B08_-_Atch_3_-_Tech_Info_Form.docx
DOCX document 25 KB Posted
- Attached to
- LAKE - Repair Asphalt on Temple Bar Road
- Solicitation number
- 140P8126Q0036
About this file
This is a Technical Information Form (Attachment 3) for RFQ No. 140P8126Q0036, issued by the Department of the Interior National Park Service Pacific West Region for repair of asphalt on Temple Bar Road at Lake. The form is a template designed to collect quoter information and requires contractors to provide their business name, address, UEI, phone number, and primary contact details with authorized signature.
The form requires quoters to disclose their proposed team structure, including whether they plan to self-perform all work or utilize subcontractors, with identification of key trades to be assigned. Quoters must describe any self-performed work activities if subcontractors are proposed. The form also mandates submission of at least three relevant past performance projects, with each entry requiring the project title, contract number if known, agency/owner, dollar amount, performance period, a description of similarity to the current requirement, and contact information for a past performance reference including name, title, phone, and email. This template is used to evaluate contractor qualifications and experience relevant to asphalt repair work.
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Text version
RFQ No. 140P8126Q0039, Attachment 3, Technical Information Form
TECHNICAL INFORMATION FORM
(Attachment 3)
Repair Asphalt on Temple Bar Road
LAKE
RFQ No.: 140P8126Q0036
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: __________________________
File details come from the government source that posted it. Updated .