Attachment D_Reference Check Form.docx
DOCX document 24 KB Posted
- Attached to
- Traffic Counting Equipment
- Solicitation number
- S-73000-00012709
- Issued by
- Deschutes County, Oregon
About this file
This document is a Reference Check Form (Attachment D) that provides a template for collecting reference information from vendors. The form is structured to gather details from three separate references, with each section requesting identical information including the reference entity name, primary and alternate contact persons with their telephone numbers and email addresses.
The form includes fields to document specific goods and services purchased, the date of purchase, location, and a description of the work performed. This appears to be a standard reference verification template that would be used as part of a vendor evaluation or procurement process, though the specific agency or jurisdiction using this form is not identified in the document.
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Text version
Attachment D: Reference Check Form Name of Reference Entity:
Reference Contact Person:
Telephone:
Email:
Alternate Reference Contact Person:
Telephone:
Email:
Goods & Services Purchased
Date:
Location:
Description:
Name of Reference Entity:
Reference Contact Person:
Telephone:
Email:
Alternate Reference Contact Person:
Telephone:
Email:
Goods & Services Purchased
Date:
Location:
Description:
Name of Reference Entity:
Reference Contact Person:
Telephone:
Email:
Alternate Reference Contact Person:
Telephone:
Email:
Goods & Services Purchased
Date:
Location:
Description:
File details come from the government source that posted it. Updated .