DMH Business Reference Form.doc

DOC document 24 KB Posted

Attached to
Request For Application For DMH's Group Transportation Master Agreement
Solicitation number
BD-25-1022-DMH08-8210C-105732
Issued by
Suffolk County, Massachusetts

About this file

This document is a Business Reference Form for a Request for Response (RFR) issued by the Massachusetts Department of Mental Health (DMH) for a Group Transportation Master Agreement. The RFR seeks to procure transportation services to move groups of DMH patients/clients and staff from one location to another in non-medical emergency and non-emergency situations. The bidder must provide a specified number of business references, including the reference's name, contact information, and a description of the commodities and services provided. References will be contacted to confirm the bidder's abilities and qualifications, and the department may deem the bidder's response unresponsive if a reference is not obtainable.

The pricing terms, set asides, incumbents, current environment, funding requirements and sources, and other salient information are not included in this specific document. However, the related state and local contract opportunity indicates that this is a Request for Application for DMH's Group Transportation Master Agreement, which suggests that pricing and other commercial terms will be addressed in the full RFP documentation.

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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

File details come from the government source that posted it. Updated .