Att_05_140P8423Q0097_Technical_Info_Form.pdf

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Attached to
Annual Servicing of Life Rafts, CHIS
Solicitation number
140P8423Q0097
Issued by

About this file

This document is a technical information form for solicitation number 140P8423Q0097 for annual servicing of life rafts at Channel Islands National Park. The form requests contact and facility information from offerors, and requires confirmation that any offeror facility be both an Elliot and Revere authorized service station approved by the US Coast Guard. It also requests references and descriptions of up to three relevant past projects demonstrating experience servicing life rafts for government agencies or other owners, including contract numbers, agencies or owners, contact persons, amounts, and performance periods. Completing and submitting this form appears to be part of responding to the solicitation for annual life raft servicing at Channel Islands National Park, issued by the National Park Service Pacific West Region of the Department of the Interior.

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TECHNICAL INFORMATION FORM

Annual Servicing of Life Raft Channel Islands National Park

RFQ No.: 140P8423Q0097

Offerors shall submit the following information:

Offerors Business Name:

Offerors Address:

Offerors DUNS:

Offerors Phone:

Offerors Name:

Offerors Signature:

CONFIRMATION OF STANDARDS AND REQUIREMENTS:

Vendor Facility is be both an Elliot and Revere authorized service station approved by the US Coast Guard.

☐ YES ☐NO

Check One

PAST PERFORMANCE REFERENCES:

Name: Name:

Business: Business:

Address: Address:

Phone Number: Phone Number:

Name:

Business:

Address:

Phone Number:

RFQ No. 140P8423Q0067, Attachment 05, Technical Information Form

LIST OF RELEVANT PROJECTS:

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:

Agency/Owner:

Contact Person:

Phone Number:

Agency/Owner:

Contact Person:

Phone Number:

TECHNICAL INFORMATION FORM
Channel Islands National Park RFQ No.: 140P8423Q0097
CONFIRMATION OF STANDARDS AND REQUIREMENTS:
PAST PERFORMANCE REFERENCES:
RFQ No. 140P8423Q0067, Attachment 05, Technical Information Form
LIST OF RELEVANT PROJECTS:

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