MRCHCAP Att. 2 -- CoverPage.docx

DOCX document 13 KB Posted

Attached to
MRC HomeCare Assistants
Solicitation number
BD-19-1071-AO-CON01-31976
Issued by
Suffolk County, Massachusetts

About this file

The document is an attachment cover page for a Request for Response (RFR) issued by the Massachusetts Rehabilitation Commission (MRC) for Home Care Assistant services. The RFR is seeking independent (individual) care providers selected by MRC consumers, not organizations. The RFR is applicable to Suffolk County and the City of Boston. Applicants must provide their name, address, phone number, email address, and an authorized signature. The name of the consumer is also required. Key dates or details related to the solicitation process, award, or contract term are not provided in this document.

The pricing terms, set asides, incumbent providers, funding information, and other salient details are not included in this attachment cover page. The document appears to be the initial cover page for submitting a response to the MRC Home Care Assistants contract opportunity, but does not contain comprehensive details about the solicitation.

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Text version

ATTACHMENT 2

COVER PAGE

Massachusetts Rehabilitation Commission Home Care Assistant RFR

APPLICANT NAME: _______________________________________________________

ADDRESS: ______________________________________________________________

PHONE NUMBER: ________________________________________________________

E-MAIL ADDRESS: _______________________________________________________

(An e-mail address is required by the Commonwealth of Massachusetts. No contract will be awarded without an e-mail address.)

Applicant’s Authorized Signature:

_____________________________________________ Date____________

NAME OF CONSUMER: ____________________________________________

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