B08_Atch_14_-_General_References_Form.docx

DOCX document 28 KB Posted

Attached to
LAKE26-0039-PARA FIRE SUPRESSION SYSTEM
Solicitation number
140P8126R0002
Issued by

About this file

This is a General References Form template for offerors responding to solicitation 140P8126R0002. The form is designed to collect vendor and reference information from contractors bidding on the National Park Service fire suppression system installation project at Grand Canyon-Parashant National Monument. Offerors must provide detailed contact information and credentials for multiple reference categories, including a surety company, corporate banks (with account types and numbers), insurance providers (listing policy types), subcontractors (identifying their areas of specialized work), and material suppliers (specifying types of materials provided). Each reference section requires the entity name, address, agent name, telephone number (with area code), and email address.

The form serves as a standardized mechanism for the Department of the Interior National Park Service Pacific West Region to verify the offeror's financial stability, bonding capacity, insurance coverage, and supply chain reliability for this construction project. Completion of this template is mandatory per the Instructions, Conditions, and Notices to Offerors in Section L of the solicitation. Offerors must fill in the information by typing or printing legibly, ensuring all telephone numbers include area codes and all required fields are completed to meet responsiveness requirements.

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Text version

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L of the Solicitation). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

Name of Offeror:

Surety

Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

Email:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Email:

Types and Numbers of Accounts:

Corporate Bank

Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Email:

Types and Numbers of Accounts:

Insurance Company

Name:

Address:

Name of Agent:

Telephone Number:

Email:

Types of Policies:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Material Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL Supplier

Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

Solicitation No. 140P8126R0002 Page 1 of 2

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