B08_15 - CHOH 241450 General References_0001.doc

DOC document 70 KB Posted

Attached to
CHOH 141450 Paw Paw Tunnel Design Build
Solicitation number
140P2020R0109
Issued by

About this file

This document is a form for providing general references as required for the solicitation for the CHOH 141450 Paw Paw Tunnel Design Build project. The form requests contact information for the offeror's surety, corporate banks, insurance company, and material suppliers. It also requests details on at least three subcontractors, including company name, address, contact name, phone number, and area of specialized work. The related federal contract opportunity is for the CHOH 141450 Paw Paw Tunnel Design Build project issued by the National Park Service National Office within the Department of the Interior. The solicitation number is 140P2020R0109.

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Text version

SOLICITATION 140P2020R0109

General References

READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

Name of Contractor/Offeror:

Surety

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Insurance Company

Name:

Address:

Name of Agent:

Telephone Number:

Types of Policies:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

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