RFP_Attachment_C_Reference_Check_Form~7.docx

DOCX document 34 KB Posted

Attached to
Oregon Libraries E-Rate Consultant Project
Solicitation number
S-12300-00013679
Issued by
Oregon

About this file

This is a Reference Check Form attachment for a Request for Proposal (RFP S-12300-00013679) issued by the State of Oregon, through the Oregon Business Development Department's Oregon Broadband Office, seeking an E-Rate consultant to provide specialized services for up to 35 public libraries across the state. The RFP was posted on May 30, 2025, with proposals due by June 30, 2025. The Reference Check Form requires proposers to provide information for three reference entities, including the reference contact name, telephone number, and email address for each entity. This form serves as a component of the comprehensive vetting process, allowing the state to conduct background verification on potential contractors' past performance and experience with similar E-Rate consulting projects.

The Reference Check Form is a standard evaluation tool used to assess vendor credibility and track record prior to contract award. As part of the broader procurement documentation package, proposers must complete multiple attachments including a Proposer Information Certification, Disclosure Exemption Affidavit, and Responsibility Inquiry document. The form does not specify particular pricing terms, set-asides, or funding amounts; however, typical E-Rate consulting contracts for multiple libraries generally range from $50,000 to $250,000 depending on scope and the number of libraries involved. The solicitation encourages participation from diverse vendors, including minority-owned, women-owned, or disadvantaged business enterprises, as indicated by the inclusion of COBID certification documentation.

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Text version

RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

RFP S-12300-00013679 – Oregon Libraries E-Rate Consultant Project Att C

ATTACHMENT C - REFERENCE CHECK FORM

Proposer Name: __________________________________________

Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________
Version 1.0 - November 19, 2014Page 1 of 2
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