B2727577_Seller Customer References Form.pdf

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Attached to
Pump Repair Parts
Solicitation number
B2727577
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form used by the City of Philadelphia Procurement Department for bid submissions related to a Pump Repair Parts contract opportunity. The form requires bidders to provide documentation of their experience and qualifications to support their bid submissions. Bidders must submit all quotes to PHL Contracts no later than 10:30 AM on the bid opening date, with quotes not accepted after that deadline. The City of Philadelphia intends to award the Pump Repair Parts contract to various City Agencies and Departments during the contract period.

The form contains two primary sections for applicant completion. Section 1 requires bidders to provide three customer references outside of City of Philadelphia employees or departments, excluding suppliers or financial institutions, with details including firm name, address, contact information, email, phone number, type of work performed, and years of business relationship. Section 2 requests information regarding any previous purchase orders or contracts with the City of Philadelphia, including PO/Contract numbers, associated departments, contact names, email addresses, phone numbers, and items supplied. Bidders are instructed to state "None" if they have no previous City contracts. The form includes blank fields across multiple columns to accommodate multiple references and contract entries.

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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:

File details come from the government source that posted it. Updated .