Contractor Reference form.pdf
PDF 135 KB Posted
- Attached to
- 2026 Mowing and Litter Bid
- Solicitation number
- 25-029
- Issued by
- Douglas County, Georgia
About this file
The document is a Contractor Reference and Release Form issued by the Douglas County Board of Commissioners, located at 8700 Hospital Drive in Douglasville, GA 30134. The form requires potential contractors to list three recent references who can verify the company's experience and ability to perform the types of products or services specified in a solicitation. The references must include contact names, company names, addresses, phone numbers, and email addresses.
The form is designed to help the Douglas County Purchasing Department validate a contractor's qualifications and past performance by obtaining third-party verification. The blank form provides space for contractors to document their professional references, with sections for three separate references. At the bottom of the form, there is space for an authorized company representative to print their name, provide a signature, and date the document, which suggests this form is part of a broader procurement or bidding process.
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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: |
File details come from the government source that posted it. Updated .