Seller Customer References Form B2727483.pdf

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Attached to
FLOOR MATS AND MOP HEADS - RENTAL SERVICE
Solicitation number
B2727483
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form from the City of Philadelphia Procurement Department for a Floor Mats and Mop Heads – Rental Service contract opportunity. The form is designed to collect background information on bidding firms and their qualifications. All quotes must be submitted through PHL Contracts no later than 10:30 AM on the bid opening date; quotes received after the opening will not be accepted, and it is the seller's responsibility to ensure timely submission.

The form consists of two sections for bidders to complete. Section 1 requires firms to provide three customer references (other than City of Philadelphia employees or departments and excluding suppliers or financial institutions), including firm name, address, contact person, email, phone number, type of work performed, and years of business relationship. Section 2 requires documentation of any previous purchase orders or contracts with the City of Philadelphia, including the P.O./contract number, department, contact name, contact email, phone number, and items supplied. Bidders must state "None" if they have no prior City contracts.

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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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