Att_05_140P8421Q0063_Technical_Info_Form.pdf

TECHNICAL INFORMATION FORM

(Attachment 05)

Modernize Telecom Fiber Infrastructure, Muir Woods National Monument

RFQ No.: 140P8421Q0063

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters DUNS: ___________________________________

Quoters Phone: ___________________________________

Quoters Contact Name: ___________________________________

Quoters Signature: ___________________________________

CONTRACTOR’S PROPOSED TEAM:

Do you plan to self-perform all of the work? ___________________________ YES or NO answer

Are you proposing to use a subcontractor? ___________________________ YES or NO answer

List any proposed subcontractor(s) and indicate what key trade they may be assigned to perform:

Subcontractor Name Key Trade

If you are proposing to use a subcontractor, describe what work activities you plan to self-perform:

RFQ No. 140P8421Q0063, Attachment 05, Technical Information Form

REQUIRED QUALIFICATION:

Is your firm a CA Licensed Contractor, such as “A” General ___________________________ Engineering Contractor or “B” General Building Contractor? YES or NO answer

☐ proof of license is required – include with your quote

IF you are proposing to use a subcontractor for the roofing work:

☐ proof of proposed sub’s applicable CA license is required – include with your quote

☐ proof of prime contractor’s CA Contractor State License classification such as “A” General Engineering Contractor or “B” General Building Contractor is required – include with your quote

SCHEDULE:

Is your firm able to perform this work within the stated ___________________________ performance period of 7/12/2021 – 10/10/2021? YES or NO answer

☐ Attach a proposed schedule for this project with your quote, such as Gantt chart or similar format showing major elements of work with start date, end date, and sequence; and the identification of the critical path activities.

RFQ No. 140P8421Q0063, Attachment 05, Technical Information Form

LIST OF RELEVANT EXPERIENCE (LIST OF PROJECTS) & PAST PERFORMANCE REFERENCES:

1) Project Title: ___________________________ Contract # (if known): ______________

Agency/Owner: ___________________________ $ Amount: _______________________

Performance Period: ___________________________

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

Past Performance Reference (Name & Title): _______________________________________________

Phone Number: ___________________________ Email: __________________________

2) Project Title: ___________________________ Contract # (if known): ______________

Performance Period: ___________________________

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

3) Project Title: ___________________________ Contract # (if known): ______________

Performance Period: ___________________________

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