4-RFP Past Present FILLABLE.pdf

137 KB Posted

Attached to
Fiscal Agent- Workforce Development Board of Rockland County
Solicitation number
RFP-RC-2026-002
Issued by
Rockland County, New York

About this file

Written by GovTribe AI ·

This document is a Past & Present Performance Information Form issued by Edwin J. Day, County Executive, for the Workforce Development Board of Rockland County, Inc. (WDBRC) in collaboration with the Rockland County Office of Economic Development and Tourism. The form is a fillable template designed to be completed by offerors responding to RFP-RC-2026-002 for Fiscal Agent services. Offerors are required to submit detailed information about relevant past and present contracts or programs, including the contracting entity, contract name and title, contract term, original and current/final contract values, and the original and current/final dates. Offerors must identify whether they served as prime or subcontractors and document the number of any change orders issued, along with primary causes for those changes. The form requires offerors to provide current contact information for primary customer points of contact, including the reference program/project manager and reference contracting officer, with complete names, addresses, telephone numbers, fax numbers, and email addresses.

The form also requires offerors to identify any subcontractors used on referenced contracts and specify the percentage of contract responsibility assigned to each subcontractor. Additionally, offerors must identify by name any key individuals who participated in past contracts and are proposed to support the acquisition detailed in the RFP. Offerors are instructed to provide frank, concise comments regarding their performance on identified contracts and to limit the number of past efforts submitted and the length of each submission to any limitations specified in the solicitation specifications. The form is designed to be included as part of offerors' technical proposals and allows for the submission of multiple completed forms, with one form required for each contract or program being described as a reference.

View the file

Other files

File Type Posted
1-Appendix B Standard Terms Conditions for Service Contracts.pdf PDF
3-RFP Statement of Disclosures.pdf PDF
5-FEDERAL CONTRACT CLAUSE FILLABLE.pdf PDF
2-RFP-RC-2026-002-Fiscal Agent -WDBRC .pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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-2026-002 Fiscal Agent WDBRC

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 .