B2626718_Seller Customer References Form.pdf

PDF 155 KB Posted

Attached to
Tire Recapping and Repair Services
Solicitation number
B2626718
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form for the City of Philadelphia Procurement Department related to a Tire Recapping and Repair Services contract opportunity. The form is designed to collect information from bidders regarding their qualifications and experience with providing tire recapping and repair services to various City agencies and departments. Bidders are required to submit quotes through PHL Contracts no later than 10:30 AM on the bid opening date, with late submissions not accepted under any circumstances.

The form contains two primary sections for vendor completion. Section 1 requests customer references from entities other than City of Philadelphia employees or departments, requiring bidders to provide firm names, addresses, contact information, email, phone numbers, types of work performed, and years of business relationships for up to three reference customers. Section 2 requests documentation of any previous purchase orders or contracts with the City of Philadelphia, including PO/contract numbers, relevant departments, contact names, email addresses, phone numbers, and items provided. Bidders must indicate "None" if they have no prior City contracts. The form provides space for up to five firm references and corresponding contract history, allowing the City to evaluate bidder experience and reliability in delivering tire recapping and repair services.

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Text version

BID NUMBER

INVITATION

AND BID

CONTINUATION

FIRM NAME (Must be filled in)

CITY OF PHILADELPHIA

PROCUREMENT DEPARTMENT

PHILADELPHIA, PA 19102 - 1685

SECTION 1:

Customer References other than an employee or department of the City of Philadelphia, (excluding suppliers or financial institutions).

A. B. C.

Firm Name: __________________ __________________ __________________

Address: __________________ __________________ __________________

Contact: __________________ __________________ __________________

Email: __________________ __________________ __________________

Phone #: __________________ __________________ __________________

Type Work: __________________ __________________ __________________

Years dealing w/your firm: __________________ __________________ __________________

SECTION 2:

Previous purchase order(s)/contract(s) with the City; (State "None" if applicable)

P.O./Contract

Number: __________________ __________________ __________________

Department: __________________ __________________ __________________

Contact Name: __________________ __________________ __________________

Email: __________________ __________________ __________________

Phone #: __________________ __________________ __________________

Item(s): __________________ __________________ __________________

Firm Name 1:
Firm Name 2:
Firm Name 3:
Firm Name 4:
Firm Name 5:
Type Work:
B 1:
B 2:
B 3:
B 4:
B 5:
B 6:
C 1:
C 2:
C 3:
C 4:
C 5:
C 6:
wyour firm:
undefined:
undefined_2:
undefined_3:
Department:
Contact Name 1:
Contact Name 2:
Contact Name 3:
Contact Name 4:
1:
2:
3:
4:
5:
6:
1_2:
2_2:
3_2:
4_2:
5_2:
6_2:
BID NUMBER:
FIRM NAME:

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