Reference Information Sheet (21).pdf
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- Solicitation number
- 70Z03026QCLEV00530
About this file
This is a Reference Information Form template used by the Coast Guard Base Cleveland for federal contract solicitations. The form, numbered 70Z03026QCLEV0053 and updated in July 2024, serves as a standardized document for contractors to provide background information and qualifications relevant to contract bids.
The form requires contractors to submit company information including name, address, telephone, facsimile number, and work hours availability. Contractors must list their experience in the type of work being solicited and provide three professional references with complete contact information and details of relevant projects. The form also requires contractors to disclose whether they have ever been terminated from previous jobs, anticipate any difficulties meeting project timelines, and specify the percentage of work to be subcontracted. Additionally, contractors must confirm compliance with Davis Bacon wage requirements if applicable to the solicitation. The template is designed to collect essential qualification and reference data to evaluate contractor capability and reliability for federal construction or service projects at Coast Guard facilities.
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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)
70Z03026QCLEV0053
GABermeo Cross-Out
File details come from the government source that posted it. Updated .