Reference Information Sheet (6).pdf
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- Solicitation number
- 70Z03026CLEV0047
About this file
This is a Reference Information Form template used by the Coast Guard Base Cleveland for federal contract solicitations. The form, numbered 70Z03026QCLEV0047 (July 2024), is designed to gather contractor qualifications and background information during the bid process.
Contractors must provide company information including name, address, telephone, facsimile number, and work hours (work and non-work). The form requires submission of three professional references for similar work, with each reference including the company name, contact person, address, telephone number, and description of the project. Contractors must also describe their experience in the type of work being solicited and identify any percentage of work to be subcontracted. Additionally, contractors must disclose whether they have ever been terminated from a job (with explanation if applicable), whether they anticipate difficulties meeting the project timeline (with explanation if applicable), and confirm compliance with Davis-Bacon prevailing wage requirements if applicable to the contract. This template serves as a standard evaluation tool to assess contractor capability, reliability, and regulatory compliance before contract award.
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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)
70Z03026QCLEV0047
GABermeo Cross-Out
File details come from the government source that posted it. Updated .