S-44000-00013698_Att D_References.docx

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Attached to
Request for Proposal - Supplemental Disability Benefits Processing
Solicitation number
S-44000-00013698
Issued by
Marion County, Oregon

About this file

This is a Reference Check Form attachment for a Request for Proposal issued by the State of Oregon, Department of Consumer and Business Services, Workers' Compensation Division, for Supplemental Disability Benefits (SDB) Processing Services. The form requires proposers to provide three references, with each reference entry requesting the entity name, contact name, contact title, telephone number, and email address. Proposals must be submitted by August 15, 2025, and the anticipated contract award will be for a single contractor. The initial contract term is five years with renewal options extending to a cumulative maximum of ten years. The form specifies that if proposers submit more than three references, only the first three will be evaluated.

The reference submission requirement is mandatory for all proposers and serves as part of the overall proposal evaluation process. The form does not establish separate pricing terms, set-asides, or specific funding amounts in this particular attachment. However, the comprehensive nature of the SDB processing services indicates a significant contract value. The RFP includes requirements for small and disadvantaged business outreach through a COBID (Certification Office for Business Inclusion and Diversity) Outreach Plan, demonstrating the state's commitment to inclusive procurement practices. Proposers must provide documented evidence of their experience in disability benefits processing, claims management capabilities, and technical infrastructure to support statewide workers' compensation administration.

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Text version

RFP#: S-44000-00013698 Att. D

ATTACHMENT D

REFERENCE CHECK FORM

Proposer Name:

1.

Reference Entity:

Reference Contact Name:

Reference Contact Title:

Contact Telephone Number:

Contact Email Address

2.

3.

Proposer Note: Three (3) references are required. If the Proposer submits more than three (3) references, only the first three (3) references will be used.

DAS SPS, V2.0 – December 9, 2016 Page 1 of 2

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