B08_Attachment_5_140P8423Q0019_Technical_Info_Form.pdf

TECHNICAL INFORMATION FORM

(Attachment 5)

THIS FORM IS OPTIONAL

(ensure equivalent information is provided)

Laboratory Water Testing Services for Management of Ranch Operations Point Reyes National Seashore

RFQ No.: 140P8423Q0019

Quoters shall submit the following information:

Quoters Business Name: ___________________________________

Quoters Address: ___________________________________

Quoters UEI: ___________________________________

Quoters Phone: ___________________________________

Quoters Contact Name: ___________________________________

Quoters Signature: ___________________________________

CONFIRMATION OF STANDARDS AND REQUIREMENTS:

Is your Lab ELAP certified by the State of California? ___________________________ (proof required – please attach and include with your quote) YES or NO answer

Will your Lab provide all sampling bottles required for needed testing? ___________________________ YES or NO answer YES or NO answer

Is your lab able to provide courier service with maximum of ___________________________ approximately 1 hour drive time from park headquarters to YES or NO answer meet fecal indicator bacteria hold times?

Is your lab able to run and read tests for samples collected ___________________________ Monday-Friday? YES or NO answer

Is your lab able to provide the option for rush (next day or ___________________________ approximately 24-hour and 72-hour) turn-around time for YES or NO answer results if needed?

Is your lab able to provide occasional on-call scheduling ___________________________ of service (with 24-hour notice)? YES or NO answer

RFQ No. 140P8423Q0019, Attachment 5, 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: