2-3-Contractor Prequalification, DFCM Performance References Form, 7.15.26.docx
DOCX document 90 KB Posted
- Solicitation number
- JJ27001
- Issued by
- Utah
About this file
This is a Performance References Form for the Division of Facilities Construction and Management (DFCM) Contractor Prequalification for Public School Construction in the State of Utah. The form requires contractors to provide five project references completed within the past five years where they served as the original contractor and held the contract directly with the stakeholder. Each reference must include the project name, location, completion date, construction cost, point of contact information, a description of work performed, and key individuals involved. The form applies to electrical, general, fire protection systems, HVAC/mechanical, plumbing, and roofing contractors seeking prequalification for participation in public school construction competitive procurements. A mandatory bidders meeting is scheduled for Wednesday, August 26th at 1:00 PM, with attendance required either in person or virtually. Contractors must ensure all submitted reference information is complete and accurate, as failure to comply with reference requirements will result in disqualification from the selection process.
The form contains no sections addressing pricing terms, set-asides, funding sources, or renewal options. This document serves as a qualification screening tool rather than a contract or procurement agreement. Attachments and hyperlinks are not permitted in the submission. The U3P Event Number for this prequalification opportunity is JJ27001, and contractors must complete all required fields for each of the five project references to maintain eligibility in the selection process.
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Text version
Performance References Form Provide references only for projects completed within the past five years where you served as the original Contractor and held the contract directly with the stakeholder. It is the Contractors responsibility to ensure that all submitted reference information is complete and accurate. Failure to comply with the reference requirements will result in disqualification from the selection process. Attachments and hyperlinks are not permitted.
Contractor Prequalification for Public School Construction
U3P Event #: JJ27001
Contractor Business Name: Click to enter text
Contractor Contact Name: Click to enter text
Contact Email: Click to enter text
Contact Phone: Click to enter text
REFERENCE NO. 1
| Project Name: Click to enter text |
| Point of Contact Name: (person able to answer questions about the project) |
| Click to enter text |
| Project Location (city, state): |
| Click to enter text |
| Point of Contact’s Role for the Project: |
| Click to enter text |
| Project Completion Date: |
| Click to enter text |
(month and year)
| Point of Contact Email: |
| Click to enter text |
Project Construction Cost:
| Click to enter text |
| Point of Contact Phone Number: |
Click to enter text
Brief Description of the work performed: Click to enter text
Key individuals who worked on the project: Click to enter text
REFERENCE NO. 2
| Project Name: Click to enter text |
| Point of Contact Name: (person able to answer questions about the project) |
| Click to enter text |
| Project Location (city, state): |
| Click to enter text |
| Point of Contact’s Role for the Project: |
| Click to enter text |
| Project Completion Date: |
| Click to enter text |
(month and year)
| Point of Contact Email: |
| Click to enter text |
Project Construction Cost:
| Click to enter text |
| Point of Contact Phone Number: |
Click to enter text
Brief Description of the work performed: Click to enter text
Key individuals who worked on the project: Click to enter text
REFERENCE NO. 3
| Project Name: Click to enter text |
| Point of Contact Name: (person able to answer questions about the project) |
| Click to enter text |
| Project Location (city, state): |
| Click to enter text |
| Point of Contact’s Role for the Project: |
| Click to enter text |
| Project Completion Date: |
| Click to enter text |
(month and year)
| Point of Contact Email: |
| Click to enter text |
Project Construction Cost:
| Click to enter text |
| Point of Contact Phone Number: |
Click to enter text
Brief Description of the work performed: Click to enter text
Key individuals who worked on the project: Click to enter text
REFERENCE NO. 4
| Project Name: Click to enter text |
| Point of Contact Name: (person able to answer questions about the project) |
| Click to enter text |
| Project Location (city, state): |
| Click to enter text |
| Point of Contact’s Role for the Project: |
| Click to enter text |
| Project Completion Date: |
| Click to enter text |
(month and year)
| Point of Contact Email: |
| Click to enter text |
Project Construction Cost:
| Click to enter text |
| Point of Contact Phone Number: |
Click to enter text
Brief Description of the work performed: Click to enter text
Key individuals who worked on the project: Click to enter text
REFERENCE NO. 5
| Project Name: Click to enter text |
| Point of Contact Name: (person able to answer questions about the project) |
| Click to enter text |
| Project Location (city, state): |
| Click to enter text |
| Point of Contact’s Role for the Project: |
| Click to enter text |
| Project Completion Date: |
| Click to enter text |
(month and year)
| Point of Contact Email: |
| Click to enter text |
Project Construction Cost:
| Click to enter text |
| Point of Contact Phone Number: |
Click to enter text
Brief Description of the work performed: Click to enter text
Key individuals who worked on the project: Click to enter text
DFCM Contractor Prequalification for Public School Construction - Performance References Form, 7.15.2026 image1.jpeg
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