Attachment 4 Case History Form 4.12.24.docx

DOCX document 13 KB Posted

Attached to
T2435 - Environmental Emergency Response Services: NJDEP & Statewide
Solicitation number
24DPP00971
Issued by
New Jersey

About this file

This document contains Attachment #4 Case History Forms related to a state and local contract opportunity in New Jersey. The contract, titled "T2435 - Environmental Emergency Response Services: NJDEP & Statewide", involves Mercer County and Trenton City. The forms require bidders to provide details on their past client projects, including client name and contact information, project name and location, project duration, whether the project was completed on schedule, maximum personnel assigned, and a description of the relevant services provided. The contract appears to be for environmental emergency response services across the state of New Jersey.

The pricing terms, funding requirements, and other salient financial information are not included in this attachment. The document also does not mention any set-asides, incumbents, or the current contract environment. The contract term and renewal options are also not specified.

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Text version

ATTACHMENT #4

CASE HISTORY FORM #1

Experience

The Bidder should review the Bid Solicitation prior to completing this form. The Bidder should prepare one form for each completed project.

Name of Bidder: __________________________________________________________

A. Client Name: ____________________________ Phone Number: _______________

B. Client Address: ________________________________________________________

C. Client Contact Person: __________________________________________________

D. Site/Project Name: ____________________________________________________

E. Site/Project Address: ___________________________________________________

F. Project Start Date: ___________________ Project Completion Date: ____________

G. Completed on Schedule: Yes ______ No ______

H. Maximum number of personnel assigned (head count)_______________

I. Describe the services provided that is relevant to this contract. _________________

CASE HISTORY FORM #2

Experience

The Bidder should review the Bid Solicitation prior to completing this form. The Bidder should prepare one form for each completed project.

Name of Bidder: __________________________________________________________

A. Client Name: ____________________________ Phone Number: _______________

B. Client Address: ________________________________________________________

C. Client Contact Person: __________________________________________________

D. Site/Project Name: ____________________________________________________

E. Site/Project Address: ___________________________________________________

F. Project Start Date: ___________________ Project Completion Date: ____________

G. Completed on Schedule: Yes ______ No ______

CASE HISTORY FORM #3

Experience

The Bidder should review the Bid Solicitation prior to completing this form. The Bidder should prepare one form for each completed project.

Name of Bidder: __________________________________________________________

A. Client Name: ____________________________ Phone Number: _______________

B. Client Address: ________________________________________________________

C. Client Contact Person: __________________________________________________

D. Site/Project Name: ____________________________________________________

E. Site/Project Address: ___________________________________________________

F. Project Start Date: ___________________ Project Completion Date: ____________

G. Completed on Schedule: Yes ______ No ______

CASE HISTORY FORM #4

Experience

The Bidder should review the Bid Solicitation prior to completing this form. The Bidder should prepare one form for each completed project.

Name of Bidder: __________________________________________________________

A. Client Name: ____________________________ Phone Number: _______________

B. Client Address: ________________________________________________________

C. Client Contact Person: __________________________________________________

D. Site/Project Name: ____________________________________________________

E. Site/Project Address: ___________________________________________________

F. Project Start Date: ___________________ Project Completion Date: ____________

G. Completed on Schedule: Yes ______ No ______

CASE HISTORY FORM #5

Experience

The Bidder should review the Bid Solicitation prior to completing this form. The Bidder should prepare one form for each completed project.

Name of Bidder: __________________________________________________________

A. Client Name: ____________________________ Phone Number: _______________

B. Client Address: ________________________________________________________

C. Client Contact Person: __________________________________________________

D. Site/Project Name: ____________________________________________________

E. Site/Project Address: ___________________________________________________

F. Project Start Date: ___________________ Project Completion Date: ____________

G. Completed on Schedule: Yes ______ No ______

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