Name Of
Offeror:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

# Offeror's Reference Sheet #\_\_\_\_ of 3

(Complete One Sheet for Each of Your Three References-Please Type or
Print)

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| 1\. Provide Name and address where work performed of Customer/Gov't   |
| Agency.                                                               |
|                                                                       |
| 1a. Name and phone number(s) of contact who can verify your work      |
| performance and submitted information.                                |
|                                                                       |
| 1b. Their email address. 1c. Government Contract number if            |
| applicable.                                                           |
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| 2.Provide a brief description of **all** services performed on the    |
| contract, type of cleaning supplies used and floor care method.       |
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| 3.Number of building (s) on-site/off site. Square footage serviced    |
| and number of occupants per each building.                            |
|                                                                       |
| \# On-Site: Square Footage: Number of Occupants:                      |
|                                                                       |
| \# Off-Site: Square Footage: Number of Occupants:                     |
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| 5\. What was the dollar value of the contract per year: Total for     |
| term of contract:                                                     |
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| 6.Number of permanent supervisors/employees assigned to the contract  |
| project. Supervisors: Employees:                                      |
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| 7.Names of all Sub-Contractors and their roles on the contract.       |
|                                                                       |
| Name: Role:                                                           |
|                                                                       |
| Name: Role:                                                           |
|                                                                       |
| Name: Role:                                                           |
|                                                                       |
| Name: Role:                                                           |
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| 8.Brief statement regarding your compliance with the contract terms   |
| and conditions.                                                       |
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| 9\. Your statement regarding any known performance outlined as        |
| unacceptable and/or not in accordance with the contract terms and     |
| conditions.                                                           |
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| 10\. If contract was not renewed for all option years, what is your   |
| explanation why it was not renewed?                                   |
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Note: If additional space is required to answer, in detail, any of the
above questions please provide one separate page with the question
number(s) and your response.