General Reference Worksheet.pdf
PDF 150 KB Posted
- Attached to
- PEMBERTON HQ'S PORCH AND ROOF REHAB
- Solicitation number
- 140P5221R0004
About this file
This document contains a general references worksheet for a contractor bidding on a federal contract opportunity. The worksheet requests information on the surety, corporate banks, insurance companies, and subcontractors and material suppliers that the contractor has worked with.
The related federal contract opportunity is solicitation number 140P5221R0004 to rehabilitate the porch and roof of Pemberton Headquarters at Vicksburg National Military Park. The contracting agency is the National Park Service Southeast Region within the Department of the Interior. The opportunity type is a solicitation for a construction project involving general building, interior systems, and exterior improvement work.
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Text version
General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.
It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.
NAME OF CONTRACTOR/OFFEROR:
SURETY
Name of Surety:
Address of Surety:
Name of Agent:
Telephone Number:
CORPORATE BANK
Name of Bank:
Address of Bank:
Name of Agent:
Telephone Number:
Types and Numbers of Accounts:
CORPORATE BANK
Name of Bank:
Address of Bank:
Name of Agent:
Telephone Number:
Types and Numbers of Accounts:
INSURANCE COMPANY
Name:
Address:
Name of Agent:
Types of Policies:
SUBCONTRACTOR
Address:
Name of Contact:
Area of Specialized Work:
Address:
Name of Contact:
Address:
Name of Contact:
MATERIAL SUPPLIER
Address:
Name of Contact:
Telephone Number:
Types of Material:
MATERIAL SUPPLIER
Name:
Address:
Name of Contact:
Telephone Number:
Types of Material:
MATERIAL SUPPLIER
Name:
Address:
Name of Contact:
Types of Material:
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