Template B
NYCERS LRP
Respondent Firm Customer References
Submitted by:
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- References
All Respondents must provide six (6) references that meet the requirements set forth in the RFP using the format provided in this template (starting on the next page). All information requested is required. Failure to provide the requested information may lead to a reduced evaluation score or non-responsive determination at the sole discretion of NYCERS.
1.1.Customer Reference 1
Respondent Firm Customer Reference 1Organization Name / Click here to enter text. /
Organization Type / Click here to enter text. /
Organization Web Site / Click here to enter text. /
Organization Address / Click here to enter text. /
Contact Name / Click here to enter text. /
Contact Job Title / Click here to enter text. /
Contact Phone Number / Click here to enter text. /
Contact E-Mail Address / Click here to enter text. /
Number of Pension Members / Click here to enter text. /
Project Information
Project Name / Click here to enter text. /
Project Status / Choose an item. /
Project Start Date / Click here to enter a date. /
Project End Date (Actual or Projected) / Click here to enter a date. /
Respondent’s Contract Original Value / Click here to enter text. /
Number of Contract Modifications / Click here to enter text. /
Respondent’s Contract Current/Final Value / Click here to enter text. /
What was the nature and objectives of the project?
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What was your firm contracted for on this project?
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Did you work with other contractors on this project? If yes, please describe below.
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Do you want to provide additional information about this reference? If yes, please provide below.
Click here to enter text. /
1.2.Customer Reference 2
Respondent Firm Customer Reference 2Organization Name / Click here to enter text. /
Organization Type / Click here to enter text. /
Organization Web Site / Click here to enter text. /
Organization Address / Click here to enter text. /
Contact Name / Click here to enter text. /
Contact Job Title / Click here to enter text. /
Contact Phone Number / Click here to enter text. /
Contact E-Mail Address / Click here to enter text. /
Number of Pension Members / Click here to enter text. /
Project Information
Project Name / Click here to enter text. /
Project Status / Choose an item. /
Project Start Date / Click here to enter a date. /
Project End Date (Actual or Projected) / Click here to enter a date. /
Respondent’s Contract Original Value / Click here to enter text. /
Number of Contract Modifications / Click here to enter text. /
Respondent’s Contract Current/Final Value / Click here to enter text. /
What was the nature and objectives of the project?
Click here to enter text. /
What was your firm contracted for on this project?
Click here to enter text. /
Did you work with other contractors on this project? If yes, please describe below.
Click here to enter text. /
Do you want to provide additional information about this reference? If yes, please provide below.
Click here to enter text. /
1.3.Customer Reference 3
Respondent Firm Customer Reference 3Organization Name / Click here to enter text. /
Organization Type / Click here to enter text. /
Organization Web Site / Click here to enter text. /
Organization Address / Click here to enter text. /
Contact Name / Click here to enter text. /
Contact Job Title / Click here to enter text. /
Contact Phone Number / Click here to enter text. /
Contact E-Mail Address / Click here to enter text. /
Number of Pension Members / Click here to enter text. /
Project Information
Project Name / Click here to enter text. /
Project Status / Choose an item. /
Project Start Date / Click here to enter a date. /
Project End Date (Actual or Projected) / Click here to enter a date. /
Respondent’s Contract Original Value / Click here to enter text. /
Number of Contract Modifications / Click here to enter text. /
Respondent’s Contract Current/Final Value / Click here to enter text. /
What was the nature and objectives of the project?
Click here to enter text. /
What was your firm contracted for on this project?
Click here to enter text. /
Did you work with other contractors on this project? If yes, please describe below.
Click here to enter text. /
Do you want to provide additional information about this reference? If yes, please provide below.
Click here to enter text. /
1.4.Customer Reference 4
Respondent Firm Customer Reference 4Organization Name / Click here to enter text. /
Organization Type / Click here to enter text. /
Organization Web Site / Click here to enter text. /
Organization Address / Click here to enter text. /
Contact Name / Click here to enter text. /
Contact Job Title / Click here to enter text. /
Contact Phone Number / Click here to enter text. /
Contact E-Mail Address / Click here to enter text. /
Number of Pension Members / Click here to enter text. /
Project Information
Project Name / Click here to enter text. /
Project Status / Choose an item. /
Project Start Date / Click here to enter a date. /
Project End Date (Actual or Projected) / Click here to enter a date. /
Respondent’s Contract Original Value / Click here to enter text. /
Number of Contract Modifications / Click here to enter text. /
Respondent’s Contract Current/Final Value / Click here to enter text. /
What was the nature and objectives of the project?
Click here to enter text. /
What was your firm contracted for on this project?
Click here to enter text. /
Did you work with other contractors on this project? If yes, please describe below.
Click here to enter text. /
Do you want to provide additional information about this reference? If yes, please provide below.
Click here to enter text. /
1.5.Customer Reference 5
Respondent Firm Customer Reference 5Organization Name / Click here to enter text. /
Organization Type / Click here to enter text. /
Organization Web Site / Click here to enter text. /
Organization Address / Click here to enter text. /
Contact Name / Click here to enter text. /
Contact Job Title / Click here to enter text. /
Contact Phone Number / Click here to enter text. /
Contact E-Mail Address / Click here to enter text. /
Number of Pension Members / Click here to enter text. /
Project Information
Project Name / Click here to enter text. /
Project Status / Choose an item. /
Project Start Date / Click here to enter a date. /
Project End Date (Actual or Projected) / Click here to enter a date. /
Respondent’s Contract Original Value / Click here to enter text. /
Number of Contract Modifications / Click here to enter text. /
Respondent’s Contract Current/Final Value / Click here to enter text. /
What was the nature and objectives of the project?
Click here to enter text. /
What was your firm contracted for on this project?
Click here to enter text. /
Did you work with other contractors on this project? If yes, please describe below.
Click here to enter text. /
Do you want to provide additional information about this reference? If yes, please provide below.
Click here to enter text. /
1.6.Customer Reference 6
Respondent Firm Customer Reference 6Organization Name / Click here to enter text. /
Organization Type / Click here to enter text. /
Organization Web Site / Click here to enter text. /
Organization Address / Click here to enter text. /
Contact Name / Click here to enter text. /
Contact Job Title / Click here to enter text. /
Contact Phone Number / Click here to enter text. /
Contact E-Mail Address / Click here to enter text. /
Number of Pension Members / Click here to enter text. /
Project Information
Project Name / Click here to enter text. /
Project Status / Choose an item. /
Project Start Date / Click here to enter a date. /
Project End Date (Actual or Projected) / Click here to enter a date. /
Respondent’s Contract Original Value / Click here to enter text. /
Number of Contract Modifications / Click here to enter text. /
Respondent’s Contract Current/Final Value / Click here to enter text. /
What was the nature and objectives of the project?
Click here to enter text. /
What was your firm contracted for on this project?
Click here to enter text. /
Did you work with other contractors on this project? If yes, please describe below.
Click here to enter text. /
Do you want to provide additional information about this reference? If yes, please provide below.
Click here to enter text. /
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