Seller Customer References Form B2727191~1.pdf

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Attached to
FLOOR MATS AND MOP HEADS - RENTAL SERVICE
Solicitation number
B2727191
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form B2727191 issued by the City of Philadelphia Procurement Department for a Floor Mats and Mop Heads Rental Service contract opportunity. The form requires bidders to provide three customer references from entities other than City of Philadelphia employees or departments, along with supplier and financial institution details. Additionally, bidders must document any previous purchase orders or contracts with the City, including the relevant department, contact information, and items supplied. All quotes must be submitted through PHL Contracts no later than 10:30 AM on the bid opening date, with no quotes accepted after that time.

The form serves as a qualification and experience verification tool, requiring bidders to demonstrate their track record with similar work and prior City experience. Bidders are responsible for timely submission of all documentation and supporting information through the designated portal. The form does not specify pricing terms, set-asides, contract duration, or renewal options, as those details would be contained in the primary bid invitation and contract documents.

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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): __________________ __________________ __________________

Firm Name 1:
Firm Name 2:
Firm Name 3:
Firm Name 4:
Firm Name 5:
Type Work:
B 1:
B 2:
B 3:
B 4:
B 5:
B 6:
C 1:
C 2:
C 3:
C 4:
C 5:
C 6:
wyour firm:
undefined:
undefined_2:
undefined_3:
Department:
Contact Name 1:
Contact Name 2:
Contact Name 3:
Contact Name 4:
1:
2:
3:
4:
5:
6:
1_2:
2_2:
3_2:
4_2:
5_2:
6_2:
BID NUMBER:
FIRM NAME:

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