S-44000-00017296_Att D_References.docx

This is a Reference Check Form attachment to Request for Proposal S-44000-00017296 issued by the State of Oregon, Department of Consumer and Business Services, Workers' Compensation Division for Assigned Claims Processing Agent Services. The form is designed to collect reference information from proposers bidding on workers' compensation claims processing services. Proposers are required to submit exactly three references, with each reference entry requiring the entity name, contact person's name and title, telephone number, and email address. If a proposer submits more than three references, only the first three will be evaluated.

The Reference Check Form is a standard evaluation tool used to verify proposer qualifications and experience through direct contact with previous clients or relevant entities. This attachment does not specify pricing terms, set-asides, or contract duration, as it functions solely as a mechanism for the state to conduct due diligence on proposed service providers prior to award decisions.