ITB AttC - References~1.pdf
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- Solicitation number
- S-62900-00017551
- Issued by
- Jackson County, Oregon
About this file
This is a Reference Check Form (Attachment C) for Invitation to Bid ITB S-62900-00017551, issued by DAS Procurement Services for the State of Oregon, concerning road resurfacing services on Miller Lake Road in the Fremont-Winema National Forest, Klamath County, Oregon. The form requires bidders to provide references from three different firms that can attest to the quality of services the bidder provided within the last five years. For each reference, bidders must submit the firm name, primary and alternate contact persons with telephone numbers and email addresses, a detailed description of the service type, size, location, duration and objectives, a description of tasks performed, the contract budget, and confirmation of whether contract services were accomplished within budget and schedule with explanations for any variances. This completed reference form must be submitted with the bid submission.
The work described in the underlying solicitation is classified as Public Works and will be subject to BOLI prevailing wage requirements and Davis-Bacon Act requirements. Bidders are required to download all attachments, review all solicitation documents, and return all required documentation by the specified closing date and time. No pricing information, set-asides, award dates, or contract term details are contained within this reference form attachment.
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Text version
ITB S-62900-00017551 – Miller Lake Road Resurfacing Fremont-Winema GNA 2026 Att C
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 1 of 2
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.
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:
Were contract services accomplished within budget & schedule? If not, why
Name of Firm:
Reference Contact Person:
ITB S-62900-00017551 – Miller Lake Road Resurfacing Fremont-Winema GNA 2026 Att C
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 2 of 2
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
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