ATTACHMENT_04_-_140P8625Q0074_-_PAST_PERFORMANCE_FORM.docx
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- Solicitation number
- 140P8625Q0074
About this file
This document is a Past Performance Form for Request for Quote (RFQ) 140P8625Q0074, designed to capture an offeror's existing commitments and relevant experience for a hazardous materials cleaning and soil sampling services contract with the National Park Service Pacific West Region at Golden Gate National Recreation Area (GOGA). The form provides a structured template for vendors to document up to six past projects, including detailed information such as customer/client names, points of contact, contract values, performance periods, project descriptions, and specific challenges overcome.
The form requires offerors to demonstrate their successful past experience in projects similar in scope and magnitude to the current requirement within the last three years. Vendors must provide comprehensive details about each project, including contract numbers, award dates, initial and final contract amounts, completion dates, and a narrative explaining how their previous work relates to the current solicitation's requirements. The form is specifically for a service contract involving hazardous materials cleaning and soil sampling at Building T1111 within the Golden Gate National Recreation Area, with the purpose of evaluating a potential contractor's qualifications and past performance.
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Text version
| Offeror: _____________________________ | RFQ - |
| Offeror: _____________________________ | RFQ - |
OFFEROR: __________________________________________________ RFQ - 140P8625Q0074
Attachment No. 04
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 - 140P8625Q0074
Attachment No. 04
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 - 140P8625Q0074
Attachment No. 04
| 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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