B08_Attachment_5C_Solit_PSP_Vol_II_GenRefs.pdf
PDF 102 KB Posted
- Attached to
- ORPI 240841 Replace Primary Water System for Maint Federal contract opportunity
- Solicitation number
- 140P2025R0080
About this file
This is a General References form template for federal contract offerors to provide the Government with reference information as required in Section L of the solicitation instructions. The form requires offerors to disclose their business relationships and provide detailed contact information for verification purposes.
The form includes sections for the contractor/offeror to provide information about their surety company, two corporate banks (including account types and numbers), insurance company and policy types, three subcontractors (with areas of specialized work), and three material suppliers (with types of materials provided). Each section requires complete contact details including names, addresses, contact persons, and telephone numbers with area codes. The form emphasizes the critical importance of disclosing any less than satisfactory relationships with references, requiring offerors to explain their side of the story and describe corrective actions taken, as failure to be candid could result in unfavorable past performance assessments.
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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:
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