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
This document is a Verification of Experience Form related to a state and local contract opportunity issued by the Texas Military Department (TMD) for the Replacement of an Overhead Cover at a Fuel Station located in Powderly, Texas. The form requires bidders to provide details on their experience with similar projects completed within the past five years, including project dates, descriptions, and contact information. It also requires bidders to provide verification of their employees' and subcontractors' certifications, licenses, and years of experience, if required by the solicitation.
The related state and local contract opportunity is for the removal and replacement of the overhead cover at a fuel point station located at TMD 6351 US Highway 271 North, Bldg. 00001, Powderly, Texas 75473. The work will be performed in Bldg. 10030, and the successful contractor will be required to provide all supplies, materials, equipment, and labor to complete the Scope of Work. The TMD point of contact will verify that all work is completed.
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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 .