Reference Information Sheet.pdf
PDF 213 KB Posted
- Attached to
- 70Z03026QCLEV0056 - U. S. COAST GUARD STATION LORAIN ELECTRICAL AND LIGHTING SYSTEMS UPGRADE
- Solicitation number
- 70Z03026QCLEV0056
About this file
This is a Reference Information Form used by Coast Guard Base Cleveland for federal contract solicitations. The form, dated July 2024, is a template designed to collect contractor qualifications and background information in support of bid submissions.
The form requires contractors to provide company information including name, address, telephone, facsimile number, and work hour availability. Contractors must list their experience in the type of work being solicited and disclose any prior job terminations with explanations. The form also requires contractors to indicate whether they anticipate difficulties meeting project timelines and to specify the percentage of work to be subcontracted. Additionally, contractors must confirm compliance with Davis Bacon prevailing wage requirements if applicable to the contract.
The form mandates submission of three professional references, each including the reference company name, contact person, address, telephone number, and specific project details. The solicitation number and date fields are included for tracking purposes. Previous versions of this form are acceptable for submission. This is a standard qualification and reference form used in federal construction and service contracting to evaluate contractor capability and experience prior to award.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation 70Z03026QCLEV0056.docx | DOCX document | |
| SF 1413 - Statement and Acknowledgment.pdf | ||
| Request for Information (RFI).pdf | ||
| Solicitation 70Z03026QCLEV0056 - SF 1442.pdf | ||
| Solicitation 70Z03026QCLEV0056 - Statement of Work.pdf | ||
| Wage Determinations - Lorain County OH.txt | TXT text file |
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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 .