362-22 Att C Reference Check Form.pdf
PDF 144 KB Posted
- Attached to
- GPS Collars for Fisher and Grey Fox
- Solicitation number
- S-63500-00004128
- Issued by
- Douglas County, Oregon
About this file
This document is an Attachment C - Reference Check Form for an Invitation to Bid (ITB) issued by the State of Oregon Department of Administrative Services (DAS) Procurement Services for GPS Collars for Fisher and Grey Fox. The ITB requires bidders to provide a list of six references, three for the firm and three for a key person, that can be contacted regarding the quality of services provided within the last five years. The references should include details on the service type, size, location, duration, and objectives, as well as the tasks performed, budget, and whether the contract services were accomplished within budget and schedule. The related state and local contract opportunity is for 30 GPS Collars for Fisher and Grey Fox, to be awarded by Douglas County, Oregon.
The pricing and other commercial terms are not explicitly stated in this document. However, the ITB likely includes requirements around set asides, incumbent contractors, funding sources and amounts, and other salient commercial information that is not provided in this attachment.
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Text version
ITB S-63500 -00004128 GPS Collars for Fisher and Grey Fox Att C
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 1 of 3
ATTACHMENT C — REFERENCE CHECK FORM
Submit this completed form with your bid
REFERENCES COMPARABLE IN SIZE AND SCOPE: [Buyer: modify this paragraph and number of reference boxes to suit ITB requirements.] Bidder shall provide a list of three different firms who can be contacted regarding the quality of services the Bidder provided within the last five years AND three different firms who can be contacted regarding the quality of service the Key Person provided within the last five years.
Business Reference
Name of Firm:
Reference Contact Person:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
What was the budget:
Were contract services accomplished within budget & schedule? If not, why
Name of Firm:
Reference Contact Person:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 2 of 3
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
Key Person
Reference Contact Person:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 3 of 3
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
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