Att 05_140P8420Q0032_Technical Info Form.pdf

TECHNICAL INFORMATION FORM

(Attachment 05)

Portable Toilet Rental and Servicing IDIQ

Pinnacles National Park

RFQ No.: 140P8420Q0032

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters DUNS: ___________________________________

Quoters Phone: ___________________________________

Quoters Name: ___________________________________

Quoters Signature: ___________________________________

SAM.GOV REGISTRATION:

Is your company actively registered at www.sam.gov? (it’s free) ___________________________ Yes or No answer

PAST PERFORMANCE REFERENCES:

Name: ___________________________ Name:____________________________

Business: ___________________________ Business:__________________________

Address: ___________________________ Address:___________________________

Phone Number: ___________________________ Phone Number:_____________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number: ___________________________

RFQ No. 140P8420Q0032, Attachment 05, Technical Information Form

LIST OF RELEVANT JOBS:

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: