B08_Attachment_04_140P8422Q0079_Tech_Info_Form.pdf

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Attached to
Construct Entrance Sign & Pullout, NPS-PINN Federal contract opportunity
Solicitation number
140P8422Q0079
Issued by
Department of the Interior National Park Service Pacific West Region

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TECHNICAL INFORMATION FORM

(Attachment 4)

Construct East Park Entrance Sign and Parking Pullout Pinnacles National Park

RFQ No.: 140P8422Q0079

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:

RFQ No. 140P8422Q0079, Attachment 4, Technical Information Form

REQUIRED QUALIFICATION:

Is your firm a CA Licensed “A” (General Engineering Contractor) or _________________________ “B” (General Building Contractor) YES or NO answer

☐ proof of CA license is required – include with your quote

IF you are proposing to use a subcontractor:

☐ proof of proposed sub’s applicable CA license is required – include with your quote

☐ proof of prime contractor’s CA Contractor State License classification such as “A” (General Engineering Contractor) or “B” General Building Contractor is required – include with your quote

GENERAL WORK PLAN:

☐ Provide a general work plan no more than five (5) pages showing the sequence of tasks to fabricate and construct the work, and the expected amount of time it will take to complete major parts of the work. (Provide as an attachment to this document)

RELEVANT EXPERIENCE REQUIREMENT:

☐ Include representative photographic samples of successfully completed stonework such as park entrance or similar signs involving stonework work. (Provide as an attachment to this document)

RFQ No. 140P8422Q0079, 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:

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