Attachment 4 - Reference Form, FM27-13, Fire Extinguisher Inspec and Maint.pdf
PDF 61 KB Posted
- Attached to
- Fire Extinguisher Inspections and Maintenance
- Solicitation number
- BPM058764
- Issued by
- Cecil County, Maryland
About this file
This is a Reference Form (FM27-13) for fire extinguisher inspection and maintenance services submitted to Jefferson Patterson Park & Museum (JPPM) in Maryland. The form serves as a standardized reference document for bidders participating in the competitive bidding process for fire extinguisher inspection and maintenance services. The project involves inspecting and maintaining all fire extinguishers and associated systems throughout the museum facility. A pre-bid meeting is scheduled for September 22, 2026, at 9:00 am in the maintenance office. Bids must be submitted via email and received no later than 3:00 pm on October 5, 2026, with any late submissions rejected.
The procurement includes set-asides with preference given to Certified Small Businesses and Veteran-Owned Small Businesses. The bidding process requires submission of multiple supporting documents, including a Bid/Proposal Affidavit, Conflict of Interest Affidavit and Disclosure, sample contract, reference form, and a No Reply Form. Pricing terms and specific contract amounts are outlined in the accompanying Project Specifications and Invitation for Bid documents, with the sample contract provided as Attachment 3 for bidder review.
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Text version
Contractor Reference Form
Attachment 4 - Reference Form (OPTIONAL) 2025.08
Project: FM27-13, Fire Extinguisher Inspections and Maintenance Vendor Name Address City, State, ZIP
Phone / Fax Website Contact Name, Title Email How many years has your organization been in business?
REFERENCES: Please list three projects with client references. We may contact your references.
1. Project Name Project Address Contract Years Client Name Client Phone or Email
2. Project Name Project Address Contract Years Client Name Client Phone or Email
3. Project Name Project Address Contract Years Client Name Client Phone or Email The undersigned certifies the truth and correctness of all statements.
Prepared by: Title:
Signature:
| Vendor Name: |
| Address: |
| City State ZIP: |
| Phone Fax: |
| Website: |
| Contact Name Title: |
| Email: |
| How many years has your organization been in business: |
| 1 Project Name: |
| Project Address: |
| Contract Years: |
| Client Name: |
| Client Phone or Email: |
| 2 Project Name: |
| Project Address_2: |
| Contract Years_2: |
| Client Name_2: |
| Client Phone or Email_2: |
| 3 Project Name: |
| Project Address_3: |
| Contract Years_3: |
| Client Name_3: |
| Client Phone or Email_3: |
| Prepared by: |
| Title: |
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