Smart PDF Form

Experience & Client References
Audit and Related Services RFQ | TWP-2026-002
Complete this form for your firm. Provide three client references with characteristics similar to TWP (nonprofit, 50-150 employees, human services or healthcare sector).
A. ORGANIZATIONAL EXPERIENCE
1. Organization Information
Primary Contact Name & Title
Phone
Format: (000) 000-0000.
Email
example@example.com
2. Services Offered
Services Offered (list all relevant audit, tax, and consulting services)
Years Providing Audit Services to Nonprofits
Years Providing Medicare Cost Reports
Number of Nonprofit Audit Clients Currently Served
Number of Clients with 50-150 Employees
B. CLIENT REFERENCES
Provide three references from clients with characteristics similar to TWP. At least one must be a nonprofit. Preference: Missouri/Kansas. disability services, human services, or healthcare sector. 50-150 employees.
Reference 1
Contracting Company/Organization
Contact Person & Title
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Services Provided
Contract Period
Brief Description of Work
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Organization Name
Experience & Client References (continued)
Reference 2
Contracting Company/Organization
Contact Person & Title
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Services Provided
Contract Period
Brief Description of Work
Reference 3
Contracting Company/Organization
Contact Person & Title
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Services Provided
Contract Period
Brief Description of Work
If your firm has additional references relevant to TWP (Centers for Independent Living, disability services, Home Health/Medicare, or VR compliance), you may attach a supplemental page.

Certification
I certify that the information provided in this Experience & Client References form is accurate and complete to the best of my knowledge as of the date below. I authorize TWP and its procurement consultant to contact the references listed above.
Firm Name
Authorized Name
Title
Date

MonthDayYear
Date
Signature
Should be Empty:

Experience & Client References