ATTACHMENT_03_-_140P8625Q0076_-_PAST_PERFORMANCE_FORM.docx

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Attached to
NEW BOOM MOWER ATTACHMENT FOR SANTA MONICA MOUNTAI
Solicitation number
140P8625Q0076
Issued by

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This document is a Past Performance Form for Request for Quote (RFQ) 140P8625Q0076, issued by the Department of the Interior National Park Service Pacific West Region. The form is designed for potential offerors to demonstrate their relevant experience and existing commitments when bidding on a contract to purchase a new boom mower attachment for Santa Monica Mountains National Recreation Area (SAMO) in California.

The form provides structured sections for contractors to detail their existing commitments, past project experiences, and largest contracts from the past three years. Offerors are required to provide comprehensive information including customer details, contract specifics, project descriptions, challenges overcome, and project similarities to the current requirement. The form emphasizes documenting relevant experience within the last three years, with space for up to six project entries, and requires detailed contact information, contract values, performance periods, and project descriptions to help evaluate the contractor's qualifications for the boom mower attachment procurement.

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ATTACHMENT_01_-_140P8625Q0076_-_CONTRACT_PRICE_SCHEDULE.xlsx XLSX spreadsheet

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Text version

Offeror: _____________________________RFQ -
Offeror: _____________________________RFQ -

OFFEROR: __________________________________________________ RFQ - 140P8625Q0076

Attachment No. 03

EXISTING COMMITMENT, PAST PERFORMANCE AND RELEVANT EXPERIENCE QUESTIONNAIRE

Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. List jobs of similar nature/scope as performed within the last THREE (3) years. List contracts and other pertinent work to describe how your experience is relevant to the requirements of the RFQ. Use this form or an equivalent, attach additional documents as needed. If you have no relevant experience, you must state that on this form in order to qualify for a neutral rating.

0BPART I – EXISTING COMMITMENTS

I.1
Customer/Client’s Name

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Job/Project Value

Period of Performance

Project % Complete

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

I.2
Customer/Client’s Name

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Job/Project Value

Period of Performance

Project % Complete

OFFEROR: __________________________________________________ RFQ - 140P8625Q0076

Attachment No. 03

PART II – RELEVANT EXPERIENCE

II.1
Customer/contracting agency

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Contract number

Contract title with location

Experience was as a Prime or Subcontractor

Award date

Initial award amount

Award amount at contract completion

Contract completion date

Actual completion date

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

II.2
Customer/contracting agency

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Contract number

Contract title with location

Experience was as a Prime or Subcontractor

Award date

Initial award amount

Award amount at contract completion

Contract completion date

Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND

MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO

OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

II.3
Customer/contracting agency

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Contract number

Contract title with location

Experience was as a Prime or Subcontractor

Award date

Initial award amount

Award amount at contract completion

Contract completion date

Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

II.4 (if needed)
Customer/contracting agency

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Contract number

Contract title with location

Experience was as a Prime or Subcontractor

Award date

Initial award amount

Award amount at contract completion

Contract completion date

Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

II.5 (if needed)
Customer/contracting agency

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Contract number

Contract title with location

Experience was as a Prime or Subcontractor

Award date

Initial award amount

Award amount at contract completion

Contract completion date

Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

Template Rev 1 – 9/13/2022

Template Rev 1 – 9/13/2022

OFFEROR: __________________________________________________ RFQ - 140P8625Q0076

Attachment No. 03

II.6 LARGEST CONTRACT IN THE PAST (THREE (3) YEARS
Customer/contracting agency

Customer Point of Contact (POC) Name

POC Phone Number

POC Email

Contract number

Contract title with location

Experience was as a Prime or Subcontractor

Award date

Initial award amount

Award amount at contract completion

Contract completion date

Actual completion date

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