Contractor Reference form (33).pdf

PDF 135 KB Posted

Attached to
2026 Mowing and Litter Bid
Solicitation number
PE-64800-NONST-2026-000000060
Issued by
Douglas County, Georgia

About this file

This is a Contractor Reference and Release Form issued by the Douglas County Board of Commissioners, Purchasing Department, located in Douglasville, Georgia.

The form requires bidding contractors to provide at least three recent references from different organizations that can verify the contractor's experience and ability to perform the products or services specified in the solicitation. Each reference entry requires the contact name, contact company, address, phone number, and email address. The form must be completed and signed by an authorized company representative, with the date of signature included.

No pricing terms, set asides, funding information, or contract-specific details are addressed in this form. This is a standard supporting document used as part of the bidding process to establish contractor qualifications and track record.

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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:

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