Att_05-_Technical_Information_Form.pdf

ATTACHMENT #05

Technical Information Form

Lassen Volcanic National Park RFQ No.: 140P8421Q0142

Offerors shall submit the following information:

Offerors Business Name: ___________________________________

Offerors Address: ___________________________________

Offerors DUNS: ___________________________________

Offerors Phone: ___________________________________

Offerors POC: ___________________________________

Offerors 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? ___________________________

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. 140P8421Q0142, Attachment 05

REQUIRED QUALIFICATION:

Is your firm a CA Licensed C-10 Electrical Contractor? ___________________________

☐ proof of C-10 license is required – include with your quote

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

☐ proof of proposed sub’s C-10 license is required – include with your quote

☐ proof of prime contractor’s CA Contractor State License classification such as “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 9/15/2021 – 9/14/2022? YES or NO answer Provide explanation about schedule below if necessary:

PAST PERFORMANCE REFERENCES:

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number:__________________________

Description: __________________________________________________________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number:___________________________

Description: __________________________________________________________________

Name: ___________________________

Business: ___________________________

Address: ___________________________

Phone Number:___________________________

Description:__________________________________________________________________

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:

TECHNICAL PLAN: PROVIDE A SHORT TECHNICAL NARRATIVE OF YOUR COMPANIES

PLANS FOR THE PROJECT- There is no length requirement for this plan, only that it shall contain as much information as the offeror feels is necessary to demonstrate the plan makes sense for the project, takes into account the specifications and drawings, considers other project specific factors, and is overall logical and reasonable for the project: