3-RFP-RC-2025-020A Past Present.pdf

137 KB Posted

Attached to
Forensic Psychologist Qualified Suppliers List
Solicitation number
RFP-RC-2025-020A
Issued by
Rockland County, New York

About this file

Written by GovTribe AI ·

The document is a Past & Present Performance Information Form from Rockland County, New York, issued under the leadership of County Executive Edwin J. Day, for a Forensic Psychologist Qualified Suppliers List (RFP-RC-2025-020A). The form is designed to be completed by potential offerors as part of their technical proposal, requiring detailed information about previous contract performance, including contract name, term, value, and a description of the effort.

The form requests comprehensive details about past contracts, including whether the offeror was a prime or subcontractor, original and current contract dates, number of change orders, and primary reasons for changes. It also requires contact information for reference program/project managers and contracting officers, details about any subcontractors used, and identification of key individuals who participated in the previous contract and are proposed to support the current request for proposal. The form appears to be a standard template used by Rockland County to evaluate potential suppliers' past performance and qualifications for a forensic psychology services procurement.

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Other files

File Type Posted
1-Appendix B Standard Terms Conditions for Service Contracts.pdf PDF
4-RFP-RC-2025-020A FEDERAL CONTRACT CLAUSE.pdf PDF
5-RFP-RC-2025-020A- Forensic Psychologist QSL .pdf PDF
2-RFP-RC-2025-020A Statement of Disclosures.pdf PDF
6-RFP-RC-2025-020 Award.pdf PDF

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Edwin J. Day, County Executive

PAST & PRESENT PERFORMANCE INFORMATION FORM

COMPLETE AND INCLUDE THIS FORM IN YOUR TECHNICAL PROPOSAL

NAME OF OFFEROR: __________________________________

Provide the information requested on this form for each contract/program being described as a reference. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations, if any, set forth in specifications.

Name of Contracting Entity: ___________________________________ Contract Name/Title: __________________________________

Term of Contract: ____________________________

Original Contract Value: ________________________________ Current or Final Contract Value: _______________________________________

A. Brief Description of your effort. Identify whether you were a Prime or Subcontractor.

1. Original Date: ______________________________ 2. Current or Final Date: __________________________

3. Number of Change Orders (if any): ________________

Primary Causes or Reasons of Change: ________________________________________________________________________

B. Primary Customer Points of Contact:

NOTE: CONFIRM CONTACT INFORMATION PROVIDED IS CURRENT PRIOR TO SUBMISSION.

Reference Program/Project Manager:

Name:______________________________________________________

Address:____________________________________________________

Telephone: ______________________ Fax: _______________________

E-mail: _____________________________________________________

Reference Contracting Officer

Name:__________________________________________________

Address: _______________________________________________

Telephone: ___________________ Fax: ___________________

E-mail: _________________________________________________

C. If subcontractors were used, identify the names of the subcontractors and the percentage of the contract the subcontractor was responsible for. ____________________________________________________________________________________________

D. Specify, by name, any key individual(s) who participated in this contract and are proposed to support acquisition detailed in the RFP.

Forensic Psychologist Qualified Suppliers List RFP-RC-2025-020A

MoodieC Highlight

NAME OF OFFEROR:
Name of Contracting Entity:
Contract Name/Title:
Term of Contract:
Original Contract Value:
Current or Final Contract Value:
A:
1 Original Date:
3 Number of Change Orders (if any):
Primary Causes or Reasons of Change:
Primary Causes or Reasons of Change_1:
2 Current or Final Date:
2 Current or Final Date_1:
responsible for:
D:
D_1:
Name:
Address:
Telephone:
Fax:
E-mail:
Name_1:
Address_1:
Telephone_1:
Fax_1:
E-mail_1:

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