RFQ S.15047 AttB - Reference Check Form~1.pdf

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Attached to
GNA Calloway Heritage Surveys (Willamette National Forest)
Solicitation number
S-62900-00015047
Issued by
Lane County, Oregon

About this file

This document is a Reference Check Form (Attachment C) for Request for Quotation (RFQ) S-62900-00015047 issued by DAS Procurement Services for GNA Calloway Heritage Surveys in the Willamette National Forest, dated February 20, 2019. The form is designed for potential bidders to provide reference information about their firm and key personnel, requiring three different firms as references for both the company and key individuals who can attest to the quality of services provided within the last five years.

The reference form requires detailed information for each reference, including contact details, description of services, specific tasks performed, project budgets, and verification of whether contract services were accomplished within the specified budget and schedule. This comprehensive reference check is likely part of the pre-qualification or evaluation process for the heritage survey project, allowing the procurement team to assess the bidder's past performance, reliability, and capability to successfully complete the proposed work in the Willamette National Forest.

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RFQ S-62900-00015047 – GNA Calloway Heritage Surveys (Willamette National Forest) Att C

DAS Procurement Services, Version 1.0 – February 20, 2019 Page 1 of 3

ATTACHMENT C — REFERENCE CHECK FORM

Submit this completed form with your quote

REFERENCES COMPARABLE IN SIZE AND SCOPE: Offeror shall provide a list of three different firms who can be contacted regarding the quality of services the Offeror provided within the last five years AND three different firms who can be contacted regarding the quality of service the Key Person provided within the last five years.

Business Reference Name of Firm:

Reference Contact Person:

Telephone: Email:

Alternate Reference Contact Person:

Telephone: Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

What was the budget:

Were contract services accomplished within budget & schedule? If not, why

Name of Firm:

Reference Contact Person:

Telephone: Email:

Alternate Reference Contact Person:

Telephone: Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

What was the budget:

RFQ S-62900-00015047 – GNA Calloway Heritage Surveys (Willamette National Forest) Att C

DAS Procurement Services, Version 1.0 – February 20, 2019 Page 2 of 3

Telephone: Email:

Alternate Reference Contact Person:

Telephone: Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

Key Person

Reference Contact Person:

Telephone: Email:

Alternate Reference Contact Person:

Telephone: Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

What was the budget:

RFQ S-62900-00015047 – GNA Calloway Heritage Surveys (Willamette National Forest) Att C

DAS Procurement Services, Version 1.0 – February 20, 2019 Page 3 of 3

Telephone: Email:

Alternate Reference Contact Person:

Telephone: Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

Telephone: Email:

Alternate Reference Contact Person:

Telephone: Email:

Description of service type, size, location, duration & objectives:

Describe Tasks performed:

REFERENCES COMPARABLE IN SIZE AND SCOPE: Offeror shall provide a list of three different firms who can be contacted regarding the quality of services the Offeror provided within the last five years AND three different firms who can be contacted regard...
Business Reference

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