Attachment 4 - Case History Form .docx

DOCX document 13 KB Posted

Attached to
Contract RFP/PSBE/PDVOB NJ|25-PROS1-121740
Contract number
25-PROS1-121740
Issued by
New Jersey

About this file

Attachment #4 is a Case History Form template designed for bidders participating in a state and local contract solicitation. The document provides a standardized format for bidders to document their relevant project experience and qualifications. The form is intended to be completed once for each completed project that demonstrates the bidder's capability to perform the services required under the solicitation.

The Case History Form requires bidders to provide comprehensive project information including client name and contact details, project location and name, project timeline, scheduling performance, personnel allocation, and a detailed description of services provided that are relevant to the contract being bid. The template includes five identical form iterations, allowing bidders to submit experience documentation for up to five completed projects. Key evaluation criteria embedded in the form include whether projects were completed on schedule and the maximum number of personnel assigned to each project, enabling the contracting entity to assess the bidder's project management capability, staffing capacity, and track record of on-time delivery.

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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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