Att 05_140P8420Q0099_Technical Info Form.pdf

TECHNICAL INFORMATION FORM

(Attachment 05)

Remodel Four Comfort Stations in Pinnacles Campground Pinnacles National Park

RFQ No.: 140P8420Q0099

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters DUNS: ___________________________________

Quoters Phone: ___________________________________

Quoters Contact Name: ___________________________________

Quoters Signature: ___________________________________

REQUIRED QUALIFICATION:

Does your company hold a current CA Class “B” (General ___________________________ Building Contractor) or C-36 (Plumbing Contractor) License? YES or NO answer (proof required – attach and include with your quote)

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(s): _______________________________ (proof required of sub’s current Class “B” or C-36 CA License)

PAST PERFORMANCE REFERENCES:

Name: ___________________________ Name:____________________________

Business: ___________________________ Business:__________________________

Address: ___________________________ Address:___________________________

Phone Number: ___________________________ Phone Number:_____________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number: ___________________________

RFQ No. 140P8420Q0099, Attachment 05, Technical Information 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:

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: