05__Technical_Info_Form_0001.pdf

TECHNICAL INFORMATION FORM

(Attachment 05)

Water Line Replacement Grant Grove Lower Housing Loop, Sequoia & Kings Canyon National Parks

RFQ No.: 140P8622Q0060

Quoters shall submit the following information:

Quoters Business Name:

Quoters Address:

Quoters DUNS:

Quoters Phone:

Quoters Contact Name:

Quoters Signature:

CONTRACTOR’S PROPOSED TEAM:

Do you plan to self-perform all of the work?

YES or NO answer

Are you proposing to use a subcontractor?

YES or NO answer

List any proposed subcontractor(s) and indicate what key trade they may be assigned to perform:

Subcontractor Name Key Trade

If you are proposing to use a subcontractor, describe what work activities you plan to self-perform:

LIST OF RELEVANT EXPERIENCE (LIST OF PROJECTS) & PAST PERFORMANCE REFERENCES:

1) Project Title: Contract # (if known):

Agency/Owner: $ Amount:

Performance Period:

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

Past Performance Reference (Name & Title):

Phone Number: Email:

2) Project Title: Contract # (if known):

3) Project Title: Contract # (if known):