B2727013 Seller Customer References Form.pdf

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Attached to
Receptacles, Trash Cans, Wringer Mops, Buckets, etc.
Solicitation number
B2727013
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form used by the City of Philadelphia Procurement Department for bid evaluation purposes related to the contract opportunity for Receptacles, Trash Cans, Wringer Mops, Buckets, and related items. The form requires bidding firms to provide customer references and documentation of prior contract experience with the City of Philadelphia and other entities. Section 1 of the form requests information on three customer references outside of City departments, including firm name, address, contact information, email, phone number, type of work performed, and years of business relationship. Section 2 requests documentation of any previous purchase orders or contracts with the City of Philadelphia, including the purchase order or contract number, relevant department, contact name, email, phone number, and items or services provided.

The form serves as a qualification and evaluation tool to assess bidder experience and references prior to contract award. Firms submitting bids for the receptacles, trash cans, and related items contract must complete all applicable sections with accurate information to support their bid submission. The City of Philadelphia intends to make awards to qualified vendors who can supply these products for various City agencies and departments throughout the contract period.

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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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