25-810 - ExhibIt 3 - Reference Authorization Form.docx

DOCX document 36 KB Posted

Attached to
South Washington Street Improvements
Solicitation number
25-810
Issued by
Colorado

About this file

The document is a Reference Authorization and Release Form for the City of Thornton's South Washington Street Improvements project (Project No. 25-810), located in Colorado. The form authorizes the City of Thornton to conduct investigations and obtain reference information about a proposing consulting firm seeking to provide design services for the project, which involves engineering services to design detached sidewalks along Washington Street between 85th Avenue and Eppinger Boulevard.

The reference authorization form specifically allows Thornton to verify the proposing firm's qualifications, responsibility, trustworthiness, and financial ability by obtaining and discussing reference information. The proposing firm agrees to release Thornton and reference-providing entities from liability associated with sharing performance-related information. The document serves as a critical component of the vendor vetting process for the street improvements project, enabling the city to comprehensively assess potential design service consultants before contract award.

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Text version

Vlll. EXHIBIT 3

REFERENCE AUTHORIZATION AND RELEASE FORM

A Corporation
By:, A Partnership whose address is:(Proposing firm)An Individual

Proposing Firm has submitted a sealed proposal to the City of Thornton (Thornton) for Design Services for the South Washington Street Improvements, Project No. 25-810 (Project).

Proposing Firm hereby authorizes Thornton to perform such investigation of proposing firm as it deems necessary to verify the qualifications, responsibility, trustworthiness and financial ability of Proposing Firm. By its signature hereon, the proposing firm authorizes Thornton to obtain reference information concerning the proposing firm. Proposing Firm further agrees to release and hold Thornton and the firm or agency providing reference information harmless from all liability resulting from providing the requested reference information to Thornton about the Proposing Firm.

Proposing Firm further authorizes Thornton to discuss and release reference information regarding Proposing Firm’s performance as it will relate to this upcoming Project upon receiving a request for such information. Proposing Firm agrees to release and hold Thornton harmless from all liability associated with releasing such information about Proposing Firm.

Proposing Firm further waives its right to receive copies of reference information provided to Thornton. By signing below, Proposing Firm agrees with the terms of this Reference Authorization and Release and authorizes Thornton to obtain reference information concerning Proposing Firm.

A copy or facsimile of this executed Reference Authorization and Release Form may be used with the same effectiveness as an original.

Signature Date

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Title

S:\SS\C-P\2022\22-77B Thornton Entry Monuments\1DD - Design Documents\Bid Docs\2 - Final Docs Rev. 9/2022

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