Att_3_Experience___Past_Performance_Form.docx
DOCX document 28 KB Posted
- Attached to
- LAVO Annual Fire Protection System ITM Federal contract opportunity
- Solicitation number
- 140P8424Q0052
About this file
This document is the Experience & Past Performance Form for RFQ No. 140P8424Q0052 for Fire Protection System Inspection, Testing, and Maintenance (ITM) services at Lassen Volcanic National Park. The National Park Service (NPS) is seeking quotes from small businesses to provide ITM for 16 fire sprinkler systems and components at the park. The contract will be a firm-fixed-price purchase order for a base period plus four option periods. Vendors are required to provide information on 3 recent, relevant projects including project title, contract number, agency, dollar value, performance period, and how the project relates to the current requirement. References including name, title, phone, and email are also requested. The NAICS code is 238220 with a $19M size standard.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P8424Q0052_Amd_0003.pdf | ||
| Sol_140P8424Q0052_Amd_0002.pdf | ||
| Sol_140P8424Q0052_Amd_0001.pdf | ||
| Att_2_Quote_Sheet.pdf | ||
| Att_1_SOW.pdf | ||
| Att_4_Wage_Determination_5675___5627.pdf | ||
| Sol_140P8424Q0052.pdf | ||
| Att_5_Full_Text_Provisions.pdf |
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Text version
RFQ No. 140P8424Q0052 Attachment 3
EXPERIENCE & PAST PERFORMANCE FORM
Fire Protection System ITM Lassen Volcanic National Park
Instructions: Use this form, or the format of your choice, to provide us with information concerning recent and relevant experience. If you use another format, be sure to include all of information required by this form. If you plan to use a subcontractor, provide the name of the firm, the percentage of the total contract value that they will perform, and references for both the subcontractor and your firm.
Company Name:
Sub-Contractor (if any): _______________________________
Percentage of Work to be performed by Sub-Contractor: ______
1) Project Title: Contract # (if known):
Agency/Owner: $ Amount:
Performance Period:
Briefly describe how this project is similar in nature and scope to current advertised requirement:
Past Performance Reference (Name & Title):
Phone Number: Email:
2) Project Title: Contract # (if known):
Agency/Owner: $ Amount:
Performance Period:
Past Performance Reference (Name & Title):
Phone Number: Email:
3) Project Title: Contract # (if known):
Agency/Owner: $ Amount:
Performance Period:
Past Performance Reference (Name & Title):
Phone Number: Email:
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