RFR Cover Page~12.docx

21 KB Posted

Attached to
Clinical Services for Individuals with Disabilities
Solicitation number
BD-25-1071-AO-02021-105669
Issued by
Massachusetts

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This document is a cover page for a Request for Response (RFR) issued by the Massachusetts Rehabilitation Commission's Community Living Division and Vocational Rehabilitation Division. The RFR seeks to recruit qualified Masters and Doctoral level clinicians to provide a range of specified assessment, consultation, and treatment services to individuals with disabilities in the state of Massachusetts.

The RFR document number is BD-25-1071-AO-02021-105669. Bidders are required to provide their contact information, Federal Employer Identification Number, and Vendor Code. The contract opportunity is open to existing state providers, who must identify the Principal Purchasing Agency. The document does not provide details on response dates, due dates, site visits, bidder's meetings, award dates, or the term of the contract.

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COVER PAGE

Document Title:

Clinical Services for Individuals with Disabilities

Document Number: BD-25-1071-AO-02021-105669

Bidder Name: ____________________________________________________________________________

Address: ______________________________________________________________________

Provider Contact Name: ______________________________________________________________________

Provider Contact Phone: _____________________________________________________________________

Contact’s E-mail Address: ____________________________________________________________________

Federal Employer Identification Number: ________________________________________________________

Vendor Code: ______________________________________________________________________________

Identify Principal Purchasing Agency (existing state providers) ______________________________________

Provider Authorized Signature: ______________________________________ Date: ____________________

Authorized Signatory Name (Please Print): ______________________________________________________

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