Reference_Information_Form.docx

DOCX document 48 KB Posted

Attached to
Elevator Maintenance Federal contract opportunity
Solicitation number
HSCG4218QQNE004
Issued by
Department of Homeland Security US Coast Guard

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RFI

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Other files attached to Elevator Maintenance, newest first.
File Type Posted
Elevator_WD.txt TXT text file
USCG_Training_Center_-_RFI_-_uec_(2).pdf PDF
Wage_Determinations.txt TXT text file
FAR_CLAUSES.docx DOCX document
RFQ_Solicitation_Elevator_Service.docx DOCX document

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CONTRACTOR SHALL COMPLETE AND SUBMIT THIS FORM WITH OFFER.

REFERENCE INFORMATION

SOLICITATION NumBER:

HSCG42-18-Q-QNE004

Date company information (Company name, address)

Active registration with the System for Award Management (SAM)? Y_____ / N_____(If no, SAM registration must be completed and proof provided w/offer). Provide your Dun & Bradstreet No (DUNS):____________________________ & TIN:_____________________________ & CAGE CODE: ________________________ telephone number:

cell phone number:

facsimile number:

e-mail address:

1. List experience in this type of work

2. Have you ever been terminated from any job? (If YES, give reason)

3. do you anticipate any difficulties finishing this job on time? (If YES, give reason)

4. PERCENTAGE OF WORK TO BE SUBCONTRACTED

6. REFERENCES Offer shall furnish the information listed below for like of similar contracts held with the U.S. Coast Guard, other Government Agencies or private industry. Failure to furnish this information may result in a determination of non-responsibility. (LIST THREE)

6a.Reference #1:
Company name
Person to contact
Address
Telephone no.
Project
6b.Reference #2:
Company name
Person to contact
Address
Telephone no.
Project
6c.Reference #3:
Company name
Person to contact
Address
Telephone no.
Project

Previous versions are useable TRACEN CAPE MAY REFERENCE INFORMATION FORM (Rev. 01/01)

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