4-Attachment 1.2 Request for Client Information Form.pdf
PDF 175 KB Posted
- Solicitation number
- DBP27-05_P1
- Issued by
- Los Alamos County, New Mexico
About this file
This is a Request for Client Information Form issued by the Incorporated County of Los Alamos Procurement Division in support of the Design-Build North Mesa Bike Park and Amenities solicitation, which is being conducted in a two-phase process. Phase 1 consists of a Request for Qualifications (RFQ) to identify qualified design-build teams, while Phase 2 will be a Request for Proposals limited to short-listed firms. The project involves developing a bike park with associated amenities on County-owned property along North Mesa Park Road, incorporating inclusive and adaptive-friendly features to serve riders of varied ages, abilities, and skill levels. The selected design-build team must include a New Mexico-licensed engineer or architect and a New Mexico-licensed contractor qualified for the required scope of work, with particular emphasis on landscape design and development expertise.
Offerors must provide information on a minimum of three previous or current clients for similar services performed within the last three to five years. Required client information includes company name, address, contact name and position, email address, telephone number, period of service, description of services provided, and engagement outcomes. The County reserves the right to contact clients to verify information and request additional details. If client information is deemed confidential, offerors may withhold it; however, if client references constitute scored evaluation criteria, evaluation scores will reflect the offeror's inability to provide the requested information in the bid or proposal.
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Text version
REQUEST FOR CLIENT
INFORMATION
Incorporated County of Los Alamos
Procurement Division 101 Camino Entrada, Building 3
Los Alamos, NM 87544
Version:20250318
Please follow the instructions below to provide information about previous or current clients as requested in this form.
1. The County reserves the right to contact some or all of the clients listed to verify any information provided and to request that they provide additional information.
2. If previous client information is confidential, you may state so; however, if previous or current client information is a scored evaluation criteria, evaluation scores will reflect Offeror’s inability to include some or all of the requested information in the bid or proposal.
3. Provide a minimum of 3 previous or current clients for similar services performed in the last 3-5 years.
4. Information provided should include company name, address, contact name, position, e-mail address, telephone number, the period during which services were provided, a description of the services provided, and outcome of the engagement.
GENERAL INFORMATION
Offeror Company Name:
Solicitation No.:
Solicitation Title:
Name and Title of the Person Completing this Form
PREVIOUS OR CURRENT CLIENT INFORMATION
CLIENT 1
Company Name
Address
Contact Name and Position
E-mail Address
Telephone Number
Period During Which Services Were Provided
MM/DD/YY – MM/DD/YY
Description of Services Provided and Outcome of the Engagement
CLIENT 2
Company Name
Address
Contact Name and Position
E-mail Address
Telephone Number
CLIENT 3
Address
Contact Name and Position
E-mail Address
Telephone Number
CLIENT 4
Address
Contact Name and Position
E-mail Address
Telephone Number
CLIENT 5
Company Name
Address
Contact Name and Position
E-mail Address
Telephone Number
Period During Which Services Were Provided
MM/DD/YY – MM/DD/YY
| Company Name: |
| Address: |
| Contact Name and Position: |
| Email Address: |
| Telephone Number: |
| Period During Which Services Were Provided MMDDYY MMDDYY: |
| Description of Services Provided and Outcome of the Engagement: |
| Company Name_2: |
| Address_2: |
| Contact Name and Position_2: |
| Email Address_2: |
| Telephone Number_2: |
| Period During Which Services Were Provided MMDDYY MMDDYY_2: |
| Description of Services Provided and Outcome of the Engagement_2: |
| Company Name_3: |
| Address_3: |
| Contact Name and Position_3: |
| Email Address_3: |
| Telephone Number_3: |
| Period During Which Services Were Provided MMDDYY MMDDYY_3: |
| Description of Services Provided and Outcome of the Engagement_3: |
| Company Name_4: |
| Address_4: |
| Contact Name and Position_4: |
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| Period During Which Services Were Provided MMDDYY MMDDYY_4: |
| Description of Services Provided and Outcome of the Engagement_4: |
| Company Name_5: |
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| Contact Name and Position_5: |
| Email Address_5: |
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| Period During Which Services Were Provided MMDDYY MMDDYY_5: |
| Description of Services Provided and Outcome of the Engagement_5: |
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