bidder submission document used by the Massachusetts Veterans' Home at Chelsea in conjunction with a Request for Response (RFR) for education department contract support services. The RFR seeks a qualified contractor to provide on-site workforce education and training support for a one-year period at the facility. The scope of services includes assessing current training and regulatory compliance status, identifying deficiencies, developing and implementing corrective action plans, and establishing an Annual Training Plan to ensure ongoing compliance with Department of Public Health (DPH), Centers for Medicare and Medicaid Services (CMS), Veterans Affairs (VA), and applicable state and federal requirements.

The Business Reference Form requires bidders to provide a specified number of business references, with each reference entry requesting the reference name, contact person, address, phone number, and fax/internet address, along with a description and dates of commodities and services previously provided. The form indicates that the department will contact listed references to confirm the bidder's abilities and qualifications as stated in the bidder's response, and may deem a bidder's response unresponsive if a reference is not obtainable after reasonable attempts to contact it.

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Text version

Business Reference Form

Bidder:

RFR Name/Title:

RFR Number:

The bidder must provide (indicate a number) __________ 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

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