Attachment 4 - Case History Form .docx
DOCX document 13 KB Posted
- Solicitation number
- 25DPP01125
- Issued by
- Bergen County, New Jersey
About this file
This file is a standardized Case History Form template provided as Attachment #4, consisting of five identical forms to be completed by bidders. Each form is designed to capture detailed information about previous project experience relevant to the contract being bid upon.
Each form requires bidders to provide comprehensive project information including client details (name, address, phone number, contact person), project specifics (site name, address, start and completion dates), whether the project was completed on schedule, maximum personnel headcount assigned, and a description of relevant services provided. The forms appear to be evaluation tools to assess bidders' past performance and relevant experience in similar projects.
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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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