Att_05_P8419Q0012_Technical_Info_Form.pdf

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Attached to
Construct Accessibility Improvements, NPS-PORE Federal contract opportunity
Solicitation number
140P8419Q0012
Issued by
Department of the Interior National Park Service

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Att 05_P8419Q0012_Technical Info Form.

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TECHNICAL INFORMATION FORM

Construct Accessibility Improvements at Clem Miller Education Center Point Reyes National Seashore

RFQ No.: 140 P8419Q0012

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 Contractor OR plan to ___________________________ timely obtain license post-award? YES or NO answer (proof required – please attach a copy of the current California Contractor State License classification such as “B” (General Building Contractor). As an alternative, you may provide your plan to timely obtain the California Contractor State License classification post-award.

PAST PERFORMANCE REFERENCES:

Name: ___________________________ Name:____________________________

Business: ___________________________ Business:__________________________

Address: ___________________________ Address:___________________________

Phone Number: ___________________________ Phone Number:_____________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number: ___________________________

RFQ No. 140P8419Q0012, Attachment 05, Technical Information Form

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:

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