RFPAttD - Reference Check Form~2.pdf
PDF 69 KB Posted
- Attached to
- Southwest Tiller Fuel Break GNA Project
- Solicitation number
- S-62900-00015030
- Issued by
- Douglas County, Oregon
About this file
This document is a Reference Check Form (Attachment D) for RFP S-62900-00015030 for the Southwest Tiller Fuel Break GNA Project, issued by DAS Procurement Services on December 9, 2016. The form requires proposers to submit contact information for three references who can verify the quality of the proposer's previous work, specifically for services equivalent to those described in the solicitation and performed within the last five years. The references must be able to provide additional information or verification as needed by the agency.
The form provides blank fields for each reference, including the proposer's name, reference entity, contact name, telephone number, and email address. While the document does not specify the exact nature of the services, the project title suggests it is related to a fuel break project, likely involving environmental or forest management services. The purpose of this reference check form is to allow the procuring agency to validate the proposer's past performance and capability to successfully complete the proposed work.
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Text version
RFP S-62900-00015030 – Southwest Tiller Fuel Break GNA Project Att D
DAS Procurement Services, Version 2.0 – December 9, 2016 Page 1 of 1
ATTACHMENT D - REFERENCE CHECK FORM
Proposer shall submit the Reference Check Form for three (3) customers for whom Proposer has provided Services equivalent to those described in this solicitation within the last five (5) years. References must be able to verify the quality of previous, related Work.
Agency may use references to obtain additional information, or verify any information needed.
REFERENCE 1:
Proposer Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
Contact Telephone Number: __________________________________________
Contact Email Address: __________________________________________
REFERENCE 2:
Proposer Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
REFERENCE 3:
Proposer Name: __________________________________________
Reference Entity: __________________________________________
Reference Contact Name: __________________________________________
| REFERENCE 1: |
| Proposer Name: __________________________________________ |
| Reference Entity: __________________________________________ |
| Reference Contact Name: __________________________________________ |
| Contact Telephone Number: __________________________________________ |
| Contact Email Address: __________________________________________ |
| REFERENCE 2: |
| Proposer Name: __________________________________________ |
| Reference Entity: __________________________________________ |
| Reference Contact Name: __________________________________________ |
| Contact Telephone Number: __________________________________________ |
| Contact Email Address: __________________________________________ |
| REFERENCE 3: |
| Proposer Name: __________________________________________ |
| Reference Entity: __________________________________________ |
| Reference Contact Name: __________________________________________ |
| Contact Telephone Number: __________________________________________ |
| Contact Email Address: __________________________________________ |
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