RELEVANT_EXPERIENCE_FORM.pdf

PDF 267 KB Posted

Attached to
First Aid Materials & Supplies
Solicitation number
2026-Informal-0116
Issued by
Los Angeles County, Berkeley City, California

About this file

This is a Relevant Experience Form submission document for the City of Pasadena Parks, Recreation, and Community Services Department's First Aid Materials & Supplies procurement. The form requires bidders to document five similar projects demonstrating relevant experience with comparable scope and size to qualify for the contract. For each of the five required projects, vendors must provide the project name, address/location, start and completion dates, a detailed contract description, and complete owner contact information including the owner name, contact person title, address, phone number, and email. The procurement solicitation indicates that proposals are due on February 26, 2026, at 12:00 p.m., with a questions submission deadline of February 24, 2026. The contract encompasses a comprehensive range of first aid medical supplies including antiseptic sprays, bandages, sterile gauze pads, disposable gloves, CPR masks, cold packs, adhesive tape, and a fully stocked 4-shelf first aid cabinet across 20 line items. The contract term is five years commencing March 15, 2026, with no renewal options, and delivery must occur within 10 business days to Robinson Park Recreation Center in Pasadena.

Qualified vendors must provide proof of insurance, a Pasadena business license, a completed IRS Form W-9, and a Unique Entity Identifier (UEI) from SAM.gov. All quoted prices must remain firm for the contract duration, with any increases after the first year limited to the Consumer Price Index. The procurement operates on Net 30 payment terms with sales tax at 10.5% applied to taxable items, and all costs for labor, materials, shipping, delivery, and handling must be included in quoted prices with no separate reimbursement available. No incumbent vendors or current contractors are identified. Vendors must comply with federal compliance requirements, including certification regarding lobbying activities under 31 U.S.C. Section 1352 and submission of Standard Form-LLL Disclosure of Lobbying Activities. The solicitation references optional demographic ownership disclosure for statistical purposes including African American, Asian, Armenian, Hispanic, Native American, Disabled, and Female ownership status, though no specific set-asides for disadvantaged enterprises are specified. Vendors must also comply with the City's Equal Employment Opportunity and Living Wage ordinances.

View the file

Other files

File Type Posted
First_Aid_Materials_&_Supplies.pdf PDF
Emergency_FEMA_TC.pdf PDF
Federal_Required_Certification.pdf PDF
REQUIRED_FORMS_-_AAs_-_FOR_INFORMALS.pdf PDF
Unique_Entity_ID_(SAM).pdf PDF
RELEVANT_EXPERIENCE_FORM.pdf PDF
Disclosure_of_Lobbying_Activities.pdf PDF
DoIT_Technical_Questionnaire.xlsx XLSX spreadsheet

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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:

File details come from the government source that posted it. Updated .