REFERENCE INFORMATION.pdf
PDF 62 KB Posted
- Attached to
- 70Z03026QCLEV0068 - U. S. Coast Guard Station Rochester Replacement of Drop Celling Tile & Lighting
- Solicitation number
- 70Z03026QCLEV0068
About this file
This is a Reference Information Form template used by Coast Guard Base Cleveland for federal contract solicitations (July 2024 version). The form is a standardized template designed to collect company qualifications and experience data from contractors responding to solicitations.
The form requests essential contractor information including the solicitation number, date, company name and address, contact details (telephone and facsimile numbers), and work hours designation. Contractors must list their experience in the relevant work type, disclose any prior job terminations with explanations, and identify anticipated difficulties in on-time job completion with supporting reasons if applicable. The form requires contractors to specify the percentage of work to be subcontracted and confirm compliance with Davis Bacon wage requirements. Contractors must provide three professional references, each including the company name, contact person, address, telephone number, and project description. Previous versions of this form remain acceptable for use.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Wage Determination - Monroe County.txt | TXT text file | |
| REQUEST FOR INFORMATION.pdf | ||
| SF 1442 -70Z03026QCLEV0068.pdf | ||
| SOW - Ceiling Tile and LED.pdf | ||
| RFQ 70Z03026QCLEV0068.pdf |
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Text version
REFERENCE INFORMATION
SOLICITATION NUMBER 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 CG BASE CLEVELAND REFERENCE INFORMATION FORM (July 2024)
GABermeo Cross-Out
File details come from the government source that posted it. Updated .