General_References_0005.pdf

PDF 77 KB Posted

Attached to
ORPI 240841 Replace Primary Water System for Maint Federal contract opportunity
Solicitation number
140P2025R0080
Issued by
Department of the Interior National Park Service National Office

About this file

This document is a General References form for a federal contract solicitation, designed for an offeror to provide comprehensive contact and background information about their business relationships. The form requires detailed entries for multiple categories including surety, corporate banks, insurance companies, subcontractors, and material suppliers, with fields for names, addresses, contact persons, telephone numbers, and specific details like account types, policy types, and areas of specialized work. The instructions emphasize the importance of full disclosure, noting that failure to candidly describe any potentially unsatisfactory relationships could result in an unfavorable assessment of the offeror's past performance record.

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Text version

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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