P17PS00749_General_References.docx
DOCX document 17 KB Posted
- Attached to
- SEKI - Rehab Cedar Grove Water System Federal contract opportunity
- Solicitation number
- P17PS00749
About this file
General References Sec J 010
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| B01_-_PRESOLICITATION_NOTICE.docx | DOCX document |
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Text version
P17PS00749 General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include area codes with all telephone numbers. Fill in the applicable information by typing or printing legibly. Information provided may be used in making a determination of responsibility pursuant to FAR 9.103.
NAME OF CONTRACTOR/OFFEROR: ____________________________________________
TAX ID NUMBER OF CONTRACTOR/OFFEROR:__________________________________
SURETY
Name of Surety: ______________________________________________ Address of Surety: ____________________________________________ Name of Agent: ______________________________________________ Telephone Number: ___________________________________________
CORPORATE BANK
Name of Bank: _______________________________________________ Address of Bank: _____________________________________________ Name of Agent: ______________________________________________ Telephone Number: ___________________________________________ Types and Numbers of Accounts: ________________________________
CORPORATE BANK
Name of Bank: _______________________________________________ Address of Bank: _____________________________________________ Name of Agent: ______________________________________________ Telephone Number: ___________________________________________ Types and Numbers of Accounts: ________________________________
INSURANCE COMPANY
Name: _____________________________________________________ Address: ___________________________________________________ Name of Agent: _____________________________________________ Telephone Number: __________________________________________ Types of Policies: ____________________________________________
SUBCONTRACTOR
Name: _____________________________________________________ Address: ___________________________________________________ Name of Contact: ____________________________________________ Telephone Number: __________________________________________ Areas of Specialized Work: ____________________________________
SUBCONTRACTOR
Name: _____________________________________________________ Address: ___________________________________________________ Name of Contact: ____________________________________________ Telephone Number: __________________________________________ Areas of Specialized Work: ____________________________________
SUBCONTRACTOR
Name: _____________________________________________________ Address: ___________________________________________________ Name of Contact: ____________________________________________ Telephone Number: __________________________________________ Areas of Specialized Work: ____________________________________
MATERIAL SUPPLIER
Name: _____________________________________________________ Address: ___________________________________________________ Name of Contact: ____________________________________________ Telephone Number: __________________________________________ Types of Material: ___________________________________________
MATERIAL SUPPLIER
Name: _____________________________________________________ Address: ___________________________________________________ Name of Contact: ____________________________________________ Telephone Number: __________________________________________ Types of Material: ___________________________________________
MATERIAL SUPPLIER
Name: _____________________________________________________ Address: ___________________________________________________ Name of Contact: ____________________________________________ Telephone Number: __________________________________________ Types of Material: ___________________________________________
P17PS00749
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