B08_Attachment_5_140P8423Q0046_GenRefs.docx

DOCX document 27 KB Posted

Attached to
Replace HVAC Units in Park Buildings, NPS-ORCA Federal contract opportunity
Solicitation number
140P8423Q0046
Issued by
Department of the Interior National Park Service Pacific West Region

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General References READ CAREFULLY: The purpose of this form is for the quoter 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 Quoter:

Surety (if applicable)

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 (optional):

Insurance Company

Name:

Address:

Name of Agent:

Telephone Number:

Email:

Types of Policies:

LICENSES HELD

Name of License(s):

State of Issuance:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

License Information:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

License Information:

Subcontractor

Name:

Address:

Name of Contact:

Telephone Number:

Area of Specialized Work:

License Information:

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. 140P8423Q0046 Page 1 of 2

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