B08_Attachment_4_140P8426Q0052_Tech_Info_Form_with_License.pdf

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Attached to
Road Striping, Whiskeytown National Recreation Are
Solicitation number
140P8426Q0052
Issued by

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This is a Technical Information Form (Attachment 4) for RFQ No. 140P8426Q0052 for road striping services at Whiskeytown National Recreation Area. Quoters must provide their business information including name, address, UEI, phone number, and contact name. The form requires quoters to indicate whether they plan to self-perform all work or propose using subcontractors, with detailed identification of any proposed subcontractors and their assigned key trades, as well as a description of self-performed work activities.

The form requires quoters to submit a list of relevant experience comprising at least three past projects with similar nature and scope to the advertised requirement. For each project, quoters must provide the project title, contract number if known, agency/owner, dollar amount, performance period, project description, and past performance reference contact information including name, title, phone number, and email. Additionally, quoters must demonstrate California contractor state licensing by confirming whether their firm holds a CA Licensed Contractor designation (such as "A" General Engineering Contractor or "B" General Building Contractor) and providing license details or proof of searchability. If subcontractors are proposed, the same licensing requirements and documentation apply to those entities.

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TECHNICAL INFORMATION FORM

(Attachment 4)

Road Striping

Whiskeytown National Recreation Area

RFQ No.: 140P8426Q0052

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. 140P8426Q0052, 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:

RFQ No. 140P8426Q0052, Attachment 4, Technical Information Form

CALIFORNIA CONTRACTOR STATE LICENSE:

Is your firm a CA Licensed Contractor, such as “A” General ___________________________ Engineering Contractor or “B” General Building Contractor? YES or NO answer

☐ license details/number: ______________________

☐ proof of license is searchable online or include with your quote

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

Is subcontractor a CA Licensed Contractor, such as “A” General ___________________________ Engineering Contractor or other classification that is applicable YES or NO answer to their work?

☐ license details/number: ______________________

☐ proof of license is searchable online or include with your quote

File details come from the government source that posted it. Updated .