Contractor Reference form (35).pdf
PDF 135 KB Posted
- Attached to
- Public Transit3rd Party Transportation Operator
- Solicitation number
- PE-64800-NONST-2026-000000062
- Issued by
- Douglas County, Georgia
About this file
This is a Contractor Reference and Release Form from the Douglas County Board of Commissioners, Purchasing Department, located in Douglasville, Georgia. The form serves as a standardized document for contractors responding to solicitations to provide verifiable references demonstrating their experience and ability to perform the products or services outlined in the applicable solicitation.
The form requires contractors to submit at least three references from recent different sources, with each reference entry requiring the contact name, company name, address, email address, and telephone number. Additionally, the form includes fields for Douglas County Board of Commissioners' internal contact information and requires the authorized company representative to sign and date the document to certify the accuracy of the provided information. This reference verification mechanism enables the purchasing department to conduct due diligence on contractor qualifications prior to contract award.
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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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