Contractor Reference form (46).pdf

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Attached to
REAL ESTATE SERVICES - RIGHT-OF-WAY APPRAISAL SERVICES
Solicitation number
PE-64800-NONST-2026-000000070
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 serves as a standardized submission requirement for contractors bidding on state and local contract opportunities. Contractors are required to provide at least three recent references from different sources, with each reference including the contact name, company name, complete address, phone number, and email address. These references must be able to verify the contractor's experience and capability to perform the specific products or services outlined in the solicitation. The form requires certification by an authorized company representative through legible typed or printed name, signature, and date.

The document provides a structured template with designated fields for three reference entries, each requiring identical information categories to ensure consistency and completeness of submissions. Additionally, the form includes a secondary section that appears to duplicate the reference format, potentially allowing for expanded reference documentation or alternative submission pathways. The form does not specify pricing terms, set-asides, contract duration, renewal options, or funding information, as its sole purpose is to establish contractor qualifications and experience verification through documented professional references prior to bid evaluation and 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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