4-RFP Past Present FILLABLE.pdf

137 KB Posted

Attached to
Alternatives to Incarceration Programs
Solicitation number
RFP-RC-2025-029
Issued by
Rockland County, New York

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This document is a Past & Present Performance Information Form for Rockland County's RFP-RC-2025-029 Alternatives to Incarceration Program, issued under County Executive Edwin J. Day. The form is designed to be completed by potential offerors and included in their technical proposal, requiring detailed information about previous contract performance. The form requests comprehensive details about past contracts, including the contracting entity, contract name/title, contract term, original and current contract values, and a description of the effort.

The form requires bidders to provide specific information such as contract dates, number of change orders, primary customer contact points (including program/project manager and contracting officer details), subcontractor involvement, and key individuals who participated in the previous contract. The form is structured to help the county evaluate an offeror's past performance by soliciting frank, concise comments about previous contract experiences, with instructions to limit submissions to specifications' requirements and ensure contact information is current prior to submission.

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Other files

File Type Posted
1-Appendix B Standard Terms Conditions for Service Contracts.pdf PDF
2-RFP-RC-2025-029 Alternatives to Incarceration.pdf PDF
3-RFP Statement of Disclosures.pdf PDF
5-FEDERAL CONTRACT CLAUSE FILLABLE.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.

RFP-RC-2025-029 Alternatives to Incarceration Program

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 .