Seller Customer References Form for B2626592.pdf

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Attached to
REPAIR, MAINTENANCE, AND/OR ENGINEERING SERVICES FOR ELECTRICAL EQUIPMENT AND SYSTEMS (PWD)
Solicitation number
B2626592
Issued by
Pennsylvania

About this file

This is a Seller Customer References Form for the City of Philadelphia Procurement Department related to Invitation and Bid Number B2626592 for Repair, Maintenance, and/or Engineering Services for Electrical Equipment and Systems. The form requests that bidders provide customer references and documentation of previous work experience to support their bid submission. All quotes must be submitted through PHLContracts no later than 10:30 AM on the bid opening date, with no quotes accepted after that deadline. The form is designed to allow the City to evaluate bidder qualifications and experience prior to contract award.

The form is divided into two primary sections: Section 1 requests up to three customer references from entities other than City of Philadelphia employees or departments, including firm name, address, contact information, email, phone number, type of work performed, and years of business relationship; Section 2 requests documentation of previous purchase orders or contracts with the City of Philadelphia, including PO/contract numbers, relevant departments, contact names, email addresses, phone numbers, and items provided. Bidders with no prior City contracts should state "None" in Section 2. The form does not specify pricing information, set-asides, or other financial terms, as it functions solely as a qualification and reference verification document to support the bidding process.

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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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