B08_-_Atch_3_-_Tech_Info_Form.docx
DOCX document 26 KB Posted
- Solicitation number
- 140P8126Q0051
About this file
This is a Technical Information Form (Attachment 3) for RFQ No. 140P8126Q0051, a solicitation issued by the Department of the Interior National Park Service Pacific West Region for Conduit and Lift Station Rehabilitation work at multiple DEVA locations including Stovepipe Wells Production Well Coyote Loop Lift Station and Furnace Creek Campground Lift Station.
The form is a template requiring quoters to provide company identification information including business name, address, UEI, phone number, and contact name. Quoters must indicate whether they plan to self-perform all work or engage subcontractors, and if subcontractors are proposed, identify them by name and key trade assignment along with a description of work activities the prime contractor will self-perform. The form requires submission of relevant past performance experience through three project examples, each requiring project title, contract number, agency/owner, dollar amount, performance period, a description of project similarity to the current requirement, and past performance reference contact information including name, title, phone number, and email. This template is designed to establish contractor qualifications and demonstrated capability for conduit and lift station rehabilitation work.
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Other files
| File | Type | Posted |
|---|---|---|
| B08_-_Atch_2_-_WD_CA20260020_7_30_26.pdf | ||
| B08_-_Atch_1_-_SOW_-_Final_(6_15_26).pdf | ||
| Sol_140P8126Q0051.pdf |
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Text version
RFQ No. 140P8126Q0039, Attachment 3, Technical Information Form
TECHNICAL INFORMATION FORM
(Attachment 3)
Conduit and Lift Station Rehabilitation
DEVA
RFQ No.: 140P8126Q0051
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 .