Prior_Experience_Form_Event_3975_fillable.pdf

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Attached to
BID-PW-CH Membrane Plant Roof Replacement
Solicitation number
0000003975
Issued by
Anoka County, Minnesota

About this file

This is a Prior Experience and Reference Form for the Columbia Heights Membrane Plant Roof Replacement project (Event #3975) in Minnesota. Bidders are required to complete and submit this form as part of their bid package, demonstrating prior relevant experience. The form requests documentation of three previous contracts performed within the past five years with cities of the first or second class or equivalent private companies that are similar in scope and requirements to the specifications outlined in this solicitation. For each referenced contract, bidders must provide the city or company name, contract date, contract name, contact name and phone number of the reference contact, and the total contract value.

Failure to complete and submit the Prior Experience and Reference Form will result in a bid being deemed unresponsive and ineligible for award consideration. Additionally, any bidder who is currently suspended or debarred will be deemed unresponsive in accordance with Minnesota Rule Part 1230.1150 subpart 6A. The form serves as a qualification screening mechanism to ensure bidders possess demonstrated experience with similar roofing projects of comparable scope before their proposals are evaluated.

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Text version

Title/Description: Columbia Heights Membrane Plant Roof Replacement

Event # 3975

Prior Experience and Reference Form

Company Name: ____________________________________________________

Date: _________________

List three (3) previous contracts performed in the past (5) years in a city of the first or second class or equivalent private company which is similar to the requirements and quantities listed in this specification. Include the: name of the city/company, date of the contract, and contact name of the person you worked with, contact phone number, and the total contract value.

1. City: _____________________________________________________ Contract Date: _____________________________________________ Contract Name: ____________________________________________ Contact Phone Number: _____________________________________ Total Contract Value: ________________________________________

2. City: _____________________________________________________ Contract Date: _____________________________________________ Contract Name: ____________________________________________

3. City: _____________________________________________________ Contract Date: _____________________________________________ Contract Name: ____________________________________________

Failure to complete and submit this form may result in your bid being deemed unresponsive. Further any bidder who is currently suspended/debarred will be deemed unresponsive. MN Rule Part 1230.1150 subpart 6A

Company Name:
Date:
1 City:
Contract Date:
Contract Name:
Contact Phone Number:
Total Contract Value:
2 City:
Contract Date_2:
Contract Name_2:
Contact Phone Number_2:
Total Contract Value_2:
3 City:
Contract Date_3:
Contract Name_3:
Contact Phone Number_3:
Total Contract Value_3:

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