B08_Attachment_11_Solit_PSP_Vol_II_GenRefs.docx
DOCX document 28 KB Posted
- Solicitation number
- 140PP027R0001
- Issued by
- Not on record
About this file
This is a General References form used by offerors to provide the Government with information about key business relationships and financial institutions supporting their proposal submission.
The form requires offerors to disclose details about their surety, corporate banking relationships, insurance company, subcontractors, and material suppliers. For each reference category, offerors must provide the entity name, address, contact person name, telephone number, and relevant service descriptions. The form emphasizes that offerors must candidly disclose any instances where relationships with references may be considered less than fully satisfactory, including explanations of remedial corrective actions taken or planned. Failure to provide transparent disclosure of deficient relationships may result in an unfavorable assessment of the offeror's past performance record. The form permits offerors to provide explanations on separate sheets as necessary. This template supports the Effigy Mounds Visitor Center rehabilitation project (Solicitation Number 140PP027R0001), which involves redesign and repaving of the visitor parking and maintenance area.
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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:
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:
File details come from the government source that posted it. Updated .