B2726760 Seller Customer References Form.pdf

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Attached to
Multisensor Sewer Inspection
Solicitation number
B2726760
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form associated with a Multisensor Sewer Inspection contract opportunity for the City of Philadelphia, Pennsylvania. The form requires prospective bidders to provide customer references demonstrating their experience and capability to perform multisensor sewer inspection services. Bids for this opportunity must be submitted through PHLContracts no later than 10:30 AM on the bid opening date, with no quotes accepted after that deadline. The responsibility for timely submission rests entirely with the seller.

The form functions as a qualification and evaluation document, requiring bidders to document their past performance on similar projects through customer references. This documentation will be used to assess bidder capability and experience in multisensor sewer inspection work, which is a critical component of the overall bid evaluation process for the City of Philadelphia's procurement.

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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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