Attachment 3 doa-3478 RFB 28265-RH.doc

DOC document 112 KB Posted

Attached to
Model Year 2017 or Newer Medium/Heavy Duty Truck
Solicitation number
28265-RH
Issued by
Wisconsin

About this file

This is a Vendor Reference Form (Attachment 3) issued by the State of Wisconsin Department of Administration, Division of Enterprise Operations, for Request for Bid (RFB) 28265-RH related to Model Year 2017 or newer Medium/Heavy Duty Truck purchases. The procurement is designed to establish contracts that will be utilized by State Agencies, including University of Wisconsin System campuses, and eligible participants in Wisconsin's cooperative purchasing program. Vendors responding to this solicitation must provide four or more vendor references demonstrating installations with requirements similar to those specified in the solicitation document. Each reference must include the company name, complete address with ZIP+4 code, contact person, telephone number, email address, and detailed description of products and/or services used. If a vendor proposes any arrangement involving a third party, the named references should also reflect similar third-party arrangements.

The form itself does not contain pricing terms, set-asides, or specific funding information, as it functions solely as a vendor qualification and reference documentation tool. Vendors are required to complete this attachment as part of their bid submission to demonstrate relevant experience and capability in medium/heavy duty truck procurement similar to the State's requirements. This reference form serves as a means for the State to verify vendor qualifications and track record prior to contract award consideration.

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Text version

State of Wisconsin State Bureau of Procurement

Department of Administration
101 E. Wilson St. / P. O. Box 7867
Division of Enterprise Operations
Madison, WI 53707-7886
DOA-3478 (R06/2013)
(608) 266-2605 / FAX (608) 267-0600
Bid / Proposal #
28265-RH

VENDOR REFERENCE

FOR VENDOR:

Provide company name, address, contact person, telephone number, and appropriate information on the product(s) and/or service(s) used for four (4) or more installations with requirements similar to those included in this solicitation document. If vendor is proposing any arrangement involving a third party, the named references should also be involved in a similar arrangement.

Company Name
Address (include Zip + 4)
Contact Person
Phone No.
Email Address

List Product(s) and/or Service(s) Used:

Company Name
Address (include Zip + 4)
Contact Person
Phone No.
Email Address

List Product(s) and/or Service(s) Used:

Company Name
Address (include Zip + 4)
Contact Person
Phone No.
Email Address

List Product(s) and/or Service(s) Used:

Company Name
Address (include Zip + 4)
Contact Person
Phone No.
Email Address

List Product(s) and/or Service(s) Used:

This document can be made available in accessible formats to qualified individuals with disabilities.

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