Attachment 4 - Case History Form .docx

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Attached to
Contract RFP/PSBE/PDVOB NJ|26-PROS1-127070
Contract number
26-PROS1-127070
Issued by
New Jersey

About this file

The document is an Attachment 4 Case History Form template designed for bidders to document their previous project experiences when submitting a bid for a contract. The form is a standardized template with five identical sections, each intended to capture detailed information about past completed projects relevant to the current bid solicitation. The template requires bidders to provide comprehensive project details, including client information, project specifics, timeline, personnel allocation, and a description of services provided.

While the template is blank and does not contain specific project details, it is structured to collect critical information about a bidder's qualifications and past performance. The form seeks to capture key project metrics such as client contact information, project name and address, start and completion dates, whether the project was completed on schedule, maximum personnel assigned, and a narrative description of services. This template appears to be part of a comprehensive bid evaluation process, allowing the contracting agency to assess a bidder's experience, capability, and track record in delivering similar services or 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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