Att_6_Experience___Past_Performance_Form.docx

DOCX document 25 KB Posted

Attached to
LAVO - INSTALL VIDEO SURVEILLANCE CAMERAS Federal contract opportunity
Solicitation number
140P8424Q0119
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is an Experience & Past Performance Form related to a federal contract opportunity for a Video Surveillance System Service and Camera Installation at Lassen Volcanic National Park.

The form requires the vendor to provide at least three examples of recent and relevant experience, such as project titles, contract numbers, agency/owner contact information, performance periods, dollar amounts, and a brief description of how the projects are similar in nature and scope to the current requirement. The vendor must also provide three past performance references, including names, phone numbers, and email addresses, who will attest to the quality of the vendor's product or service within the past five years.

The related federal contract opportunity is for the supply and installation of two new cameras in the main Headquarters Building, as well as the inspection and servicing of existing video surveillance systems in 9 buildings at Lassen Volcanic National Park. This is a firm-fixed-price purchase order solicitation under NAICS code 238210, with a $19 million size standard, and is set aside for Small Business Concerns. The solicitation number is 140P8424Q0119, and the response is due via email as instructed in Section III by the date and time specified in Block 8 of the SF 1449.

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Other files for this federal contract opportunity

Other files attached to LAVO - INSTALL VIDEO SURVEILLANCE CAMERAS, newest first.
File Type Posted
Sol_140P8424Q0119.pdf PDF
Att_2_Surveillance_System_Inventory.xlsx XLSX spreadsheet
Att_4_WD_15-5675.pdf PDF
Att_5_-_Full_Text_Provisions.pdf PDF
Att_1_Specifications.pdf PDF
Att_3_WD_15-5627.pdf PDF

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Text version

Attachment 6, RFQ No. 140P8424Q01119

EXPERIENCE & PAST PERFORMANCE FORM

Video Surveillance System Service and Camera Installation

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 .