ITBAttC - Reference Check_7-9-25.pdf

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Attached to
Empire Lake Fishing Dock & Gangway Fabrication
Solicitation number
S-63500-00014312
Issued by
Columbia County, Condon City, Oregon

About this file

This document is Attachment C - Reference Check Form for Invitation to Bid (ITB) S-63500-00014312 for Empire Lake Fishing Dock & Gangway Fabrication, issued by DAS Procurement Services on February 20, 2019. The form is designed for bidders to provide reference information about their previous work, specifically requesting three different firms who can verify the quality of services provided within the last five years. Bidders are required to submit this completed form with their bid, detailing information about past projects including service type, size, location, duration, objectives, specific tasks performed, project budgets, and whether contract services were accomplished within the specified budget and schedule.

The reference check form is a standard procurement document that allows the purchasing agency to validate a bidder's past performance, competence, and reliability by obtaining third-party verification of their previous work. By requiring detailed information about comparable projects, the form helps procurement officials assess the bidder's capability to successfully complete the Empire Lake Fishing Dock & Gangway Fabrication project. The form provides space for contact information, project descriptions, and performance evaluations for three separate reference projects, enabling a comprehensive review of the bidder's professional track record.

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ITB S-63500-00014312 – 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-63500-00014312 – 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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