Contractor Reference form.pdf
PDF 110 KB Posted
- Solicitation number
- PE-64800-NONST-2026-000000071
- 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 requires prospective contractors to provide a minimum of three recent professional references that can verify their experience and capability to perform the products or services specified in the solicitation. Each reference entry requires the contact name, company name, full address, phone number, and email address. The form must be completed and signed by an authorized company representative, with the date of signature required.
The form serves as a standard qualification documentation requirement in the bidding process. It does not contain information regarding specific products, services, pricing terms, contract duration, renewal options, site visits, bidder conferences, due dates, or award dates. The purpose is exclusively to establish contractor credibility and past performance history through verifiable references prior to contract 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 Name:
Contact Company:
Address:
Phone Number: Email Address:
Reference No. 3
Contact Name:
Contact Company:
Address:
Phone Number: Email Address:
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 .