Seller Customer References Form B2727135.pdf
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- Solicitation number
- B2727135
- Issued by
- Pennsylvania
About this file
This is a Seller Customer References Form used by the City of Philadelphia Procurement Department for bid submissions related to a deicing and anti-icing fluid and solid procurement for runways and taxiways. The form requires bidding firms to provide three customer references from entities other than City of Philadelphia employees or departments, excluding suppliers and financial institutions. Each reference entry must include the firm name, address, contact person, email, phone number, type of work performed, and years of business relationship. Additionally, bidders must disclose any previous purchase orders or contracts with the City, including the purchase order or contract number, relevant department, contact information, and items supplied. All quotes must be submitted through PHL Contracts no later than 10:30 AM on the designated bid opening date, with no submissions accepted after this deadline. The bidder is responsible for ensuring timely submission of their quote.
The form does not specify pricing terms, set-asides, contract duration, or renewal options within its structure. This document serves as a qualification and reference verification tool rather than a pricing or contractual terms document. Bidders must complete all required fields with accurate information to demonstrate their experience and past performance with similar work and existing City relationships. The absence of completed information fields in the provided template indicates this is a blank form awaiting completion by prospective vendors seeking to bid on the City of Philadelphia's deicing and anti-icing products for airport runways and taxiways.
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Text version
BID NUMBER
INVITATION
AND BID
CONTINUATION
FIRM NAME (Must be filled in)
CITY OF PHILADELPHIA
PROCUREMENT DEPARTMENT
PHILADELPHIA, PA 19102 - 1685
SECTION 1:
Customer References other than an employee or department of the City of Philadelphia, (excluding suppliers or financial institutions).
A. B. C.
Firm Name: __________________ __________________ __________________
Address: __________________ __________________ __________________
Contact: __________________ __________________ __________________
Email: __________________ __________________ __________________
Phone #: __________________ __________________ __________________
Type Work: __________________ __________________ __________________
Years dealing w/your firm: __________________ __________________ __________________
SECTION 2:
Previous purchase order(s)/contract(s) with the City; (State "None" if applicable)
P.O./Contract
Number: __________________ __________________ __________________
Department: __________________ __________________ __________________
Contact Name: __________________ __________________ __________________
Email: __________________ __________________ __________________
Phone #: __________________ __________________ __________________
Item(s): __________________ __________________ __________________
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| BID NUMBER: |
| FIRM NAME: |
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