SCHEDULE B
EQUIPMENT QUALIFICATION
RESPONSE FORM
RFEOI Title:
Four (4) Wheel Drive Backhoe Loader (Current Generation)
RFEOI No:
1220-050-2015-007
A.
CORPORATE PROFILE
Respondents should provide the following general information:
1.
Full Legal Name of Firm
2.
Business Address
3.
Phone No.:
Email
4. Address:
Fax No.:
Website
Address:
B. EXAMPLES OF GOODS AVAILABLE
5. Respondent should provide technical literature of goods of a similar nature, size and
capacity. Attach additional pages if necessary.
Make/Model: ________________________________________________________________
Description of Equipment: ______________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
6. Respondent should confirm compliance with the preferred attributes.
pages if necessary.
Attach additional
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
7. Respondent should provide test and/or performance reports to establish that the equipment
has the attributes to produce a specified outcome. Attach additional pages if necessary.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Four (4) Wheel Drive Backhoe Loader RFEOI #1220-050-2015-007
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Documentation
Respondents are to submit the following documentation along with their submission:
a) Complete manufacturer’s technical specification literature; and
b) Standard warranty documentation.
Respondent’s relevant experience and qualifications in delivering Goods and Services similar to
those required by the Agreement (use the spaces provided and/or attach additional pages, if
necessary):
C. MINIMUM OF 3 REFERENCES
8.
9.
Contact Name:
______________________________________
Title:
______________________________________
Telephone Number:
______________________________________
Contact Name:
______________________________________
Title:
______________________________________
Telephone Number:
______________________________________
10. Contact Name:
______________________________________
Title:
______________________________________
Telephone Number:
______________________________________
Four (4) Wheel Drive Backhoe Loader RFEOI #1220-050-2015-007
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