Reference Information Sheet.pdf

PDF 255 KB Posted

Attached to
US Coast Guard Base North Bend Gate Repair
Solicitation number
70Z03326QSEAT0003
Issued by

About this file

This is a Reference Information Form used by Coast Guard Base Seattle for federal contract solicitations. The form requires contractors to provide company information, contact details, and references demonstrating experience with similar work types. Contractors must disclose their experience level in the specific work category, any prior job terminations with explanations, anticipated timeline challenges, and the percentage of work planned for subcontracting. The form also requires confirmation of compliance with Davis Bacon prevailing wage requirements where applicable.

The form mandates submission of three professional references, each including the company name, contact person, address, telephone number, and description of the relevant project performed. Previous versions of this form remain acceptable for submission. This template is dated July 2024 and is designed to assess contractor qualifications and past performance capability prior to award of a federal contract at Coast Guard Base Seattle.

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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 SEATTLE REFERENCE INFORMATION FORM (July 2024)

GABermeo Cross-Out

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