70Z03026QCLEV0034 Reference Information Sheet.pdf

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US COAST GUARD SFO GRAND HAVEN MICHIGAN SNOW GUARD INSTALLATION
Solicitation number
70Z03026QCLEV0034
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This is a Reference Information Form template used by CG Base Cleveland for federal contract solicitations. The form is designed to collect background and qualification information from contractors bidding on projects. It requires submission of company information including name, address, telephone, facsimile number, and work hours availability. Contractors must list their experience relevant to the specific work type and disclose any prior job terminations with reasons. The form also requests disclosure of anticipated difficulties in meeting project timelines and requires contractors to specify the percentage of work to be subcontracted.

The form includes mandatory questions regarding compliance with the Davis Bacon Wage Act for prevailing wage requirements. Contractors must provide three professional references, each with company name, contact person, address, telephone number, and description of the relevant project. The form indicates that previous versions remain acceptable and was last updated in July 2024. This template appears designed for construction or service contracts where wage compliance and contractor experience verification are significant evaluation criteria.

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Text version

REFERENCE INFORMATION

SOLICITATION NUMBER DATE

COMPANY INFORMATION (Company name, address)

(PROVIDE REFERENCES FOR SIMILAR WORK)

TELEPHONE NUMBER WORK HOURS

NON-WORK HOURS

FACSIMILE NUMBER

1. LIST EXPERIENCE IN THIS TYPE OF WORK

2. HAVE YOU EVER BEEN TERMINATED FROM ANY JOB? (If YES, give reason)

3. DO YOU ANTICIPATE ANY DIFFICULTIES FINISHING THIS JOB ON TIME? (If YES, give reason)

4. PERCENTAGE OF WORK TO BE SUBCONTRACTED 5. ARE YOUR PREVAILING WAGES IN ACCORDANCE WITH THE DAVIS BACON

WAGE ACT?

6. REFERENCES (LIST THREE)

6a. Reference #1:

Company name

Person to contact

Address

Telephone no.

Project

6b. Reference #2:

Company name

Person to contact

Address

Telephone no.

Project

6c. Reference #3:

Company name

Person to contact

Address

Telephone no.

Project

Previous versions are useable CG BASE CLEVELAND REFERENCE INFORMATION FORM (July 2024)

GABermeo Cross-Out

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