Att_5_Experience___Past_Performance_Form.docx
DOCX document 29 KB Posted
- Attached to
- LAVO Alarm System Inspection Federal contract opportunity
- Solicitation number
- 140P8424Q0100
About this file
This document is an Experience and Past Performance Form related to a Request for Quotation (RFQ) for the Inspection, Testing, and Maintenance (ITM) of fire and intrusion alarm systems at Lassen Volcanic National Park. The purpose of the form is for the quoter to demonstrate their technical capability and past performance for similar alarm system projects.
The key details are: The RFQ number is 140P8424Q0100 and the NAICS code is 561621 with a $25 million size standard. This is a small business set-aside requirement issued by the National Park Service, Pacific West Region. Quoters are asked to provide at least three examples of relevant experience and three past performance references. The work is for a firm-fixed-price purchase order, and quotations must be submitted via email by the date and time specified in the solicitation. The Statement of Work is provided as an attachment for additional details on the requirement.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P8424Q0100_Amd_0004.pdf | ||
| Sol_140P8424Q0100_Amd_0003.pdf | ||
| Sol_140P8424Q0100_Amd_0002.pdf | ||
| Sol_140P8424Q0100_Amd_0001.pdf | ||
| Sol_140P8424Q0100.pdf | ||
| Att_2_WD_15-5627.pdf | ||
| Att_3_WD_15-5675.pdf | ||
| Att_1_SOW.pdf | ||
| Att_4_-_Full_Text_Provisions.pdf |
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Text version
RFQ No. 140P8424Q0100 Attachment 5
EXPERIENCE & PAST PERFORMANCE FORM
Fire & Intrusion Alarm System Inspection, Testing, & Maintenance Lassen Volcanic National Park
The purpose of this form is for the Quoter to demonstrate their technical capability to complete the work by providing a list of jobs of similar nature/scope and their past performance by providing references to current or former customers who will attest to the quality of their product or service as described under the Instructions to Quoters—Commercial Products and Commercial Services (RFQ Section III, Solicitation Provisions).
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, tasks they would perform, and references for both the subcontractor and your firm.
Company Name: ________________
Sub-Contractor (if any): ______________________________________________
Percentage of Work to be performed by Subcontractor: ______________________
Tasks to be performed by Subcontractor: ____________________________________
SECTION 1: RELEVANT EXPERIENCE
Provide at least three examples of recent (within the past five years) and relevant (alarm system ITM) experience:
Project Title: Contract # (if known):
| Agency/Owner & Contact Info: | __________________________________ | |
| Performance Period: | $ Amount: __________ |
Briefly describe how this project is similar in nature and scope to current advertised requirement:
Project Title: ____________________________ Contract # (if known): _______________
Agency/Owner & Contact Info: __________________________________
Performance Period: ________________ $ Amount: __________
Project Title: ____________________ Contract # (if known): ________________
Agency/Owner & Contact Info: __________________________________
Performance Period: ______________ $ Amount:__________
SECTION 2: PAST PERFORMANCE REFERENCES
References to current or former customers who will attest to the quality of your product or service as provided/performed within the past five years
Past Performance Reference (Name & Title):
Phone Number: Email:
Past Performance Reference (Name & Title): _______________________________________
Phone Number: _______________________ Email: ______________________
Past Performance Reference (Name & Title): ______________________________________
Phone Number: ______________________________ Email: ______________________
File details come from the government source that posted it. Updated .