RFQ_R-2526-06_Attachment_3_(blank).xlsx

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Attached to
A&E Shortlist RFQ R-2526-06
Solicitation number
0000036906
Issued by
California

About this file

Written by GovTribe AI ·

This is a blank Experience & Reference Form template for RFQ R-2526-06, designed to document the qualifications and project history of key personnel required for contract performance. The form solicits detailed information across ten distinct professional positions: Principal II, Principal I, Program Manager, Registered Geologist, Registered Civil Engineer, Engineer/Geologist/Hydrogeologist IV, Engineer/Geologist/Hydrogeologist III, Scientist/Chemist/Biologist IV, Scientist/Chemist/Biologist III, and Toxicologist/Risk Assessor III.

For each position, the template requires bidders to document relevant experience through project references, including the client agency or business name, project contact information, project description, contract dollar amounts, registration or licensure status, applicable licenses and certifications with numbers, educational credentials, any experience substitutions allowed under RFQ Section 4.B.5, specific role and duties performed, and contract start and end dates. The form provides an example entry referencing a Boulder Cleaning project in Sacramento County with a $760 project size and service period from February 4, 2006 to March 5, 2008, where the referenced individual served as an Assistant Project Manager coordinating schedules and interfacing with the client. The blank rows below each position heading indicate that bidders must complete multiple project references to demonstrate the depth and breadth of experience required for personnel assigned to the contract.

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RFQ_R-2526-06_A_E_Shortlist_-_Addendum_1_Final.pdf PDF
RFQ_R-2526-06_Attachment_5_(blank).xlsx XLSX spreadsheet
RFQ_R-2526-06_A_E_Shortlist.pdf PDF

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Principal II Principal II Experience & Reference Form

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Principal I Principal I

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
End:
Start:0
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Start:0
End:
Start:0
End:
Start:0
End:

Program Manager Program Manager

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
End:

Registered Geologist Registered Geologist

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
End:

Registered Civil Engineer Registered Civil Engineer

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Engineer.Geo.Hydrogeo IV Engineer/Geologist/Hydrogeologist IV

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Engineer.Geo.Hydrogeo III Engineer/Geologist/Hydrogeologist III

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
End:

Scientist.Chemist.Biologist IV Scientist/Chemist/Biologist IV

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Scientist.Chemist.Biologist III Scientist/Chemist/Biologist III

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Start:0
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Toxicologist. Risk Assessor III Toxicologist/Risk Assessor III

Name:
Client
(Agency/ Business)Contact
(Name/Email/Phone)Project
DescriptionProject Size
(Dollar Amount)Registered or Non-Registered? Licenses, certifications, and registrations, please provide details and number.Education Experience Substituted for Years of Experience (per RFQ Section 4.B.5). Please provide details of substitution including degree and years substituted.Role
& DutiesContract

Start & End Ex. Acme & Company Wile E. Coyote Wile.ec@acmeco.com

555-888-9999Boulder Cleaning
Remove boulders across Sacramento County.Assistant Project Manager

Coordinate schedules

Interface with clientStart:2/4/06760
End:3/5/08
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
Start:0
End:
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File details come from the government source that posted it. Updated .