B08_Attachment_4_General_Refrences.pdf

PDF 180 KB Posted

Attached to
DEVA 335272 Repair Flood Damaged Titus Canyon Road
Solicitation number
140P2026R0013
Issued by

About this file

This document is a General References form for a federal contract opportunity, designed for an offeror to provide comprehensive contact and background information to the government. The form requires detailed entries for various business relationships including a surety, two corporate banks, an insurance company, up to three subcontractors, and up to three material suppliers. Each section requests specific details such as name, address, contact person, telephone number, and specialized areas or types of accounts/materials. The instructions emphasize the importance of candor, specifically noting that offerors should disclose any potentially unsatisfactory past relationships and provide explanations for any deficiencies, with a warning that failure to do so could result in an unfavorable assessment of the offeror's past performance record.

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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 .