B08_Attachment_3a_140P8425Q0052_Tech_Info_Form_-_Subcontractor.pdf
PDF 13 KB Posted
- Attached to
- LABE REPLACE WELL PUMP
- Solicitation number
- 140P8425Q0052
About this file
The document is a Technical Information Form for Subcontractors (Attachment 3a) related to a Request for Quote (RFQ No. 140P8425Q0052) for removing and replacing a well pump at Lava Beds National Monument in Siskiyou County, California. The form requires subcontractors to provide detailed business information including company name, address, UEI number, contact details, and a comprehensive list of three relevant project experiences.
The form requests subcontractors to document past project details for each reference, including project title, contract number, agency/owner, contract amount, performance period, and a description of project similarity to the current requirement. For each project, subcontractors must also provide a past performance reference with their name, title, phone number, and email address. This documentation allows the National Park Service to evaluate the subcontractor's qualifications and previous experience in similar infrastructure maintenance and replacement projects.
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Text version
TECHNICAL INFORMATION FORM - SUBCONTRACTOR
(Attachment 3a)
Remove and Replace Well Pump
Lava Beds National Monument
RFQ No.: 140P8425Q0052
Subcontractors shall submit the following information:
Subcontractors Business Name: ___________________________________
Subcontractors Address: ___________________________________
Subcontractors UEI if applicable: ___________________________________
Subcontractors Phone: ___________________________________
Subcontractors Contact Name: ___________________________________
RFQ No. 140P8425Q0052, Attachment 3a, Technical Information Form - Subcontractor
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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