5-Attachment C References - ADA Compliant.docx
DOCX document 16 KB Posted
- Solicitation number
- JH27-121
- Issued by
- Utah
About this file
This is a References form submitted as Attachment C for a Statement of Qualifications (SRSQ) issued by the State of Utah Division of Wildlife Resources for a full-service design and implementation contractor position. The project, titled JH27-121 Zeedyk-Structure Contractor for Goslin Creek, seeks to obtain qualifications from companies capable of installing up to 60 Zeedyk-style in-stream structures to support the restoration of a wet-meadow area on Goslin Mountain. The procurement is being conducted under Administrative Rule R33-105 for Small Purchases of Professional Service Providers and Consultants, with a small purchase threshold of $100,000.00.
Applicants are required to provide a minimum of three (3) professional references, with the form allowing for up to five (5) references. Each reference entry must include the company name, contact person, phone number, email address, project name, project type and size, contract amount, date completed, and comments. Pricing information is explicitly not to be included in the qualifications submission. The form is formatted as an ADA-compliant document with blank fields for respondents to complete with relevant reference information demonstrating their experience and capability to perform similar work.
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Text version
ATTACHMENT C: REFERENCES – ADA Compliant Please provide a minimum of three (3) professional references using the fields below.
Reference 1
· Company Name: [Enter Company Name]
· Contact Person: [Enter Contact Person]
· Phone Number: [Enter Phone Number]
· Email Address: [Enter Email Address]
· Project Name: [Enter Project Name]
· Project Type/Size: [Enter Project Type/Size]
· Contract Amount: [Enter Contract Amount]
· Date Completed: [Enter Date Completed]
· Comments: [Enter comments related to this reference]
Reference 2
· Company Name: [Enter Company Name]
· Contact Person: [Enter Contact Person]
· Phone Number: [Enter Phone Number]
· Email Address: [Enter Email Address]
· Project Name: [Enter Project Name]
· Project Type/Size: [Enter Project Type/Size]
· Contract Amount: [Enter Contract Amount]
· Date Completed: [Enter Date Completed]
· Comments: [Enter comments related to this reference]
Reference 3
· Company Name: [Enter Company Name]
· Contact Person: [Enter Contact Person]
· Phone Number: [Enter Phone Number]
· Email Address: [Enter Email Address]
· Project Name: [Enter Project Name]
· Project Type/Size: [Enter Project Type/Size]
· Contract Amount: [Enter Contract Amount]
· Date Completed: [Enter Date Completed]
· Comments: [Enter comments related to this reference]
Reference 4
· Company Name: [Enter Company Name]
· Contact Person: [Enter Contact Person]
· Phone Number: [Enter Phone Number]
· Email Address: [Enter Email Address]
· Project Name: [Enter Project Name]
· Project Type/Size: [Enter Project Type/Size]
· Contract Amount: [Enter Contract Amount]
Reference 5
· Company Name: [Enter Company Name]
· Contact Person: [Enter Contact Person]
· Phone Number: [Enter Phone Number]
· Email Address: [Enter Email Address]
· Project Name: [Enter Project Name]
· Project Type/Size: [Enter Project Type/Size]
· Contract Amount: [Enter Contract Amount]
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