RFP_HUM260527_Employee_Health_Clinic_Services_and_Administration_-_Exhibit_B-_Vendor_Reference_Form.pdf
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- Solicitation number
- RFP# HUM/260527
- Issued by
- Marion County, Orlando City, Florida
About this file
This is an Exhibit B Reference Form from the City of Ocala, Florida, for Request for Proposals No. HUM/260527 concerning Employee Health Clinic Services and Administration. Proposers must demonstrate qualifications by providing three professional references: at least one reference from a health center or clinic managed and operated for a municipality or governmental entity for a minimum of five consecutive years providing equivalent services and scale, and at least two additional references from entities for which the proposer provided identical health center or clinic management and operational services within the United States. For each reference, proposers must supply the entity name, contact person name and title, phone number, email address, a description of services performed, the length of the business relationship, contract value, and the number of eligible employees or subscribers served. The contact person must possess direct knowledge of the provider's work and performance.
The reference form functions as a mandatory responsiveness and responsibility requirement within the RFP evaluation process, with proposers required to attach additional pages if necessary to provide all three required references. No specific deadline for reference submission is stated within this exhibit, though the overall RFP submission deadline is April 20, 2026, at 2:00 p.m. (EST). The form does not address pricing, set-asides, incumbent information, or funding details, as these elements are addressed in other RFP documents.
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Text version
110 SE Watula Avenue, Third Floor
Ocala, Florida 34471 Main Number: (352) 629-8402 www.bidocala.com
City of Ocala Request for Proposals No. HUM/260527 Page B-1 Employee Health Clinic Services and Administration
EXHIBIT B – REFERENCE FORM
In order to be deemed responsive and responsible, Proposer must be able to provide references from: (a) at least one (1) health center/clinic managed and operated for a municipality or other governmental entity for a period of at least five (5) consecutive years, which provided the same type of services as those sought by the City of Ocala and is equivalent in scale to the number of participants; and (b) at least two (2) additional references from entities for whom proposer provided the same type of health center/clinic management and operational services as those sought by the City within the United States.
For each reference identified, proposer must provide the name of the entity, contact person name/title, phone number, email address, a description of the services performed, the length of business relationship, and the contract value. The contact person identified must have direct knowledge of the provider’s work and performance.
REFERENCE #1:
Name of Entity:
Contact Name: Title:
Address:
Telephone: E- Mail:
Length of Business Relationship: Contract
Value:
Description of Services Performed:
Number of Eligible Employees/Subscribers:
Name of Entity:
http://www.bidocala.com/
City of Ocala Request for Proposals No. HUM/260527 Page B-2 Employee Health Clinic Services and Administration
REFERENCE #2:
Contact Name: Title:
Address:
Telephone: E-Mail:
Length of Business Relationship: Contract Value:
City of Ocala Request for Proposals No. HUM/260527 Page B-3 Employee Health Clinic Services and Administration
REFERENCE #3:
Contact Name: Title:
Address:
Telephone: E-Mail:
Length of Business Relationship: Contract Value:
If additional pages are needed, please attach additional sheets to this page.
File details come from the government source that posted it. Updated .