ESBD_362495_1718209541582_Attachment G.5 Verification of Experience Form.pdf
PDF 351 KB Posted
- Attached to
- Replacement Overhead Cover Fuel Station
- Solicitation number
- TMD24-FMO-0034791
- Issued by
- Lampasas County, Texas
About this file
The provided document is a Verification of Experience Form for a solicitation related to the replacement of an overhead cover at a fuel station located in Powderly, Texas. The solicitation was issued by the Texas Military Department (TMD) and involves the removal and replacement of the overhead cover at the fuel point station located at TMD 6351 US Highway 271 North, Bldg. 00001, Powderly, Texas 75473. The contractor shall provide all supplies, materials, equipment, and labor to complete the Scope of Work for this replacement, with the TMD point of contact verifying all work is completed.
The state and local contract opportunity is located in the state of Texas, specifically in Lamar County. The document requires the bidder to provide information on their experience on similar projects completed within the past five years, as well as details on any required certifications or licenses for personnel that may be involved in the project.
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Text version
VERIFICATION OF EXPERIENCE FORM (REFERENCES G.5)
SOLICITATION NUMBER#:_______________________________________________________________ BIDDERS NAME:_______________________________________________________________________
Bidder’s Experience on Similar Projects Within Past Five (5) Years
Company’s Name:
Address:
E-mail:_________________ Point of Contact: _____________________Phone Number:______________ Project Dates: Start Date: End Date:
Project name, location and brief description:
Company’s Name:
Address:
E-mail:_________________ Point of Contact: _____________________Phone Number:______________ Project Dates: Start Date: End Date:
Project name, location and brief description:
Company’s Name:
Address:
E-mail:_________________ Point of Contact:_____________________ Phone Number:______________ Project Dates: Start Date: End Date:
Project name, location and Brief Description:
Company’s/Sub Contractor’s Personnel Experience /Certificate/License Verification if required in Solicitation
Employee/Sub Contractor Name/Job Title:
Certificate and/or License Type and Number :
License Expiration Date:
Years of Experience:
Employee/Sub Contractor Name/Job Title:
Certificate and/or License Type and Number :
License Expiration Date:
Years of Experience:
Employee/Sub Contractor Name/Job Title:
Certificate and/or License Type and Number :
License Expiration Date:
Years of Experience:
File details come from the government source that posted it. Updated .