REFERENCE INFORMATION.pdf

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Attached to
70Z03026QCLEV0057 - U. S. COAST GUARD STATION ALEXANDRIA BAY FUEL DOCK ENTRY RAMP REPLACEMENT PROJECT
Solicitation number
70Z03026QCLEV0057
Issued by

About this file

This is a Base Cleveland Reference Information Form used to collect contractor qualifications and experience data for federal contract opportunities. The form requires companies to provide basic identification information including company name, address, telephone, and facsimile number, along with work hour availability details.

The form requests substantive information about contractor capability and experience, including a description of experience in the type of work being solicited, disclosure of any prior job terminations with explanations if applicable, and anticipated schedule risks that could affect on-time completion. Contractors must also disclose the percentage of work to be subcontracted and confirm compliance with Davis Bacon wage requirements if applicable. The form requires three professional references, each specifying the reference company name, contact person, address, telephone number, and project details. Previous versions of this form are acceptable for submission. The document is formatted as a template suitable for multiple solicitations, with space for solicitation number and date to be inserted by the contracting office.

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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 BASE CLEVELAND REFERENCE INFORMATION FORM (Rev. 7-24)

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