ATTCH 2 - Technical Information Ducts.docx

ATTACHMENT 2 - TECHNICAL INFORMATION

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:___________________________________________________________________

Has previously inspected, cleaned, and maintained hoods and ducts systems, of a similar scope described in the PWS.

YES or NO

Contract Point of Contact to Verify Above Service Point of Contact: _____________________________________________________________________

Address: ____________________________________________________________________________

Telephone Number: ___________________________________________________________________

Email:_______________________________________________________________________________

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