B08_Attachment_6_140P8423Q0023_GenRefs.doc

DOC document 68 KB Posted

Attached to
G-6-1 Road Removal, NPS-REDW
Solicitation number
140P8423Q0023
Issued by

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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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