ITBAttC - Reference Check~9.pdf
PDF 130 KB Posted
- Solicitation number
- S-63500-00012378
- Issued by
- Multnomah County, Oregon
About this file
This is a Reference Check Form (Attachment C) that must be submitted with bids for ITB S-63500-00012378 regarding Chemical Treatment of Aquatic Invasive Plant Ludwigia at Palensky Wildlife Areas in Portland, issued by DAS Procurement Services. The form requires bidders to provide three business references from different firms who can attest to the quality of similar services provided by the bidder within the past five years. Additionally, the form includes a "Key Person" section requiring references for key personnel.
The form contains fields for each reference including firm name, primary and alternate contact information, description of service type/size/location/duration/objectives, tasks performed, budget information, and whether services were completed within budget and schedule. Each reference section follows the same format requiring identical information, allowing the agency to evaluate the bidder's past performance on comparable projects. The form is dated February 20, 2019 and consists of 3 pages total.
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Text version
ITB S-63500-00012378 – Chemical Treatment of Aquatic Invasive Plant Ludwigia at Palensky Wildlife Areas in Portland 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.
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-63500-00012378 – Chemical Treatment of Aquatic Invasive Plant Ludwigia at Palensky Wildlife Areas in Portland
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-63500-00012378 – Chemical Treatment of Aquatic Invasive Plant Ludwigia at Palensky Wildlife Areas in Portland
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: [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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