4-RFP-RC-2025-034 Past Present.pdf

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Attached to
Venous Blood Lead Level Testing State and local contract opportunity
Solicitation number
RFP-RC-2025-034
Issued by
Rockland County, New York

About this file

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This document is a Past & Present Performance Information Form from Rockland County, specifically for the Venous Blood Lead Level Testing RFP (RFP-RC-2025-034) issued under County Executive Edwin J. Day. The form is designed to be completed by potential offerors and included in their technical proposal, providing detailed information about their previous contract performance. The form requires bidders to document specifics about prior contracts, including the contracting entity, contract name/title, contract term, original and current contract values, and a description of their role as either a prime or subcontractor.

The form captures comprehensive performance details, including original and final contract dates, number of change orders, primary reasons for changes, and contact information for reference program/project managers and contracting officers. Additional sections require bidders to identify any subcontractors used, their percentage of contract responsibility, and key individuals who participated in the previous contract and are proposed to support the current acquisition. The form is structured to help Rockland County evaluate potential vendors' past performance and capability to execute the venous blood lead level testing services effectively.

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Other files for this state and local contract opportunity

Other files attached to Venous Blood Lead Level Testing, newest first.
File Type Posted
1-Appendix B Standard Terms Conditions for Service Contracts.pdf PDF
2-FEDERAL CONTRACT CLAUSE.pdf PDF
3-RFP-RC-2025-034 - Venous Blood Lead Level Testing.pdf PDF
5-RFP-RC-2025-034 Statement of Disclosures.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-2025-034Venous Blood Lead Level Testing

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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