Att_04-__Relevant_Experience__Past_Performance__Technical_Qualifications.docx

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Paint Exterior Bear Valley School Pinnacles NP
Solicitation number
140P8421Q0069
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RFQ No. 140P8421Q0062, Attachment 04, Technical Information Form

ATTACHMENT #04

RELEVANT EXPERIENCE, PAST PERFORMANCE & TECHNICAL QUALIFICIATIONS FORM

Paint the Exterior of the Bear Valley School Pinnacles National Park RFQ No.: 140P8421Q0069 Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters DUNS: ___________________________________

Quoters Phone: ___________________________________

Quoters POC: ___________________________________

Quoters Signature: ___________________________________

Are you proposing to use a sub-contractor? ___________________________ YES or NO answer

IF you are proposing to use a sub-contractor, list name of sub: _______________________________

PAST PERFORMANCE REFERENCES:

Name: ___________________________ Name:____________________________

Business: ___________________________ Business:__________________________

Address: ___________________________ Address:___________________________

Phone Number:__________________________ Phone Number:_____________________

Description: ___________________________ Description: ________________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number:___________________________

Description: ____________________________

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:

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:

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:

TECHNICAL DESCRIPTION: PROVIDE A SHORT TECHNICAL EXPLANATION OF YOUR COMPANIES PLANS FOR THIS PROJECT:

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