6-RFP 06 Request for Client Information Form.pdf
PDF 175 KB Posted
- Solicitation number
- RFP26-34
- Issued by
- Los Alamos County, New Mexico
About this file
This is a Request for Client Information form issued by the Incorporated County of Los Alamos Procurement Division, located at 101 Camino Entrada, Building 3, Los Alamos, NM 87544. The document is a standard template designed for potential bidders or offerors to provide detailed information about their previous or current clients for a solicitation. The form requires companies to list a minimum of 3 clients from the past 3-5 years, with specific details including company name, address, contact information, service period, and a description of services provided and their outcomes.
The form emphasizes that the County reserves the right to contact listed clients to verify information, and warns that if client information is confidential or incomplete, it may negatively impact the evaluation scores of the offeror's bid or proposal. The document includes space for recording information for up to five different clients, with fields for comprehensive details such as contact names, positions, email addresses, telephone numbers, service periods, and engagement descriptions. The form is versioned 20250318 and spans three pages, providing a structured approach for vendors to demonstrate their past performance and client experience.
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Text version
REQUEST FOR CLIENT
INFORMATION
Incorporated County of Los Alamos
Procurement Division 101 Camino Entrada, Building 3
Los Alamos, NM 87544
Version:20250318
Please follow the instructions below to provide information about previous or current clients as requested in this form.
1. The County reserves the right to contact some or all of the clients listed to verify any information provided and to request that they provide additional information.
2. If previous client information is confidential, you may state so; however, if previous or current client information is a scored evaluation criteria, evaluation scores will reflect Offeror’s inability to include some or all of the requested information in the bid or proposal.
3. Provide a minimum of 3 previous or current clients for similar services performed in the last 3-5 years.
4. Information provided should include company name, address, contact name, position, e-mail address, telephone number, the period during which services were provided, a description of the services provided, and outcome of the engagement.
GENERAL INFORMATION
Offeror Company Name:
Solicitation No.:
Solicitation Title:
Name and Title of the Person Completing this Form
PREVIOUS OR CURRENT CLIENT INFORMATION
CLIENT 1
Company Name
Address
Contact Name and Position
E-mail Address
Telephone Number
Period During Which Services Were Provided
MM/DD/YY – MM/DD/YY
Description of Services Provided and Outcome of the Engagement
CLIENT 2
Company Name
Address
Contact Name and Position
E-mail Address
Telephone Number
CLIENT 3
Address
Contact Name and Position
E-mail Address
Telephone Number
CLIENT 4
Address
Contact Name and Position
E-mail Address
Telephone Number
CLIENT 5
Company Name
Address
Contact Name and Position
E-mail Address
Telephone Number
Period During Which Services Were Provided
MM/DD/YY – MM/DD/YY
| Company Name: |
| Address: |
| Contact Name and Position: |
| Email Address: |
| Telephone Number: |
| Period During Which Services Were Provided MMDDYY MMDDYY: |
| Description of Services Provided and Outcome of the Engagement: |
| Company Name_2: |
| Address_2: |
| Contact Name and Position_2: |
| Email Address_2: |
| Telephone Number_2: |
| Period During Which Services Were Provided MMDDYY MMDDYY_2: |
| Description of Services Provided and Outcome of the Engagement_2: |
| Company Name_3: |
| Address_3: |
| Contact Name and Position_3: |
| Email Address_3: |
| Telephone Number_3: |
| Period During Which Services Were Provided MMDDYY MMDDYY_3: |
| Description of Services Provided and Outcome of the Engagement_3: |
| Company Name_4: |
| Address_4: |
| Contact Name and Position_4: |
| Email Address_4: |
| Telephone Number_4: |
| Period During Which Services Were Provided MMDDYY MMDDYY_4: |
| Description of Services Provided and Outcome of the Engagement_4: |
| Company Name_5: |
| Address_5: |
| Contact Name and Position_5: |
| Email Address_5: |
| Telephone Number_5: |
| Period During Which Services Were Provided MMDDYY MMDDYY_5: |
| Description of Services Provided and Outcome of the Engagement_5: |
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