Att_04_140P8421Q0150_Technical_Info.pdf

Attachment 4, Technical Info Form

TECHNICAL INFORMATION FORM

RFQ NO.: 140P8421Q0150

PROJECT AREA: Point Reyes National Seashore (PRNS), Marin County, California PROJECT TITLE: Repair and Test Fuel System and Above Ground Storage Tank (AST)

Quoters shall submit the following information:

Business Name: ____________________________________________

DUNS Number: ____________________________________________

Address: ____________________________________________

Phone: ____________________________________________

Point of Contact Name: ____________________________________________

Email: ____________________________________________

PAST PERFORMANCE REFERENCES: (List below or include prepared listing) Name: __________________________

Business: __________________________

Address: __________________________

Phone Number: __________________________

Name: __________________________

Business: __________________________

Address: __________________________

Phone Number: __________________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number: ___________________________

Attachment 4, Technical Info Form

LIST OF RELEVANT PROJECTS:

Contract # (if known):

Agency/Owner:

Contact Person:

Phone Number:

Amount:

Performance Period:

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

Agency/Owner:

Contact Person:

Phone Number:

Amount:

Agency/Owner:

Contact Person:

Phone Number:

Amount: