B08_Attachment_6_140P8423Q0023_GenRefs.doc
DOC document 68 KB Posted
- Attached to
- G-6-1 Road Removal, NPS-REDW
- Solicitation number
- 140P8423Q0023
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General References
READ CAREFULLY: The purpose of this form is for the quoter to provide the Government with general references and conformance with any applicable state licensing requirements in the spaces provided as described in Section L of the Solicitation. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.
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:
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. 140P8423Q0023
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