Reference Information Sheet.pdf
PDF 84 KB Posted
- Attached to
- 70Z03025QCLEV0033 - Replacement and Installation of Natural Gas Water Heater for U. S. Coast Station Duluth
- Solicitation number
- 70Z03025QCLEV0033
About this file
This is a Reference Information Form template from Coast Guard Base Cleveland for solicitation 70Z03025QCLEV0033. The form is designed to collect key information from potential contractors bidding on the replacement and installation of natural gas water heaters at U.S. Coast Guard Station Duluth.
The form requires contractors to provide company details, experience with similar work, termination history, anticipated project difficulties, subcontracting percentages, Davis Bacon Wage Act compliance, and three business references with contact information. The form is valid through July 2024 and is associated with a procurement valued between $25,000 and $100,000 under NAICS code 238220 (Plumbing, Heating, and Air-conditioning Contractors) with a small business size standard of $19.0M. The period of performance for the actual work is specified as 50 calendar days from award date.
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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)
70Z03025QCLEV0033
GABermeo Cross-Out
File details come from the government source that posted it. Updated .