Seller.Customer.References.Form~31.pdf

PDF 155 KB Posted

Attached to
Concrete, Recycled
Solicitation number
B2727072
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 Concrete, Recycled contract opportunity. The form requires bidding firms to provide customer references and documentation of previous work experience to demonstrate their qualifications for potential award. The contract is intended to serve various City agencies and departments in Pennsylvania, with all quotes required to be submitted through PHL Contracts no later than 10:30 a.m. on the bid opening date.

The form is structured in two sections: Section 1 requires three customer references outside of City of Philadelphia employees or departments, excluding suppliers or financial institutions, with each reference requiring firm name, address, contact information, email, phone number, type of work performed, and years of business relationship. Section 2 requests documentation of any previous purchase orders or contracts with the City of Philadelphia, including purchase order/contract numbers, associated departments, contact names, email addresses, phone numbers, and items provided, with firms instructed to state "None" if no prior City contracts exist. Bidders must complete all required fields with their firm name and bid number clearly identified at the bottom of the form.

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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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