Att_03-_Technical_Information_Form.docx

RFQ No. 140P8422Q0011, Attachment 3, Technical Information Form

TECHNICAL INFORMATION FORM

(Attachment 3)

Asbestos Remediation Whiskeytown National Recreation Area RFQ No.: 140P8423Q0011

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters UEI: ___________________________________

Quoters Phone: ___________________________________

Quoters Contact Name: ___________________________________

Quoters Signature: ___________________________________

CONTRACTOR’S PROPOSED TEAM:

Do you plan to self-perform all of the work? ___________________________ YES or NO answer

Are you proposing to use a subcontractor? ___________________________ YES or NO answer

List any proposed subcontractor(s) and indicate what key trade they may be assigned to perform:

If you are proposing to use a subcontractor, describe what work activities you plan to self-perform:

REQUIRED QUALIFICATION:

Is your firm a CA Licensed Contractor such as “A” or “B”? _____________________ YES or NO answer ☐ proof of CA license is required – include with your quote

☐ proof of CA ASB - Asbestos Certification – include with your quote

IF you are proposing to use a subcontractor for any of the work:

☐ proof of proposed sub’s current applicable CA license is required – include with your quote

☐ proof of sub’s CA ASB - Asbestos Certification – include with your quote

☐ proof of prime contractor’s CA Contractor State License classification such as “B” General Building Contractor is required – include with your quote

LIST OF RELEVANT EXPERIENCE (LIST OF PROJECTS) & PAST PERFORMANCE REFERENCES:

1) Project Title: ___________________________ Contract # (if known): ______________

Agency/Owner: ___________________________ $ Amount: _______________________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

Past Performance Reference (Name & Title): _______________________________________________

Phone Number: ___________________________ Email: __________________________

2) Project Title: ___________________________ Contract # (if known): ______________

Agency/Owner: ___________________________ $ Amount: _______________________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

Phone Number: ___________________________ Email: __________________________

3) Project Title: ___________________________ Contract # (if known): ______________

Agency/Owner: ___________________________ $ Amount: _______________________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

Phone Number: ___________________________ Email: __________________________

TECHNICAL APPROACH, The Government will evaluate the quoter’s not-to-exceed two (2) page technical approach narrative. “Technical approach” is the quoter’s means and methods to complete a technical aspect of required work in this solicitation: