Contractor Reference form (10).pdf
PDF 135 KB Posted
- Attached to
- Mowing & Litter Removal
- Solicitation number
- PE-64800-NONST-2025-000000043
- Issued by
- Douglas County, Georgia
About this file
This is a Contractor Reference and Release Form issued by the Douglas County Board of Commissioners in Douglasville, GA. The form requires potential contractors to provide at least three recent references who can verify their experience and ability to perform the products/services listed in an associated solicitation. The form requests detailed contact information including company names, contact names, addresses, email addresses, and telephone numbers for each reference.
The document includes spaces for an authorized company representative's printed name, signature, and date at the bottom of the form. The form originates from the Purchasing Department located at 8700 Hospital Drive in Douglasville, GA 30134. The document displays the official Douglas County logo and letterhead, indicating this is an official government form for contractor qualification purposes.
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Text version
CONTRACTOR REFERENCE AND RELEASE FORM
List below at least three recent different (3) references, including company name, contact name, address, email address and telephone numbers who can verify your experience and ability to perform the type(s) of product(s)/ service(s) listed in the solicitation.
Reference No. 1
Contact Name:
Contact Company:
Address:
Phone Number: Email Address:
Reference No. 2
Contact Company:
Reference No. 3
Contact Company:
Name of Authorized Company Representative (Type or Print Legibly):_____________________________
Signature of Authorized Company Representative____________________________________________
Date Signed _________________________________________________________________________
Douglas County Board of Commissioners 8700 Hospital Drive, Purchasing Department, Douglasville, GA 30134
| Contact Name: |
| Contact Company 1: |
| Contact Company 2: |
| Phone Number: |
| Email Address: |
| Contact Name_2: |
| Contact Company 1_2: |
| Contact Company 2_2: |
| Phone Number_2: |
| Email Address_2: |
| Contact Name_3: |
| Contact Company 1_3: |
| Contact Company 2_3: |
| Phone Number_3: |
| Email Address_3: |
| Name of Authorized Company Representative Type or Print Legibly: |
| Date Signed: |
File details come from the government source that posted it. Updated .