Attachment_3_140P8426Q0047_Tech_Info_Form_with_License_and_Safety.docx
DOCX document 28 KB Posted
- Attached to
- CRMO REPLACE DOORS ON VISITOR CENTER
- Solicitation number
- 140P8326Q0047
About this file
This is a Technical Information Form (Attachment 3) for RFQ No. 140P8426Q0047, issued by the Department of the Interior National Park Service Pacific West Region for a project titled "Park." The form is a template designed to collect essential information from quoters bidding on this construction requirement. It requests standard contractor identification details including business name, address, UEI, phone number, and contact information, along with the quoter's signature.
The form requires quoters to disclose their proposed team structure, specifically whether they will self-perform all work or utilize subcontractors, and to identify any proposed subcontractors and their assigned trade disciplines. Quoters must provide a list of at least three relevant past performance projects, including project title, contract number, agency/owner, dollar amount, performance period, a description of similarity to the current requirement, and a past performance reference contact with phone and email. The form mandates that the prime contractor and any proposed subcontractors hold California Contractor State Licenses (such as "A" General Engineering or "B" General Building classifications), with proof of licensure either searchable online or submitted with the quote. Additionally, quoters must submit a narrative overview of their company's Construction Safety Program, provide a project-specific safety risk assessment and discussion of any required program modifications, and submit OSHA 300A logs for the previous three calendar years for both the prime contractor and any proposed subcontractors.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P8326Q0047_Amd_0001.pdf | ||
| Attachment_4_140P8426Q0047_General_References.docx | DOCX document | |
| Sol_140P8326Q0047.pdf | ||
| Attachment_5_140P8326Q0047-KeyPersonel.docx | DOCX document | |
| Attachment_2__Davis_Bacon_Act_WD_ID20260101_Butte_Co.pdf | ||
| Attachment_6_140P8326Q0047-PastPerformance.docx | DOCX document | |
| Attachment_1-140P8326Q0047-SCOPE_OF_WORK_Replace_Doors.pdf |
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Text version
RFQ No. 140P8426Q0047, Attachment 3, Technical Information Form
TECHNICAL INFORMATION FORM
(Attachment 3)
Project Title Park RFQ No.: 140P8426Q0047
Quoters shall submit the following information:
Quoters Business Name: ___________________________________
Quoters Address: ___________________________________
Quoters UEI: ___________________________________
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 (Roofing, etc.) |
If you are proposing to use a subcontractor, describe what work activities you plan to self-perform:
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): ______________
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: __________________________
3) 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: __________________________
CALIFORNIA CONTRACTOR STATE LICENSE:
Is your firm a CA Licensed Contractor, such as “A” General ___________________________ Engineering Contractor or “B” General Building Contractor? YES or NO answer
☐ license details/number: ______________________ ☐ proof of license is searchable online or include with your quote
IF you are proposing to use a subcontractor for any of the work:
Is subcontractor a CA Licensed Contractor, such as “A” General ___________________________ Engineering Contractor or other classification that is applicable YES or NO answer to their work?
☐ license details/number: ______________________ ☐ proof of license is searchable online or include with your quote
SAFETY RECORD:
☐ Submit an overview of your company’s general Construction Safety Program – attach with your quote
NARRATIVE – in the space below briefly provide an assessment of the safety risks associated with this construction project, and discuss any changes to your company’s Construction Safety Program required to address your assessment of the project risk:
☐ Submit a copy of your company’s OSHA 300A logs for the previous three calendar years.
☐ If proposing to use a subcontractor for any of the work, additionally submit a copy of your proposed subcontractor’s OSHA 300A logs for the previous three calendar years.
File details come from the government source that posted it. Updated .