IFB_5000_JRN1037_ATT_3_v1.docx

DOCX document 30 KB Posted

Attached to
Compressed Medical-Grade Oxygen
Solicitation number
IFB 5000 JRN1037
Issued by
Texas

About this file

This is an Offeror References submittal form for a Texas state and local contract opportunity for compressed medical-grade oxygen. The document serves as an attachment to the Invitation for Bid (IFB) 5000 JRN1037 and requires offerors to provide verifiable references demonstrating their experience and ability to supply the requested products and services. Offerors must furnish a minimum of three complete and verifiable references consisting of customers to whom the offeror has provided the same or similar services within the preceding five years. Each reference entry requires documentation of the customer company name, contact person name and title, project name, present address, city, state, zip code, telephone number, fax number, and email address. The references must indicate a record of positive past performance, and the City reserves the right to check these references at its discretion to evaluate the offeror's qualifications.

The contract involves the purchase of compressed medical-grade oxygen in tanks of various sizes, with delivery to multiple storage locations and scheduled exchange services for empty tanks. This reference form is a standard evaluation tool used to assess offeror capability and reliability prior to contract award, ensuring that selected vendors have demonstrated competency in providing medical-grade oxygen services similar to those required under this solicitation.

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Text version

SUBMITTAL – Offeror References

OFFEROR

Company Name
City Vendor ID Code

OFFEROR REFERENCES

The City at its discretion may check references to determine the Offeror’s experience and ability to provide the products and/or services described in this Solicitation. The Offeror shall furnish at least 3 complete and verifiable references. References shall consist of customers to whom the offeror has provided the same or similar services within the last 5 years. References shall indicate a record of positive past performance.

1. Company’s Name___________________________________________________
Name and Title of Contact___________________________________________________
Project Name___________________________________________________
Present Address___________________________________________________
City, State, Zip Code___________________________________________________
Telephone Number(_____) ______________ Fax Number (_____) _____________
Email Address___________________________________________________
2. Company Name___________________________________________________
Name and Title of Contact___________________________________________________
Project Name___________________________________________________
Present Address___________________________________________________
City, State, Zip Code___________________________________________________
Telephone Number(_____) ______________ Fax Number (_____) _____________
Email Address___________________________________________________
3.Company Name___________________________________________________
Name and Title of Contact___________________________________________________
Project Name___________________________________________________
Present Address___________________________________________________
City, State, Zip Code___________________________________________________
Telephone Number(_____) ______________ Fax Number (_____) _____________
Email Address___________________________________________________
SUBMITTAL – Offeror References
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