4-04 Business Reference Form.pdf
PDF 135 KB Posted
- Attached to
- RFB Photocopier Leasing Services, Software Licensing, Maintenance and Related Support Services (Commodity)
- Solicitation number
- 0493-2026-07-RFB-231118
- Issued by
- Los Angeles County, California
About this file
This is a Business Reference Form template issued by Los Angeles World Airports (LAWA) for use in responding to a Request for Bid (RFB) for photocopier leasing services, software licensing, maintenance, and related support services. The form requires bidders to provide detailed information about up to four previous projects, including reference person names, company addresses, telephone numbers, email addresses, project dates, roles on the projects, and descriptions of the work performed. Bidders must submit this completed form as part of their bid package, demonstrating their experience and qualifications through verifiable project references.
The form authorizes LAWA and its agents to contact the provided reference persons to verify the accuracy of the information submitted. Bidders must attest to the truth and accuracy of all statements on the form and confirm that the signatory is a duly authorized representative of the proposing entity. The form requires a signature from a principal or owner of the bidding entity, along with the date of submission and the name of the bidder or respondent. This reference documentation is a standard evaluation tool used by LAWA to assess contractor capability and past performance relevant to the multifunction copier leasing and managed print services opportunity.
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Text version
Revised April 4, 2024
BUSINESS REFERENCE FORM
(Submit Form with Bid)
(Two Pages)
The foregoing information is being submitted to Los Angeles World Airports (LAWA) as part of the following:
Request for Bid (RFB) #:
RFB Title:
Reference Person’s Name:
Company Address:
Telephone: Email address:
Project Date:
Role on the project:
Description of Project:
Reference Person’s Name:
Company Address:
Telephone: Email address:
Project Date:
Role on the project:
Description of Project:
Revised April 4, 2024
Reference Person’s Name:
Company Address:
Telephone: Email address:
Project Date:
Reference Person’s Name:
Company Address:
Telephone: Email address:
Project Date:
The undersigned hereby attests to the truth and accuracy of all statements, answers and representations made in this Business Reference Form, including all supplementary information attached hereto. The undersigned hereby authorizes LAWA, or its agents, to contact any appropriate third parties to verify the accuracy of the information provided herein. The undersigned affirms that he/she is a duly authorized representative of the proposing entity.
Date:
(Name of Bidder/Respondent) By: (Principal/Owner)
| Reference Persons Name: |
| Company Address: |
| Telephone: |
| Email address: |
| Role on the project: |
| Description of Project: |
| Reference Persons Name_2: |
| Company Address_2: |
| Telephone_2: |
| Email address_2: |
| Role on the project_2: |
| Description of Project_2: |
| Reference Persons Name_3: |
| Company Address_3: |
| Telephone_3: |
| Email address_3: |
| Role on the project_3: |
| Description of Project_3: |
| Reference Persons Name_4: |
| Company Address_4: |
| Telephone_4: |
| Email address_4: |
| Role on the project_4: |
| Description of Project_4: |
| RFB #: |
| Text2: |
| Project Date_01: |
| Project Date_02: |
| Project Date_03: |
| Project Date_04: |
| Date Signed: |
| Name of Bidder/Respondent: |
File details come from the government source that posted it. Updated .