ITB AttC - Reference Check Form~1.pdf
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- Attached to
- 54 North Botanical Surveys
- Solicitation number
- S-62900-00015888
- Issued by
- Union County, Oregon
About this file
This is a Reference Check Form attachment (Attachment C) for ITB S-62900-00015888, a botanical surveys contract administered by the State of Oregon's Department of Administrative Services Procurement Services. The form requires bidders to provide three business references demonstrating comparable experience within the last five years, along with three references for the designated Key Person involved in the contract. Each reference must include the firm name, contact person information, telephone, email, and an alternate contact person with corresponding details. Bidders must describe the service type, size, location, duration, and objectives of each referenced project, detail the tasks performed, identify the budget amount, and specify whether contract services were completed within budget and schedule parameters.
The Reference Check Form is a mandatory submission document that bidders must complete and include with their bid proposals. The form is structured to allow procurement officials to verify the bidder's and Key Person's qualifications and past performance on projects of similar scope and complexity to the 54 North Botanical Surveys contract, which involves conducting botanical field surveys and preparing reports for vegetation management units within the 54 North Fuels Reduction and Huckleberry Restoration Project on the North Fork John Day Ranger District in the Umatilla National Forest. The form provides no information regarding pricing, funding amounts, contract term, or award dates, as it serves solely as a reference verification tool within the bidding process.
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Text version
ITB S-62900-00015888 – 54 North GNA Botanical Surveys Att C
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 1 of 3
ATTACHMENT C — REFERENCE CHECK FORM
Submit this completed form with your bid
REFERENCES COMPARABLE IN SIZE AND SCOPE: Bidder shall provide a list of three different firms who can be contacted regarding the quality of services the Bidder provided within the last five years AND three different firms who can be contacted regarding the quality of service the Key Person provided within the last five years.
Business Reference Name of Firm:
Reference Contact Person:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
What was the budget:
Were contract services accomplished within budget & schedule? If not, why
Name of Firm:
Reference Contact Person:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
What was the budget:
ITB S-62900-00015888 – 54 North GNA Botanical Surveys Att C
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 2 of 3
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
Key Person
Reference Contact Person:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
What was the budget:
ITB S-62900-00015888 – 54 North GNA Botanical Surveys Att C
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 3 of 3
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
Telephone: Email:
Alternate Reference Contact Person:
Telephone: Email:
Description of service type, size, location, duration & objectives:
Describe Tasks performed:
| REFERENCES COMPARABLE IN SIZE AND SCOPE: Bidder shall provide a list of three different firms who can be contacted regarding the quality of services the Bidder provided within the last five years AND three different firms who can be contacted regardin... |
| Business Reference |
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