A2 GovtProvidedTechnicalProposalForms.pdf

PAST PERFORMANCE & EXPERIENCE FORM

List projects completed over the past 3 years that are similar to the solicited requirements.

Title and Location of Project

Year Completed

Project Owner (agency or firm that work was done for)

Project Owner Point of Contact Name and Phone Number

Brief Description of Project and relevance to this contract. Indicate scope, size, cost, principle elements, special features, & whether you were the prime or sub on this project.

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

EQUIPMENT FORM

List all equipment that will be used to complete the project requirements.

MAKE

MODEL YEAR DESCRIPTION/SPECIFICATIONS

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

PERSONNEL FORM

List personnel assigned to the project.

NAME

POSITION

YEARS OF

EXPERIENCE

BACKGROUND/EXPERIENCE/SKILLS

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

Sustainable Acquisition Plan List each type of products that you use in your business that support sustainable acquisition in the following categories

Non Ozone Deplelting

Substances www.epa.gov/ozone/s nap/index.html

Alternative Fuel Vehicles and Alternative Fuels http://www.afdc.energy .gov/fuels/

Water Efficient Products www.epa.gov/watersense

Electronic Products

Environmental Assessment Tool (EPEAT) Products www.epeat.net

Energy Efficient Products ie Energy Star, FEMP Designated, and Low

Standby Power www.energystar.gov/produ cts

Environmentaly

Preferable Products

(EPP)

www.epa.gov/epp

USDA Biiobased and Biopreferred Products http://www.biopr eferred.gov

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________ http://www.epa.gov/ozone/snap/index.html http://www.epa.gov/ozone/snap/index.html http://www.afdc.energy.gov/fuels/ http://www.afdc.energy.gov/fuels/ http://www.epa.gov/watersense http://www.epeat.net/ http://www.energystar.gov/products http://www.energystar.gov/products http://www.epa.gov/epp http://www.biopreferred.gov/ http://www.biopreferred.gov/