Attachment_3-_Technical_Info_Form.docx
DOCX document 27 KB Posted
- Attached to
- MIIN CONCRETE HISTORIC SLAB REPLACEMENT
- Solicitation number
- 140P8326Q0071
About this file
This is a Technical Information Form (Attachment 3) for RFQ No. 140P8426Q0071 issued by the Department of the Interior National Park Service Pacific West Region for concrete slab replacement at Firestation Minidoka National Historic Site. The form is a template that quoters must complete and submit with their quotes, requiring submission of company information including business name, address, UEI, phone number, and contact details along with an authorized signature.
The form mandates that quoters provide detailed information regarding their proposed team structure, including whether work will be self-performed or subcontracted. Quoters must list any proposed subcontractors, identify their assigned trades, and describe self-performed work activities. The form requires submission of three relevant past performance projects with contract details, dollar amounts, performance periods, project descriptions demonstrating similarity to the current requirement, and contact information for references. Additionally, quoters must submit their company's general Construction Safety Program overview, provide a narrative assessment of project-specific safety risks and any required program modifications, and furnish OSHA 300A logs for the previous three calendar years. If subcontractors are proposed, their OSHA 300A logs for the same period must also be submitted.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P8326Q0071.pdf | ||
| Attachment_1-Scope_of_Work.pdf | ||
| Attachment_4-Past_Performance.docx | DOCX document | |
| Attachment_2-Wage_Determination_-Davis_Bacon.pdf |
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Text version
RFQ No. 140P8426Q0071, Attachment 3, Technical Information Form
TECHNICAL INFORMATION FORM
(Attachment 3)
Replace Concrete Slab at Firestation Minidoka National Historic Site RFQ No.: 140P8426Q0071
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: __________________________
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 .