References.pdf

PDF 62 KB Posted

Attached to
Coast Guard Air Station Detroit Roof Repairs
Solicitation number
70Z03026QCLEV0071
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About this file

This is a Reference Information Form template used by CG Base Cleveland for federal contract solicitations, dated July 2024.

The form is designed to collect company qualifications and experience data from prospective contractors bidding on solicitations. Contractors are required to provide company information including name, address, telephone, facsimile number, and work hour availability. The form requests documentation of experience in the relevant work type and requires contractors to disclose any prior job terminations with explanations. Contractors must indicate whether they anticipate completion difficulties and specify the percentage of work to be subcontracted. The form includes a mandatory question regarding compliance with the Davis Bacon Wage Act for prevailing wage requirements. Additionally, contractors must provide three professional references, with each reference requiring the company name, contact person, address, telephone number, and description of the project performed. The form notes that previous versions remain useable, indicating it is part of an ongoing standardized procurement process at CG Base Cleveland.

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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

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