ITBAttC - Reference Check.pdf

PDF 121 KB Posted

Attached to
Purchase and Installation of a New Irrigation Pivot Arm
Solicitation number
S-63500-00006471
Issued by
Gilliam County, Oregon

About this file

This document is an Attachment C - Reference Check Form for an Invitation to Bid (ITB) issued by the Oregon Department of Fish and Wildlife for the Purchase and Installation of a New Irrigation Pivot Arm at the Phillip Schneider Wildlife Area in Grant County and Days Creek CDP, Oregon. The ITB requires bidders to provide a list of three references for the quality of services provided by the bidder as well as three references for the quality of service provided by the key personnel within the last five years. The references must include details on the service type, size, location, duration, objectives, tasks performed, budget, and whether the contract services were accomplished within budget and schedule.

The overall project involves the purchase and installation of a new irrigation pivot on the Black field along Flat Creek at the Phillip Schneider Wildlife Area for the benefit of the Oregon Department of Fish and Wildlife. No other specific pricing, set aside, incumbent, funding, or renewal information is provided in this attachment.

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Text version

ITB S-63500-00006471– Purchase and Installation of a New Irrigation Pivot Arm 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: [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 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:

ITB S-63500-00006471– Purchase and Installation of a New Irrigation Pivot Arm 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:

ITB S-63500-00006471– Purchase and Installation of a New Irrigation Pivot Arm 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:

File details come from the government source that posted it. Updated .