busreffm~4.docx
DOCX document 38 KB Posted
- Attached to
- 19-DOC-9004-Health Care Consultants
- Solicitation number
- BD-18-1025-DOCFS-FISCM-25532
- Issued by
- Massachusetts
About this file
This document is a Business Reference Form for a Request for Response (RFR) from the Massachusetts Department of Correction, Health Services Division. The RFR is seeking to establish a qualified list of contractors with clinical and/or correctional health care expertise to provide consultation, peer review, and quality review of medical, mental health, forensic mental health, and dental services to the state inmate population. The form requires bidders to provide a minimum of Insert number here business references, which will be contacted to confirm the bidder's abilities and qualifications. The reference information includes the reference name, contact information, and a description of the commodities/services provided.
The pricing terms, set asides, incumbents, funding requirements and sources, and other salient information are not provided in this document. However, the RFR number and name/title are included, indicating this is part of a larger procurement process for health care consultants to support the Massachusetts Department of Correction's inmate population.
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| sdp-rplan-form-2-declaration~2.docx | DOCX document | |
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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 .