Attach 2_Technical Form.pdf

ATTACHMENT 2 - TECHNICAL FORM

Quoter’s Name: ________________________________________________________________________

Address: _________________________________________________________________________________

Quoter Point of Contact (POC) Name: ______________________________________________________

Quoter Telephone Number: _______________________________________________________________

Quoter Email:___________________________________________________________________________

Service: ________________________________________________________________________

Customer: ____________________________________________________________________

This service was performed by the named quoter as a (Circle one): Prime Contractor or Subcontractor

Place of Performance: _________________________________________________________________

Contract Number:______________________________________________________

Contract Value: ______________________________________________________________________

Contract Period or Dates of Performance: _________________________________________________

Service Description:___________________________________________________________________

Did the service involve providing portable sanitation rentals for large events (concerts, air shows, sporting events, military training, or the like)? YES NO

Did the service involve performing portable sanitation services for rentals on regular and recurring frequencies? YES NO

Contract Point of Contact to Verify Above Service

Point of Contact: _____________________________________________________________________

Address: ____________________________________________________________________________

Telephone Number: ___________________________________________________________________

Email:_______________________________________________________________________________

*** Multiple Technical Forms will be accepted ****