J5 Technical Evaluation Form.doc

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Attached to
DSA Limestone Surfacing on Forest Roads 226, 232, and 445
Solicitation number
AG-24H8-S-09-0069
Issued by

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J5 Technical Evaluation Forms. To be completed and returned with your offer.

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COMPANY NAME ______________________________________________________________ Technical Evaluation Form

AG-24H8-S-09-0069

DSA Limestone FR226,232,445

Title and Location of Project
Year Completed
Project Owner (agency, firm, or individual that work was done for)
Project Owner Point of Contact Name and phone number
Brief Description of Project and Relevance to this contract. Indicate scope, size, cost, principle elements, special features, & whether you were prime or sub on this project.

PAGE

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