Atch_03_Experience_and_Past_Performance_Form.pdf

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Attached to
Sodium Hypochlorite & Sodium Carbonate for Yosemit
Solicitation number
140P8524Q0003
Issued by

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This document contains an experience and past performance form for solicitation number 140P8524Q0003 for sodium hypochlorite and sodium carbonate for Yosemit National Park. Offerors are required to demonstrate relevant past experience on similar jobs within the last three years by providing customer and client references, describing the services provided, and listing performance periods and job values. The largest contract in the past three years must also be detailed. Contact information for references must be included.

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Offeror: _____________________________ RFQ No.

140P8524Q0003

Attachment No. 03

FORM 1

EXPERIENCE AND PAST PERFORMANCE

Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. Refer to the RFQ Combined Synopsis/Solicitation Instructions to Offerors and evaluation factors (FAR 52.212-2, Evaluation- Commercial Products and Commercial Services). List jobs of similar nature/scope as performed within the last three years. Use as many copies of this Form, or an equivalent, as may be required. Attach additional documents as needed.

PART I – EXISTING COMMITMENTS

I.1 Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

I.2

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

Offeror: _____________________________ RFQ No. 140P8524Q0003 Attachment No. 04

PART II – PAST PERFORMANCE & RELEVANT EXPERIENCE

II.1

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

II.2

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

Offeror: _____________________________ RFQ No. 140P8524Q0003 Attachment No. 04

II.3

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

II.4 LARGEST CONTRACT IN THE PAST THREE YEARS

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

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