3-Attachment A - Qualifications Submittal Checklist.pdf

2026-RFQ-AAHC-HD-004

ESPERANZA ELECTRICAL UPGRADE RENOVATION WORK

ISSUED: July 24, 2026

ATTACHMENT A

“Qualification Submittal Checklist”

(This Form must be fully completed and placed under Part No. 1 of the qualification)

Instructions: Unless otherwise specifically required, the items listed below must be completed and included in the qualification. Please complete this form by marking an “X,” where provided, to verify that the referenced completed form or information has been included within the “hard copy” qualification submitted by the Qualifier. Also, complete the Qualifier’s Statement as noted below:

X = ITEM

INCLUDED

SUBMITTAL ITEMS

Part 1 Qualification Submittal Checklist (Attachment A)

Part 2 Form of Qualification (Attachment B)

Part 3 Profile of Qualifier Form (Attachment C)

Part 4 Cover Letter

Part 5 Qualifications and Experience

Part 6 Proposed Approach

Part 7 Customer Service

Part 8 Cost Analysis and Budget for Primary Services

Part 9 References

Part 10 Other Company Information (Optional)

Part 11 Confirmation of submission Conflict of Interest Form

(Attachment I)

2026-RFQ-AAHC-HD-004

ESPERANZA ELECTRICAL UPGRADE RENOVATION WORK

ISSUED: July 24, 2026

QUALIFIER’S STATEMENT

The undersigned Qualifier hereby states that by completing and submitting this form and all other documents within this qualification, they are verifying that all information provided herein is, to the best of their knowledge, true and accurate, and that if the AAHC discovers that any information entered herein to be false, such shall entitle the AAHC to not consider or make award or to cancel any award with the undersigned party.

Further, by completing and submitting the qualification, the undersigned Qualifier is thereby agreeing to abide by all terms and conditions pertaining to this RFQ as issued by the AAHC, including an agreement to execute the AAHC Sample Contract, attached to this RFQ as Attachment D. In addition, Qualifier hereby agrees to provide any additional documentation requested by the AAHC upon notification of award under this RFQ to ensure compliance with applicable requirements. Qualifiers may be asked to submit additional information to help facilitate the qualification review.

Pursuant to all RFQ documents, this Form of Qualification, and all attachments, and pursuant to all completed documents submitted, including these forms and all attachments, the undersigned proposes to supply the AAHC with the services described herein for the fee(s) entered herein.

Signature Date Printed Name/Title Company