22_General_References.docx

DOCX document 27 KB Posted

Attached to
CUVA 224822
Solicitation number
140P2026R0093
Issued by

About this file

This is a General References form template used by offerors to provide the Government with contact information and details about key business relationships and support entities relevant to contract performance.

The form requires offerors to disclose information across multiple categories of references, including: a surety company with agent contact details; corporate banking relationships (with capacity for multiple bank accounts); insurance company information and policy types; subcontractors (up to three entries with specialization areas); and material suppliers (up to three entries with material types). For each reference category, offerors must provide the entity name, address, contact person name, and telephone number with area code. The form emphasizes the importance of candor, explicitly requiring offerors to disclose any instances where relationships with references may be considered less than fully satisfactory and to explain remedial corrective actions. The instructions warn that failure to disclose such issues could result in an unfavorable past performance assessment. This template is designed to be completed by typing or printing legibly, with additional explanation pages provided as necessary to fully address reference information and any deficiencies.

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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:

File details come from the government source that posted it. Updated .