Att_04-__Relevant_Experience__Past_Performance__Technical_Qualifications.docx

DOCX document 23 KB Posted

Attached to
Remove & Replace HVAC Systems at Lava Beds NM Federal contract opportunity
Solicitation number
140P8421Q0071
Issued by
Department of the Interior National Park Service Pacific West Region

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Other files attached to Remove & Replace HVAC Systems at Lava Beds NM, newest first.
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Sol_140P8421Q0071_Amd_0002.pdf PDF
140P8421Q0071_LAB_HVAC_Provisions_and_Clauses_(2)_asd_0002.docx DOCX document
Sol_140P8421Q0071_Amd_0001.pdf PDF
Att_03_-_Wage_Determination.pdf PDF
Sol_140P8421Q0071.pdf PDF
Att_02_-_Specifications.docx DOCX document
140P8421Q0071_LABE_HVAC_Attach_J01_Quote_Sheet.xlsx XLSX spreadsheet

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Text version

RFQ No. 140P8421Q0062, Attachment 04, Technical Information Form

ATTACHMENT #03

RELEVANT EXPERIENCE, PAST PERFORMANCE & TECHNICAL QUALIFICIATIONS FORM

Remove & Replace HVAC Systems Lava Beds National Monument RFQ No.: 140P8421Q0071 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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