Att_04-_CHIS_Solar_Past_Performance_and_Relevant_Experience.docx

RFQ No. 140P8418QXXXX, Attachment 05, Technical Information Form

TECHNICAL INFORMATION FORM

Replace Solar Panels at Scorpion Ranch Channel Islands National Park RFQ No.: 140P8418Q0105 Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters DUNS: ___________________________________

Quoters Phone: ___________________________________

Quoters POC: ___________________________________

Quoters Signature: ___________________________________

REQUIRED QUALIFICATION:

Is your firm a CA Licensed C-46 Solar Contractor? ___________________________ (proof required – please attach and include with your quote) YES or NO answer

Are you proposing to use a sub-contractor? ___________________________ YES or NO answer

IF you are proposing to use a sub-contractor, list name of sub: _______________________________ (proof required of sub’s current CA License C-46 AND proof required of prime’s current CA Contractor’s license – attach both with your quote)

IF you are proposing to use a sub-contractor, note that per FAR Clause 52.219-14, the prime contractor is required to perform at least 25% of the cost of the contract, not including the cost of materials, with its own employees.

PAST PERFORMANCE REFERENCES:

Name: ___________________________ Name:____________________________

Business: ___________________________ Business:__________________________

Address: ___________________________ Address:___________________________

Phone Number:__________________________ Phone Number:_____________________

Description: ___________________________ Description: ________________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number:___________________________

Description: ____________________________

LIST OF RELEVANT PROJECTS:

Contract # (if known): ___________________________

Agency/Owner: ___________________________

Contact Person: ___________________________

Phone Number: ___________________________

Amount: ___________________________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

Contract # (if known): ___________________________

Agency/Owner: ___________________________

Contact Person: ___________________________

Phone Number: ___________________________

Amount: ___________________________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

Contract # (if known): ___________________________

Agency/Owner: ___________________________

Contact Person: ___________________________

Phone Number: ___________________________

Amount: ___________________________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement: