RELEVANT_EXPERIENCE_FORM.pdf

267 KB Posted

Attached to
Multi-Cancer Early Detection Blood Test
Solicitation number
2025-RFP-0699
Issued by
Los Angeles County, California

About this file

Written by GovTribe AI ·

The document is a Relevant Experience Form, which appears to be part of a bid submission for the Pasadena Fire Department's multi-cancer early detection screening project. The form provides a template for bidders to document their past project experience, with space for detailing five separate projects. Each project section allows for recording the project name, address/location, start and completion dates, a detailed contract description, and complete contract owner contact information. The form is designed to help evaluators assess a bidder's qualifications and prior relevant work experience in support of the proposed multi-cancer early detection blood test contract.

The contract opportunity involves providing annual multi-cancer early detection screening for approximately 179 full-time Pasadena Fire Department personnel over two years, with funding sourced from the Assistance to Firefighter's Grant (AFG). The successful bidder must comply with Federal Procurement Standards and FEMA policies. While specific pricing details are not included in this experience form, the document serves as a critical component of the bid package by allowing potential contractors to demonstrate their past performance and capability to execute similar projects. The screening will be part of the Department's Health and Wellness Program, with the goal of early detection and health monitoring for firefighting and emergency response personnel.

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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:
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Owner:
Name of Contact:
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Email:
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