Technical_Information_Form.pdf
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- Solicitation number
- 140P8122R0003
About this file
This document outlines a federal contract opportunity for the replacement of backflow preventers at six park locations within Lake Mead National Recreation Area. The National Park Service requires a contractor to supply and install 103 backflow preventers across the six sites. Services include supervision, labor, equipment, credentials, and parts to remove existing devices and provide new NSF-compliant backflow preventers approved for outdoor use in extreme climates. The contractor must complete all work by 180 days from award. Small businesses may submit offers, with award based on best value considering price and non-price factors. The solicitation will be available on April 19th and close 21 days later, with a site visit anticipated during that period.
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Text version
4/19/2022
TECHNICAL INFORMATION FORM
Replace Backflow Preventers, Lake Mead National Recreation Area
RFQ No.: 140P8122R0003
Quoters shall submit the following information:
Quoters Business Name: ___________________________________
Quoters Address: ___________________________________
Quoters SAM UEI: ___________________________________
Quoters Phone: ___________________________________
Quoters Contact Name: ___________________________________
Quoters Signature: ___________________________________
CONTRACTOR’S PROPOSED TEAM:
Do you plan to self-perform all of the work? ___________________________
YES or NO answer
Are you proposing to use a subcontractor? ___________________________ YES or NO answer
List any proposed subcontractor(s) and indicate what key trade they may be assigned to perform:
Subcontractor Name Key Trade
If you are proposing to use a subcontractor, describe what work activities you plan to self-perform:
RFQ No. 140P8422Q0034, Attachment 07, Technical Information Form
LIST OF RELEVANT EXPERIENCE (LIST OF PROJECTS) & PAST PERFORMANCE REFERENCES:
1) Project Title: ___________________________ Contract # (if known): ______________
Agency/Owner: ___________________________ $ Amount: _______________________
Performance Period: ___________________________
Briefly describe how this project is similar in nature and scope to current advertised requirement:
Past Performance Reference (Name & Title): _______________________________________________
Phone Number: ___________________________ Email: __________________________
2) Project Title: ___________________________ Contract # (if known): ______________
Performance Period: ___________________________
Briefly describe how this project is similar in nature and scope to current advertised requirement:
3) Project Title: ___________________________ Contract # (if known): ______________
Performance Period: ___________________________
Briefly describe how this project is similar in nature and scope to current advertised requirement:
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