Contractor Reference form (36).pdf

This is a Contractor Reference and Release Form issued by Douglas County Board of Commissioners in Douglasville, Georgia, in support of a Request for Proposal (RFP) for NFPA 1582 Firefighter Annual Medical Physicals. The form requires bidders to provide a minimum of three recent professional references that can verify their experience and ability to perform the medical examination services specified in the solicitation. Each reference entry must include the contact name, company name, complete address, phone number, and email address. The form also requires the signature of an authorized company representative and the date of submission. This documentation serves as a qualification and verification mechanism to ensure that responding contractors have demonstrated experience in providing comprehensive medical examinations that meet or exceed NFPA 1582 standards for firefighters.

The form does not contain specific information regarding pricing terms, contract duration, renewal options, funding sources, or award dates. The document functions primarily as a submission requirement to establish contractor credibility and past performance capability. Interested bidders must complete all required fields on the form and provide verifiable references from previous clients before their proposals will be considered for award by Douglas County.