B08_Attachment_5_140P8425Q0065_Tech_Info_Form_0001.docx
DOCX document 34 KB Posted
- Attached to
- REPAIR WATER DAMAGE FA-834A, CAPEHART
- Solicitation number
- 140P8625Q0065
About this file
The document is a Technical Information Form (Attachment 4) for Request for Quote (RFQ) No. 140P8423QXXXX, related to a water damage repair project for FA-834A, Capehart, issued by the Department of the Interior National Park Service Pacific West Region. The form requires quoters to provide comprehensive company details, including business name, address, UEI, contact information, and a signature.
The form solicits specific information about the contractor's proposed team, including whether they will self-perform all work or use subcontractors, and requests a detailed list of relevant experience and past performance references. Quoters must provide up to three project examples with contract details such as project title, contract number, agency/owner, dollar amount, performance period, and a description of project similarity to the current requirement. The form also requires contact information for past performance references to validate the contractor's experience and capabilities.
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Text version
RFQ No. 140P8423QXXXX, Attachment 4, Technical Information Form
TECHNICAL INFORMATION FORM
(Attachment 4)
Project Title Park RFQ No.: 140P8423QXXXX
Quoters shall submit the following information:
Quoters Business Name: ___________________________________
Quoters Address: ___________________________________
Quoters UEI: ___________________________________
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 (Roofing, etc.) |
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): ______________
Agency/Owner: ___________________________ $ Amount: _______________________
Performance Period: ___________________________
Briefly describe how this project is similar in nature and scope to current advertised requirement:
Phone Number: ___________________________ Email: __________________________
3) 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:
Phone Number: ___________________________ Email: __________________________
File details come from the government source that posted it. Updated .