B09_Amendment_3_General_References_0003.docx
DOCX document 28 KB Posted
- Attached to
- YELL 326141 YELLOWSTONE MODULAR HOUSING
- Solicitation number
- 140P2026R0078
About this file
This is a template form titled "Attachment 4 General References" designed for offerors to provide the Government with reference information as part of their proposal submission for federal contract opportunities. The form serves as an appendix and does not address specific required products or services.
The form requests offerors to supply contact information and details for multiple categories of references, including sureties, corporate banks, insurance companies, subcontractors, and material suppliers. For each reference category, offerors must provide the entity name, address, contact person name, telephone number, and relevant descriptive information (such as types of accounts, policies, areas of specialized work, or types of materials). The instructions emphasize that offerors should candidly disclose any relationships with references that may be considered less than fully satisfactory, along with explanations of remedial corrective actions taken or planned. The form explicitly warns that failure to provide complete candor regarding deficiencies could result in an unfavorable assessment of the offeror's past performance record. Offerors are instructed to provide explanations on separate sheets as necessary and to include area codes with all telephone numbers.
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Text version
Attachment 4 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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