B08_ATT_4_140P8423Q0055_Technical_Info_Form_PORE_Water_Well.pdf

TECHNICAL INFORMATION FORM

(Attachment 4)

Beaches Water Well #1 Replacement

Point Reyes National Seashore

RFQ No.: 140P8423Q0055

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? ___________________________

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:

RFQ No. 140P8423Q0055, Attachment 4, Technical Information Form

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): ______________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

3) Project Title: ___________________________ Contract # (if known): ______________

Performance Period: ___________________________

Briefly describe how this project is similar in nature and scope to current advertised requirement:

TECHNICAL APPROACH: Technical approach is your means and methods to complete the technical aspects of the required work in this solicitation. Submit a brief written narrative limited to 1 page describing your technical approach to successfully accomplish this project, to be evaluated as described in Section M.1.

REQUIRED QUALIFICATION:

Is your firm a CA Licensed C-57 Well Drilling Contractor? ___________________________

☐ proof of C-57 license is required – include with your quote

IF you are proposing to use a subcontractor for the well work:

☐ proof of proposed sub’s C-57 license is required – include with your quote

☐ proof of prime contractor’s CA Contractor State License classification such as

“B” General Building Contractor is required – include with your quote

SCHEDULE:

Is your firm able to perform this work within the stated ___________________________ performance period of 7/24/2023–10/24/2023? YES or NO answer Provide explanation about schedule below if necessary: