Att_05_140P8419Q0055_Technical_Info_Form.pdf

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Attached to
Pave High Bluff Road, NPS-REDW Federal contract opportunity
Solicitation number
140P8419Q0055
Issued by
Department of the Interior National Park Service

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Att 05_140P8419Q0055_Technical Info Form

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TECHNICAL INFORMATION FORM

(Attachment 05)

Pave High Bluff Road Redwood National and State Parks

RFQ No.: 140P8419Q0055

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters DUNS: ___________________________________

Quoters Phone: ___________________________________

Quoters Contact Name: ___________________________________

Quoters Signature: ___________________________________

REQUIRED QUALIFICATION:

Is your firm a CA Licensed C-12 Paving 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(s): _______________________________ (proof required of sub’s current CA C-12 Paving License)

PAST PERFORMANCE REFERENCES:

Name: ___________________________ Name:____________________________

Business: ___________________________ Business:__________________________

Address: ___________________________ Address:___________________________

Phone Number: ___________________________ Phone Number:_____________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number: ___________________________

RFQ No. 140P8419Q0055, 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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