4-Attachment 4-Reference Form Template.docx

DOCX document 31 KB Posted

Attached to
2026 Fleet Purchase State and local contract opportunity
Solicitation number
2026-016
Issued by
Allegheny County, Philadelphia City, Pennsylvania

About this file

This is a reference form template document for Pittsburgh Water's 2026 Fleet Purchase solicitation in Pennsylvania. The form is designed to collect project references from bidders to demonstrate relevant experience and capability. Bidders are required to submit three completed reference forms, each documenting a previous project or contract that showcases their qualifications. Each reference entry requires documentation of the agency or customer name, address, project contact person with title and contact information, project contract title, contract dates, total cost, and a description of the work performed.

The reference form serves as a qualification verification tool within the bidding process, allowing Pittsburgh Water to assess bidder experience through direct contact with prior clients and project managers. No specific pricing terms, contract award dates, or performance requirements are detailed in this template document, as it functions solely as a data collection instrument for demonstrating bidder capability and past performance in relevant projects.

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Text version

Reference Form

Project Name:

Pittsburgh Water Project No.:

Instructions: Complete the following form for each reference to fulfill the reference requirement described in the solicitation.

Reference 1 Agency / Customer

Name

Address

Contact Person

Name

Title

Telephone Number

E-mail Address

Project

Contract Title

Contract Dates

Cost

Description of Work

Reference 2 Agency / Customer

Name

Address

Contact Person

Name

Title

Telephone Number

Reference 2 (cont’d) Contact Person (cont’d)

E-mail Address

Project

Contract Title

Contract Dates

Cost

Description of Work

Reference 3 Agency / Customer

Name

Address

Contact Person

Name

Title

Telephone Number

E-mail Address

Project

Contract Title

Contract Dates

Cost

Description of Work image1.png

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