5.Technical_Evaluation_Questionnaire.docx

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Construction of Cascade Lakes National Scenic Byway Welcome Station
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AG-04GG-S-14-0002
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Past Performance Questionnaire

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Text version

Cascade Lakes Welcome Station Deschutes National Forest

TECHNICAL EVALUATION QUESTIONNAIRE

CONTRACTOR’S PAST PERFORMANCE HISTORY

Provide a listing of your projects for the past three-year period which most closely relate to this type of work. Include the dates of performance, the agency or company name, the name and phone number of the contact person, the dollar value of the contract, the contract number, and the type of work performed. These firms may be contacted for references.

If you have failed to complete any project in the last three-year period, provide any information regarding the cause or remedy of that particular situation.

Note: Other forms and/or formats may be used which provide the required information.

Agency/Company

Contact Name

Phone No.

Dates of performance

Contract Number

Dollar Value

Type of work performed

Agency/Company

Contact Name

Phone No.

Dates of performance

Contract Number

Dollar Value

Type of work performed

Agency/Company

Contact Name

Phone No.

Dates of performance

Contract Number

Dollar Value

Type of work performed

Agency/Company

Contact Name

Phone No.

Dates of performance

Contract Number

Dollar Value

Type of work performed

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