ATTACHMENT 04 - 140P8621Q0021 - Relevant Experience and Past Performance.pdf

ATTACHMENT # 04

RELEVANT EXPERIENCE, PAST PERFORMANCE & TECHNICAL QUALIFICIATIONS FORM

Maintain Road Culverts, Marin Headlands

Golden Gate National Recreation Area

RFQ No.: 140P8621Q0021

Quoters shall submit the following information:

Quoters Business Name:

Quoters Address:

Quoters DUNS:

Quoters Phone:

Quoters POC:

Quoters Signature:

Are you proposing to use a sub-contractor?

YES or NO answer

IF you are proposing to use a sub-contractor, list name of sub:

PAST PERFORMANCE REFERENCES:

Name: Name:

Business: Business:

Address: Address:

Phone Number: Phone Number:

Description: Description:

RFQ No. 140P8621Q0021, Attachment# 04 , Technical Information Form

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 DESCRIPTION: PROVIDE A SHORT TECHNICAL DESCRIPTION OF YOUR

COMPANIES PLANS FOR THIS PROJECT: