4-RFP-RC-2025-035 Past Present.pdf

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Attached to
Radon Testing and Mitigation
Solicitation number
RFP-RC-2025-035
Issued by
Rockland County, New York

About this file

The document is a Past & Present Performance Information Form from Rockland County, specifically for RFP-RC-2025-035 for Radon Testing and Mitigation services, issued under County Executive Edwin J. Day. The form is designed to be completed by potential offerors to provide detailed information about their previous contract performance, serving as a reference for the current request for proposal. While the form is a template and does not contain completed information, it requires vendors to document specifics about previous contracts, including contract details, contact information, subcontractor involvement, and key personnel.

The form solicits comprehensive performance data from bidders, including original and current contract values, contract terms, change order details, and primary customer points of contact. Vendors are instructed to provide frank, concise comments about their past performance and are limited in the number and length of past efforts they can submit. The form is intended to be included in the technical proposal and will help Rockland County evaluate the qualifications and historical performance of potential contractors for the radon testing and mitigation project.

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Text version

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-2025-035Radon Testing and Mitigation

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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