2_SOQ# 24-25-77 Attachment A-1 - Service Area Form.pdf
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- Solicitation number
- 24-25-77
- Issued by
- Santa Clara County, California
About this file
This document is a Service Area Selection Form for the City of Santa Clara's plan check review, field inspections, and related services contract opportunity. The form allows prospective proposers to select specific service areas they wish to apply for, including offsite and onsite plan review services for water, recycled water, and sewer systems, as well as corresponding inspection services. The service areas are organized into two main categories: Water, Recycled Water and Sewer Services (Sections A.3-A.6) and Fire and Building Services (Sections B.3-B.4).
The form provides a checkbox-style selection mechanism where proposing firms can indicate their interest in specific service scopes, such as offsite and onsite plan reviews, water system inspections, pre-treatment inspections, fire and building plan reviews, and fire inspection services. Proposers are required to enter their firm's name at the top of the document and indicate their selected service areas by checking the corresponding boxes. The form includes spaces for the proposer's name, signature, title, and date, which suggests it is part of a formal solicitation process for professional engineering and inspection services on an as-needed basis for the City of Santa Clara.
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Text version
ATTACHMENT A-1
SERVICE AREA SELECTION FORM
Proposer Name: _____________________________________________________________
INSTRUCTIONS
Please enter the name of the proposing firm where indicated above. In the table below, please check the box in the first column for each service area for which Proposer is applying:
Check Box to Select
Service Area Description Scope of Services Section Number
☐ Offsite Plan Review Services for Water, Recycled Water and Sewer
A.3
☐ Onsite Plan Review Services for Water, Recycled Water and Sewer
A.4
☐ Offsite Inspection Services for Water, Recycled Water and Sewer
A.5
☐ Onsite Inspection Services for Water, Recycled Water and Sewer Pre-Treatment
A.6
☐ Fire and Building Plan Review Services B.3
☐ Fire Inspection Services B.4
Name: Date Title:
File details come from the government source that posted it. Updated .