B2625630 Seller Customer References Form.pdf

This is a Seller Customer References Form issued by the City of Philadelphia Procurement Department for Bid Number B2625630 related to a Dental Equipment and Installation contract opportunity. The form is designed to collect information from bidders regarding their qualifications and experience prior to contract award. Bidders must complete two sections: Section 1 requires three customer references from entities other than City of Philadelphia employees, departments, suppliers, or financial institutions, with each reference including the firm name, address, contact person, email, phone number, type of work performed, and duration of the business relationship. Section 2 requests documentation of any previous purchase orders or contracts with the City of Philadelphia, including the P.O./contract number, department, contact name, email, phone number, and items supplied or services provided. All quotes must be submitted through PHLContracts no later than 10:30 AM on the date the bid opens, with quotes rejected if submitted after the opening time.

The form requires bidders to maintain responsibility for timely submission of their quotes and provides blank fields for up to five firms to be referenced as customer references and multiple previous City contracts to be documented. No specific pricing terms, set-asides, incumbent information, or funding sources are detailed in this references form, as it serves solely as a qualification and experience verification document. The City of Philadelphia retains the authority to evaluate bidder qualifications based on the information provided in this form as part of the overall bid evaluation process.