B08_Attach 4B6 PSP Vol II GenRef.pdf
PDF 108 KB Posted
- Attached to
- LAKE 158678 Construct Structural Flood Mitigation Federal contract opportunity
- Solicitation number
- 140P2021R0057
About this file
This document contains a general references form for a solicitation seeking structural flood mitigation construction services for Cottonwood Cove in Lake Mead National Recreation Area. The form requests contact information for the offeror's surety, corporate banks, insurance company, and up to five subcontractors and material suppliers. The solicitation number is 140P2021R0057 and is being issued by the National Park Service National Office to construct structural flood mitigation for visitor and employee safety. Details provided on the form will be used to evaluate the offeror's past performance and responsibility.
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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). 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:
Types of Policies:
SUBCONTRACTOR
Address:
Name of Contact:
Area of Specialized Work:
Address:
Name of Contact:
Address:
Name of Contact:
MATERIAL SUPPLIER
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:
Types of Material:
File details come from the government source that posted it. Updated .