Reference Information Sheet.pdf
PDF 213 KB Posted
- Solicitation number
- 70Z03025QCLEV0025
About this file
This is a Reference Information Form template from Coast Guard Base Cleveland (dated July 2024) used to collect information from potential contractors. The form requests basic company contact details, work experience, and three business references for similar work performed.
The form includes fields for solicitation number, company information, telephone/fax numbers, and specific questions about the contractor's experience and capabilities. Key questions address previous job terminations, anticipated difficulties in completing work on time, percentage of work to be subcontracted, and compliance with Davis-Bacon Wage Act requirements. Each of the three required references must include company name, contact person, address, telephone number, and project details. This appears to be a standard qualification form used to evaluate potential contractors' past performance and capabilities.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation 70Z03025QCLEV0025 - SF 1449.pdf | ||
| Request for Information (RFI).docx | DOCX document | |
| Solicitation 70Z03025QCLEV0025 - Supplies Requirements.pdf | ||
| Solicitation 70Z03025QCLEV0025 - USCG IPF Detroit Hoses.doc | DOC document |
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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)
GABermeo Cross-Out
File details come from the government source that posted it. Updated .