Att_05_140P8421Q0064_Technical_Info_Form.pdf

TECHNICAL INFORMATION FORM

(Attachment 05)

Paint Building and Utilities Structures, Point Reyes National Seashore

RFQ No.: 140P8421Q0064

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 (Painting, etc.)

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

RFQ No. 140P8421Q0064, Attachment 05, Technical Information Form

REQUIRED QUALIFICATION:

Is your firm a CA Licensed C-33 Painting Contractor? ___________________________ (proof required – please attach and include with your quote) YES or NO answer

☐ proof of license is required – include with your quote

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

☐ proof of proposed sub’s current CA C-33 Painting License is required – include with your quote

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

REQUIRED CERTIFICATION:

Is your firm an EPA-certified renovator complying with ___________________________ lead-safe work practices? (proof required – please attach YES or NO answer

☐ proof required – include with your quote, or be verifiable at:

https://cfpub.epa.gov/flpp/pub/index.cfm?do=main.firmSearch)

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

☐ proof required – include with your quote, or be verifiable at:

https://cfpub.epa.gov/flpp/pub/index.cfm?do=main.firmSearch)

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.

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:

SAFETY RECORD

☐ Submit an overview of your company’s general Construction Safety Program – attach with your quote

NARRATIVE – in the space below briefly provide an assessment of the safety risks associated with this construction project, and discuss any changes to your company’s Construction Safety Program required to address your assessment of the project risk:

☐ Submit a copy of your company’s OSHA 300A logs for the previous three calendar years.

☐ If proposing to use a subcontractor for the painting work, additionally submit a copy of your proposed painting subcontractor’s OSHA 300A logs for the previous three calendar years.