Contractor Reference form (61).pdf

PDF 135 KB Posted

Attached to
Basketball Court Flooring Restoration
Solicitation number
PE-64800-NONST-2027-000000085
Issued by
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, for the Basketball Court Flooring Restoration project. The form requires bidders to provide at least three recent references from different companies that can verify the contractor's experience and ability to perform the services specified in the solicitation. Each reference entry must include the contact name, company name, address, phone number, and email address. The form also requires the signature, printed name, and date from an authorized company representative to certify the accuracy of the submitted references.

The form serves as a standard qualification verification document for this commercial athletic facility restoration project, which involves water mitigation and restoration work for two basketball courts, a gymnasium, and a walking track in Georgia. No specific pricing terms, set-asides, contract duration, or other financial information is contained within this reference form, as it functions solely as a supporting document to establish contractor qualifications and relevant experience prior to award consideration.

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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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