3-RFP-RC-2026-012 Past Present.pdf

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Attached to
Legal Services, Qualified Suppliers List (QSL)
Solicitation number
RFP-RC-2026-012
Issued by
Rockland County, New York

About this file

This is a Past and Present Performance Information Form for a Qualified Suppliers List (QSL) procurement issued by Rockland County, New York, for legal services to support the County Law Department and the Office for the Aging on an as-needed basis. The form requires offerors to submit detailed information regarding their relevant past contract performance, including the contracting entity, contract name, contract term, original and current contract values, a description of the offeror's role as either prime or subcontractor, original and final contract dates, and any change orders issued. Offerors must identify primary customer points of contact, including the reference program or project manager and contracting officer with current contact information, and disclose all subcontractors involved and their respective percentages of contract responsibility.

The form mandates that offerors specify key individuals who participated in previous contracts and who are proposed to support the current acquisition. Responses should provide frank, concise comments regarding performance on identified contracts, with limitations on the number of past efforts and length of submissions as specified in the RFP requirements. This documentation will be included as part of each offeror's technical proposal to demonstrate their qualifications and experience in delivering legal services comparable to those required under the Rockland County legal services QSL.

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Text version

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.

RFP-RC-2026-012 Legal Services for Office for the Aging -QSL

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:

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