Att_05_140P8422Q0031_Technical_Info_Form.pdf

TECHNICAL INFORMATION FORM

(Attachment 05)

Commissioning of PV System on Santa Rosa Island, Channel Islands National Park

RFQ No.: 140P8422Q0031

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters SAM UEI: ___________________________________

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. 140P8422Q0031, Attachment 05, Technical Information Form

REQUIRED QUALIFICATION:

Is your firm a currently CA Licensed C-10 Electrical Contractor ___________________________ and/or C-46 Solar Contractor? YES or NO answer (proof required – please attach and include with your quote)

☐ 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 Licensed C-10 Electrical Contractor and/or C-46 Solar Contractor is required – include with your quote

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

RFQ No. 140P8422Q0031, 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: