Contractor Reference form (34).pdf

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Attached to
INTERNAL CONTROLS AUDIT
Solicitation number
PE-64800-NONST-2025-000000061
Issued by
Douglas County, Georgia

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This is a Contractor Reference and Release Form issued by the Douglas County Board of Commissioners, Purchasing Department, located in Douglasville, Georgia. The form is a standardized document used as part of the procurement process to verify contractor qualifications and experience.

Contractors submitting bids for Douglas County opportunities are required to provide at least three professional references from recent clients or projects. Each reference entry must include the contact name, contact company, complete address, phone number, and email address. These references should be able to verify the contractor's experience and ability to perform the specific products or services outlined in the relevant solicitation. The form requires completion and certification by an authorized company representative through typed or printed name, signature, and date of submission. This documentation allows the county to conduct background verification of bidders' capabilities and track records prior to contract award.

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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 .