B08_Attach 13 Solit_PSP_Vol_II_GenRefs ANTI 225963.doc
DOC document 70 KB Posted
- Attached to
- ANTI 225963 Rehabilitate Antietam Visitor Center
- Solicitation number
- 140P2020R0080
About this file
This document contains a form for general references to be provided by an offeror in response to Solicitation 140P2020R0080. The solicitation is for the rehabilitation of the Antietam Visitor Center.
The form requests contact information for the offeror's surety, corporate banks, insurance company, and subcontractors and material suppliers. For each reference, the offeror is to provide the name, address, contact name, and phone number. The offeror must disclose any less than fully satisfactory relationships with the references and describe corrective actions taken. Failure to provide explanations could result in an unfavorable assessment of the offeror's past performance. The solicitation is issued by the Department of the Interior National Park Service National Office to rehabilitate the Antietam Visitor Center.
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Text version
SOLICITATION 140P2020R0080
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). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.
It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.
Name of Contractor/Offeror:
Surety
Name of Surety:
Address of Surety:
Name of Agent:
Telephone Number:
Corporate Bank
Name of Bank:
Address of Bank:
Name of Agent:
Telephone Number:
Types and Numbers of Accounts:
Corporate Bank
Name of Bank:
Address of Bank:
Name of Agent:
Telephone Number:
Types and Numbers of Accounts:
Insurance Company
Name:
Address:
Name of Agent:
Telephone Number:
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:
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