7-A4 Reference Sheets 2 2023.pdf

REFERENCE SHEET #1

Louisville Water Company Procurement

502-569-3600

PLEASE – see last page for instructions.

CATEGORY # _______ CATEGORY NAME:_____________________________________________________________________

REFERENCE INFORMATION

REFERENCE COMPANY NAME: _____________________________________________________________________________ UTILITY WORK PERFORMED FOR: ___________________________________________________________________________ If work not for a utility, indicate not applicable

ADDRESS: _______________________________________________________________________________________________

CITY: ______________________________________________ STATE: ___________________ ZIP:________________

CONTACT NAME: ____________________________________ PHONE: _________________________________________

EMAIL: ___________________________________________________________________________________________________

INSPECTOR/UTILITY CONTACT: ____________________________________ PHONE: __________________________________

EMAIL: ___________________________________________________________________________________________________ If Inspector/Utility Contact is not applicable, please enter NA.

CONTRACTOR INFORMATION (YOUR INFORMATION)

CONTRACTOR NAME: ______________________________________________________________________________________

ADDRESS: ________________________________________________________________________________________________

CITY: ______________________________________________ STATE: ___________________ ZIP:_________________

JOB/PROJECT NAME: _________________________________ JOB LOCATION: ___________________________________

DURATION OF WORK: Date ________________ to FINAL CONTRACT PRICE: ___________________________ Time work started and ended:

Date ________________ DETAIL OF WORK PERFORMED (Please review category description and make sure you provide detail of work performed that demonstrates experience/qualifications for the category as described):

REFERENCE SHEET #2

CATEGORY # _______ CATEGORY NAME:_____________________________________________________________________

REFERENCE INFORMATION

REFERENCE COMPANY NAME: _____________________________________________________________________________ UTILITY WORK PERFORMED FOR: ___________________________________________________________________________ If work not for a utility, indicate not applicable

ADDRESS: _______________________________________________________________________________________________

CITY: ______________________________________________ STATE: ___________________ ZIP:________________

CONTACT NAME: ____________________________________ PHONE: _________________________________________

EMAIL: ___________________________________________________________________________________________________

INSPECTOR/UTILITY CONTACT: ____________________________________ PHONE: __________________________________

EMAIL: ___________________________________________________________________________________________________ If Inspector/Utility Contact is not applicable, please enter NA.

CONTRACTOR INFORMATION (YOUR INFORMATION)

CONTRACTOR NAME: ______________________________________________________________________________________

ADDRESS: ________________________________________________________________________________________________

CITY: ______________________________________________ STATE: ___________________ ZIP:_________________

JOB/PROJECT NAME: _________________________________ JOB LOCATION: ___________________________________

DURATION OF WORK: Date ________________ to FINAL CONTRACT PRICE: ___________________________ Time work started and ended:

Date ________________

DETAIL OF WORK PERFORMED (Please review category description and make sure you provide detail of work performed that demonstrates experience/qualifications for the category as described):

REFERENCE SHEET INSTRUCTIONS

CONTRACTOR APPLYING FOR PREQUALIFICATION

Contractor MUST provide TWO reference sheets for each category that you are applying for prequalification. Please save this file for each category applying and save it as Contractor Name and Prequal Category #. This is a fillable PDF form. Please complete each section. Please indicate Category #, Description for category applying on sheet 1. Please reference the category #’s and Category #, Description and your Company name information will auto populate on the 2nd reference sheet page. You will need to complete information on the Reference, Job/Project Information and Detail of Work Performed on each page. Each reference sheet must have a different company listed as the reference. Review the category descriptions for more information on the work required for a category.

Prequalification Categories and description can be found on the Prequalification Instructions document.

Detail of work performed must demonstrate your ability, experience, and qualifications for that category. Vague detail of work or if work described/performed does not meet the requirements your application may be denied or returned for more information. If you need additional space or want you may upload with your reference sheet additional documentation, such as pictures and other data/information, however, indicate in detail of work performed to see additional files, and name the files appropriately. The work detail should indicate work that was directly done by your firm, if work was done by a subcontractor, please indicate that you did not perform work directly but oversaw the work as a prime contractor. Louisville Water Company will evaluate the oversight of a subcontractor, however, may require that your firms’ staff directly performed the work.

Remember, please contact your references, ask for permission to list as a reference and let them know that LOUISVILLE WATER will be contacting them, verify that you have correct contact name, address, telephone #, and email address for your reference. Louisville Water Company will send the reference sheet to your reference with an evaluation form, and any attachments. Louisville Water staff may also follow up with a telephone call to the reference. If references do not respond to our request, we may ask you to reach out to them again, or provide additional references, and resubmit updated reference sheets.