4-Past Present FILLABLE.pdf

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Attached to
Consulting Services including Sampling and Analysis for Asbestos, Lead and IAQ (mold/fungi)
Solicitation number
RFP-RC-2026-008
Issued by
Rockland County, New York

About this file

Written by GovTribe AI ·

This is a Past and Present Performance Information Form for Rockland County, New York, used to evaluate bidder qualifications for a consulting services contract. The form requires offerors to provide detailed information about relevant past contracts and programs, including the contracting entity name, contract title, contract term, original and current contract values, and a brief description of the work performed. Offerors must identify whether they served as prime or subcontractor, provide original and final contract dates, specify any change orders with primary causes, and list key individuals who participated in the referenced contract and are proposed to support the current acquisition.

The form emphasizes the importance of providing frank, concise comments regarding performance on identified contracts and requires offerors to limit the number of past efforts and length of submissions according to specifications outlined in the RFP. Bidders must supply current primary customer points of contact information, including the program or project manager and contracting officer names, addresses, telephone numbers, fax numbers, and email addresses. If subcontractors were used, offerors must identify subcontractor names and their percentage responsibility on the contract. This Past and Present Performance Information Form is specifically applicable to the Rockland County Consulting Services including Sampling and Analysis for Asbestos, Lead and IAQ (mold/fungi) RFP-RC-2026-008 and must be completed and included in the technical proposal submission.

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Other files

File Type Posted
3-RFP Statement of Disclosures.pdf PDF
1-Appendix B Standard Terms Conditions for Service Contracts.pdf PDF
2-RFP-RC-2026-008 Consulting Service, Asbestos etc.pdf PDF

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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.

Rockland County

PURCHASING

Edwin J. Day, County Executive

T

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.

Consulting Services including Sampling and Analysis for Asbestos, Lead and IAQ (mold/fungi) RFP-RC-2026-008

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 .