RELEVANT_EXPERIENCE_FORM.pdf

267 KB Posted

Attached to
Stand-by Basic Life Support Ambulance Services
Solicitation number
2024-Informal-0438
Issued by
Los Angeles County, California

About this file

Written by GovTribe AI ·

The document is a Relevant Experience Form for a state and local contract opportunity involving ambulance services for the City of Pasadena Parks, Recreation, and Community Services Department. The form consists of five sequential pages designed for a vendor to document their previous project experience, with spaces to record details for five separate projects. Each project section requires information such as project name, address/location, start and completion dates, a comprehensive contract description, and contract owner contact information.

While the form is blank and no specific project details are filled in, it is directly related to the City of Pasadena's requirement for stand-by basic life support ambulance services for the annual Centennial Square Boxing Event. The form appears to be a standard pre-qualification document that allows potential vendors to demonstrate their relevant professional experience and capabilities in providing medical services for public events. By requiring vendors to detail five previous projects, the city can assess a bidder's track record, expertise, and suitability for providing on-site ambulance services during the specified event at Pasadena City Hall.

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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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