REFERENCE INFORMATION.docx
DOCX document 23 KB Posted
- Solicitation number
- 70Z03026QCLEV0042
About this file
This is a Reference Information Form for a U.S. Coast Guard solicitation (70Z03026QCLEV0042) for repair and cleanout of a sewage lift station at Station Niagara. The form is a template used to collect contractor qualifications and project references.
The form requires contractors to provide company information, work and non-work hours contact details, and documentation of experience with similar work types. Contractors must disclose any previous job terminations with explanations, anticipated scheduling difficulties, the percentage of work to be subcontracted, and confirmation of Davis-Bacon wage act compliance. Additionally, contractors must provide three professional references, each including the reference company name, contact person, address, telephone number, and description of the relevant project completed. This form was last revised in September 1999 and is used by the Cleveland district office for contract qualifications assessment.
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Other files
| File | Type | Posted |
|---|---|---|
| SF 1442 - Solicitation 70Z03026QCLEV0042.pdf | ||
| REQUEST FOR INFORMATION.docx | DOCX document | |
| Wage Determinations - Niagara County.txt | TXT text file | |
| SOW Station Niagara Sewage Tank.docx | DOCX document |
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Text version
REFERENCE INFORMATION
SOLICITATION Number
70Z03026QCLEV0042
Date company information (Company name, address)
(PROVIDE REFERENCES FOR SIMILAR WORK)
| telephone number | |_| work hours |
| |_| NON-WORK HOURS | |
| facsimile number |
1. List experience in this type of work
2. Have you ever been terminated from any job? (If YES, give reason)
3. do you anticipate any difficulties finishing this job on time? (If YES, give reason)
4. PERCENTAGE OF WORK TO BE SUBCONTRACTED
5. ARE YOUR PREVAILING WAGES IN ACCORDANCE WITH THE DAVIS BACON WAGE ACT?
6. REFERENCES (LIST THREE)
| 6a. | Reference #1: |
| Company name | |
| Person to contact | |
| Address | |
| Telephone no. | |
| Project |
| 6b. | Reference #2: |
| Company name | |
| Person to contact | |
| Address | |
| Telephone no. | |
| Project |
| 6c. | Reference #3: |
| Company name | |
| Person to contact | |
| Address | |
| Telephone no. | |
| Project |
Previous versions are useable CEU CLEVELAND REFERENCE INFORMATION FORM (Rev. 9-99)
File details come from the government source that posted it. Updated .