Section_J_-_Att_No__003_-_Experience_and_PP_Form.pdf
PDF 194 KB Posted
- Attached to
- DELIVERY OF DIESEL TO ALCATRAZ
- Solicitation number
- 140P8624Q0017
About this file
This document contains an experience and past performance form for offerors to submit with their response to solicitation number 140P8624Q0017 for the delivery of diesel fuel to Alcatraz Island. Offerors must provide details of relevant past contracts including contract numbers, values, dates of performance, descriptions of work, and points of contact. They must also disclose financial data and existing contractual commitments. The experience and past performance form collects information to evaluate offerors' capability to successfully perform the required delivery of diesel fuel to Alcatraz Island for the National Park Service Pacific West Region.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P8624Q0017_Amd_0002.pdf | ||
| Section_J_-_Att_No__005_Updated_SOW_0002.pdf | ||
| Section_J_-_Att_No__004_Quote_Sheet_0002.xlsx | XLSX spreadsheet | |
| Sol_140P8624Q0017_Amd_0001.pdf | ||
| Section_J_-_Att_No__001_Quote_Sheet.xlsx | XLSX spreadsheet | |
| Sol_140P8624Q0017.pdf | ||
| Section_J_-__Att_No__002_SOW.pdf |
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Text version
Offeror: _____________________________ RFQ 140P8624Q0017 Attachment No. 003
EXPERIENCE AND PAST PERFORMANCE
FORM
Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. Refer to the Instructions for the Submission of Quotation and Other Information (Section L).
List contracts and other pertinent work to describe how your experience is relevant to the requirements of this RFQ.
Use as many copies of this Form, or an equivalent, as may be required. Attach additional documents as needed. If you have no relevant experience, you must state that on this form in order to qualify for a neutral rating.
PART I – FINANCIAL DATA
I.1 FINANCIAL DATA AS OF ________________ (date)
CURRENT ASSETS $_________________ Name of Bank: _________________
CURRENT LIABILITIES $_________________ Point of Contact: _________________
NET WORTH $_________________ Phone Number: _________________
PART II – EXISTING COMMITMENTS
II.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK:
PERFORMANCE PERIOD:
II.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK:
PERFORMANCE PERIOD:
Offeror: _____________________________
PART III – PAST PERFORMANCE & RELEVANT EXPERIENCE
III.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.3 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.4 LARGEST CONTRACT IN THE PAST THREE YEARS
CONTRACT NUMBER __________________________
CONTRACT AMOUNT __________________________
CONTRACT DATE __________________________
AGENCY/OWNER: __________________________
DESCRIPTION OF WORK:
PART II – EXISTING COMMITMENTS
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