Attachment C - Reference Check Form.DOCX

DOCX document 26 KB Posted

Attached to
2022 Compressed Laboratory Gases
Solicitation number
S-44000-00003475
Issued by
Multnomah County, Oregon

About this file

The document is an Attachment C - Reference Check Form for ITB #S-44000-00003475. The form requires bidders to provide three different firm completed references that can describe the quality of services the Bidder provided within the last five years. The reference information requested includes the name of the firm, reference contact person, telephone, email, a description of the service type, size, location, duration and objectives, the tasks performed, the budget, and whether the contract services were accomplished within budget and schedule.

The related state and local contract opportunity is for the 2022 Compressed Laboratory Gases, issued by the Oregon Department of Consumer and Business Services, Oregon Occupational Safety and Health. The jurisdictions included are Marion County and the City of Salem.

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Other files

File Type Posted
Attachment A - Sample Contract.docx DOCX document
Attachment F - Responsibility Inquiry.docx DOCX document
Attachment B - Bid Cover Sheet.DOCX DOCX document
Attachment D - Bid Submittal Form.docx DOCX document
ITB S-44000-00003475 Question and Answer.docx DOCX document
Attachment E - COBID Certification.docx DOCX document
Revision 2_ITB S-44000-00003475 - 2022 Compressed Lab Gases~1.pdf PDF
Additional Product Information.pdf PDF

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ITB #S-44000-00003475 Att C

ATTACHMENT C — REFERENCE CHECK FORM

Submit this form with completed reference with your bid REFERENCES COMPARABLE IN SIZE AND SCOPE: Bidder shall provide three different firm completed references that can describe the quality of services the Bidder provided within the last five years.

Business Reference Name of Firm:

Reference Contact Person:

Telephone:

Email:

Alternate Reference Contact Person:

Telephone:

Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

What was the budget:

Were contract services accomplished within budget & schedule? If not, why

Name of Firm:

Reference Contact Person:

Telephone:

Email:

Alternate Reference Contact Person:

Telephone:

Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

What was the budget:

Were contract services accomplished within budget & schedule? If not, why

Name of Firm:

Reference Contact Person:

Telephone:

Email:

Alternate Reference Contact Person:

Telephone:

Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

What was the budget:

Were contract services accomplished within budget & schedule? If not, why

DAS Procurement Services, Version 1.0 – February 20, 2019 Page 1 of 3

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