B2727577_Seller Customer References Form.pdf
PDF 155 KB Posted
- 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: |
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| wyour firm: |
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| Department: |
| Contact Name 1: |
| Contact Name 2: |
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| Contact Name 4: |
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| BID NUMBER: |
| FIRM NAME: |
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