RELEVANT_EXPERIENCE_FORM.pdf

267 KB Posted

Attached to
Personal Protective Equipment
Solicitation number
2026-IFB-MS-0088
Issued by
Los Angeles County, California

About this file

Written by GovTribe AI ·

This is a Relevant Experience Form template issued by an unnamed state or local agency, designed for bidders to demonstrate their qualifications for a contract opportunity. The form requires bidders to document five (5) projects of similar scope and size to the proposed work, with each project entry requesting comprehensive information including project name, address, start and completion dates, detailed contract descriptions, and complete owner contact information (name, title, address, phone, and email). The template appears to be part of a larger bid package that includes reference materials such as the Allendale Branch Library Seismic Retrofit Phase 1 project documents and architectural/structural drawings. However, the specific contract opportunity details—including project scope, quantities, response deadlines, site visits, and bidder conferences—are not contained within this form itself.

The form does not address pricing terms, set-asides, incumbent information, or funding sources, as it serves solely as a qualification and experience documentation instrument. Bidders must complete all five project entries and submit the form with their bid package. The reference to the Allendale Branch Library Seismic Retrofit Phase 1 project, which includes structural details and roof framing plans, suggests the contract opportunity may involve construction or retrofit work; however, the actual contract being bid (identified in the related opportunity as Personal Protective Equipment for Pasadena Water & Power's Materials Warehouse in California) appears unrelated to the seismic retrofit reference materials, indicating potential document assembly issues or that this template is being reused across multiple procurement opportunities.

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RELEVANT EXPERIENCE FORM

Please complete the next five (5) pages to demonstrate experience with projects of similar scope and size to that which is to be performed. This completed form will be submitted with bid.

Project No. 1

Project Name ____________________________________________

Project Address/Location ___________________________________________________________

Date of Start/Completion of Project ___________________________

Contract Description

Contract Owner Information:

Owner __________________________________________________________

Name of Contact __________________________________________________

Title ____________________________________________________________

Address _________________________________________________________

Phone Number __________________________ Email ____________________

Project No. 2

Project Name ____________________________________________

Project Address/ Location_________________________________________________________

Date of Start/Completion of Project ___________________________

Contract Description

Contract Owner Information:

Owner __________________________________________________________

Name of Contact __________________________________________________

Title ____________________________________________________________

Project No. 3

Project Name ____________________________________________

Project Address/ Location___________________________________________________________

Date of Start/Completion of Project ___________________________

Contract Description

Contract Owner Information:

Owner __________________________________________________________

Name of Contact __________________________________________________

Title ____________________________________________________________

Project No. 4

Project Name _____________________________________________________________

Project Address/ Location________________________________________________________

Date of Start/Completion of Project ___________________________

Contract Description

Contract Owner Information:

Owner __________________________________________________________ Name of Contact __________________________________________________ Title ____________________________________________________________

Project No. 5

Project Name ____________________________________________________________________

Project Address/ Locaton___________________________________________________________

Date of Start/Completion of Project ___________________________

Contract Description

Contract Owner Information:

Owner __________________________________________________________ Name of Contact __________________________________________________ Title ____________________________________________________________

ADDENDUM NO. 3
Work Experience.pdf
2021-08-13 100%CD Allendale Branch Library Seismic Retrofit Phase 1.pdf
Sheets
S0.0 - SHEET INDEX, ABBREVIATIONS AND SYMBOLS
S0.1 - GENERAL NOTES
S1.0 - ROOF FRAMING PLAN
S2.0 - EXTERIOR ELEVATION
S3.0 - MISC DETAILS
S3.1 - MISC DETAILS
S4.0 - TYPICAL WOOD DETAILS
Project Name:
Project AddressLocation:
Date of StartCompletion of Project:
Contract Description 1:
Contract Description 2:
Contract Description 3:
Contract Description 4:
Contract Description 5:
Contract Description 6:
Contract Description 7:
Contract Description 8:
Owner:
Name of Contact:
Title:
Address:
Phone Number:
Email:
Project Name_2:
Project Address Location:
Date of StartCompletion of Project_2:
Contract Description 1_2:
Contract Description 2_2:
Contract Description 3_2:
Contract Description 4_2:
Contract Description 5_2:
Contract Description 6_2:
Contract Description 7_2:
Contract Description 8_2:
Owner_2:
Name of Contact_2:
Title_2:
Address_2:
Phone Number_2:
Email_2:
Project Name_3:
Project Address Location_2:
Date of StartCompletion of Project_3:
Contract Description 1_3:
Contract Description 2_3:
Contract Description 3_3:
Contract Description 4_3:
Contract Description 5_3:
Contract Description 6_3:
Contract Description 7_3:
Contract Description 8_3:
Owner_3:
Name of Contact_3:
Title_3:
Address_3:
Phone Number_3:
Email_3:
Project Name_4:
Project Address Location_3:
Date of StartCompletion of Project_4:
Contract Description 1_4:
Contract Description 2_4:
Contract Description 3_4:
Contract Description 4_4:
Contract Description 5_4:
Contract Description 6_4:
Contract Description 7_4:
Contract Description 8_4:
Owner_4:
Name of Contact_4:
Title_4:
Address_4:
Phone Number_4:
Email_4:
Project Name_5:
Project Address Locaton:
Date of StartCompletion of Project_5:
Contract Description 1_5:
Contract Description 2_5:
Contract Description 3_5:
Contract Description 4_5:
Contract Description 5_5:
Contract Description 6_5:
Contract Description 7_5:
Contract Description 8_5:
Owner_5:
Name of Contact_5:
Title_5:
Address_5:
Phone Number_5:
Email_5:

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