4-RFP Past Present FILLABLE.pdf

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Attached to
Internal and External Penetration Testing SAAS Solution
Solicitation number
RFP-RC-2025-032
Issued by
Rockland County, New York

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This document is a Past & Present Performance Information Form issued by Rockland County under the direction of County Executive Edwin J. Day for RFP-RC-2025-032 regarding an Internal & External Penetration Testing SAAS Solution. Offerors are required to complete and include this form in their technical proposal, providing one form per contract or program submitted as a reference. The form requests comprehensive information about each identified contract, including the contracting entity name, contract title, contract term, original contract value, and current or final contract value. Offerors must describe their effort and identify whether they served as a prime contractor or subcontractor, provide original and current or final dates, note the number of any change orders issued, and explain the primary causes or reasons for those changes.

The form requires offerors to supply detailed contact information for two primary customer references: a Reference Program/Project Manager and a Reference Contracting Officer, with instructions to confirm all contact information is current prior to submission. Additionally, offerors must identify any subcontractors used and specify their percentage of contract responsibility, as well as name any key individuals who participated in the referenced contract and are proposed to support the acquisition detailed in the RFP. The document emphasizes limiting the number of past efforts submitted and the length of each submission to any limitations specified in the procurement specifications.

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Other files

File Type Posted
1-Appendix B Standard Terms Conditions for Service Contracts.pdf PDF
2-RFP-RC-2025-032- Internal and External Penetration Testing .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.

MoodieC Highlight

Judy Lozano Typewriter RFP-RC-2025-032 Internal & External Penetration Testing SAAS Solution

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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