Contractor Reference form (57).pdf

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Attached to
DOUGLAS COUNTY JANITORIAL SERVICES-VARIOUS LOCATIONS
Solicitation number
PE-64800-NONST-2027-000000080
Issued by
Georgia

About this file

This is a Contractor Reference and Release Form for the Douglas County Board of Commissioners in Douglasville, Georgia, which is soliciting proposals for janitorial services at various county-owned locations. The Douglas County Board of Commissioners requires bidders to submit at least three recent references from different companies that can verify the contractor's experience and ability to perform janitorial services. Each reference must include the contact name, company name, full address, phone number, and email address. The contract term is one year with the potential for up to four additional one-year renewal periods, allowing for a maximum five-year engagement if both parties agree to extensions.

The form requires an authorized company representative to sign and date the submission. No specific pricing terms, set-asides, response deadlines, or funding sources are detailed in this reference form document, as it serves solely as a vehicle for bidders to provide verifiable past performance information demonstrating their capability to deliver janitorial services across multiple county facilities.

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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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