Att_4_Experience___Past_Performance_Form.docx

DOCX document 28 KB Posted

Attached to
CRLA PUMP VAULT TOILETS Federal contract opportunity
Solicitation number
140P8424Q0039
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is the Experience & Past Performance Form for RFQ No. 140P8424Q0039 related to toilet vault and holding tank pumping services at Crater Lake National Park. The RFQ is seeking a qualified small business contractor to provide all equipment, materials, and labor required for the removal of human waste from 12 locations within the park. Offerors are instructed to use this form or a similar format to provide information on recent and relevant experience, including project details, contract values, performance periods, and references. The form also requires a description of the equipment that will be utilized on the project. The overall requirement falls under NAICS code 562991 with a $9 million size standard. The government anticipates awarding a firm-fixed-price purchase order resulting from this simplified acquisition solicitation.

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Other files attached to CRLA PUMP VAULT TOILETS, newest first.
File Type Posted
Sol_140P8424Q0039.pdf PDF
Att_3_52_212-3_Full_Text.pdf PDF
Att_2_DOL_Wage_Determination.pdf PDF
Att_5_Quote_Sheet.pdf PDF
Att_1_SOW.pdf PDF

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Text version

RFQ No. 140P8424Q0039 Attachment 4

EXPERIENCE & PAST PERFORMANCE FORM

Toilet Vault & Holding Tank Pumping Crater Lake 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 past performance 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:

II. EQUIPMENT

Describe the equipment that will be utilized on this project, including number available, type, capacity, and condition.

File details come from the government source that posted it. Updated .