ITBAttC - Reference Check_7-22-25.pdf

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Attached to
Empire Lake Fishing Dock & Gangway Fabrication
Solicitation number
S-63500-00014410
Issued by
Columbia County, Condon City, Oregon

About this file

This document is Attachment C, a Reference Check Form for Invitation to Bid (ITB) S-63500-00014410 for the Empire Lake Fishing Dock & Gangway Fabrication project, issued by DAS Procurement Services on February 20, 2019. The form is designed for bidders to provide three business references that demonstrate comparable service experience within the last five years, with each reference requiring detailed information about the firm, contact persons, service description, tasks performed, budget, and whether contract services were accomplished within budget and schedule.

The form requires comprehensive documentation from potential contractors, including the name of reference firms, contact information for primary and alternate references, a detailed description of previous service types, specific tasks performed, project budgets, and an assessment of project completion performance. This reference check is likely part of the procurement process to validate a bidder's past performance, expertise, and reliability in completing similar projects, which will help the procuring agency assess the bidder's qualifications for the Empire Lake Fishing Dock & Gangway Fabrication project.

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ITB S-63500-00014410 – Empire Lake Fishing Dock & Gangway Fabrication 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: [Buyer: modify this paragraph and number of reference boxes to suit ITB requirements.] 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:

Name of Firm:

ITB S-63500-00014410 – Empire Lake Fishing Dock & Gangway Fabrication Att C

DAS Procurement Services, Version 1.0 – February 20, 2019 Page 2 of 2

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:

REFERENCES COMPARABLE IN SIZE AND SCOPE: [Buyer: modify this paragraph and number of reference boxes to suit ITB requirements.] Bidder shall provide a list of three different firms who can be contacted regarding the quality of services the Bidder prov...
Business Reference

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