Reference Information Sheet.pdf
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- Solicitation number
- 70Z03025QCLEV0029
About this file
This is a Reference Information form template from CG Base Cleveland (Coast Guard) dated July 2024. The form is designed to collect key details from potential contractors including company information, contact details, work experience, and references for similar work.
The form requests specific information about the contractor's experience, termination history, anticipated difficulties with timely completion, percentage of work to be subcontracted, and compliance with Davis Bacon Wage Act requirements. It requires three business references with detailed contact information (company name, contact person, address, telephone number, and project details) for each reference. The form includes fields for both work hours and non-work hours telephone contact numbers, as well as a facsimile number for communications.
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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 .