ATTACHMENT_3_rev1.docx

ATTACHMENT 3 - TECHNICAL FORM

Quoter’s Name: ________________________________________________________________________

Address: _________________________________________________________________________________

Quoter Point of Contact (POC) Name: ______________________________________________________

Quoter Telephone Number: _______________________________________________________________

Quoter Email:___________________________________________________________________________

Service: ________________________________________________________________________

Customer: ____________________________________________________________________

This service was performed by the named quoter as a (Circle one): Prime Contractor or Subcontractor

Place of Performance: _________________________________________________________________

Contract Number:______________________________________________________

Contract Value: ______________________________________________________________________

Contract Period or Dates of Performance: _________________________________________________ Service Description:___________________________________________________________________ Did the service include a service area of at least 15,000 acres: YES or NO Was the service for an event with at least 10,000 attendees: YES or NO Was the service worked in conjunction with other agencies (City, Federal, State, or County): YES or NO Was the service performed on Government (City, State, Federal, or County) property: YES or NO Contract Point of Contact to Verify Above Service Point of Contact: _____________________________________________________________________

Address: ____________________________________________________________________________

Telephone Number: ___________________________________________________________________

Email:_______________________________________________________________________________

*** Multiple Technical Forms will be accepted ****