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: |
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| C 1: |
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| wyour firm: |
| undefined: |
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| Department: |
| Contact Name 1: |
| Contact Name 2: |
| Contact Name 3: |
| Contact Name 4: |
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| 1_2: |
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| BID NUMBER: |
| FIRM NAME: |
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