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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