Attachment_5_Experience_and_Past_Performance_Form.docx

Offeror: _____________________________ RFQ 140P8521Q0023 Attachment No. 05

EXPERIENCE AND PAST PERFORMANCE

Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. Refer to the RFQ Quotation Package (L.4 What to Submit) including Evaluation Factors (M.1 Evaluation- Commercial Items). List jobs of similar nature/scope as performed within the last three years. Use as many copies of this form, or an equivalent, as may be required. Attach additional documents as needed.

PART I – EXISTING COMMITMENTS

I.1 Customer/Client’s Name: __________________________ Contact Person: __________________________ Phone Number: __________________________ Email: __________________________ Job/Project Value: __________________________ Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

I.2 Customer/Client’s Name: __________________________ Contact Person: __________________________ Phone Number: __________________________ Email: __________________________ Job/Project Value: __________________________ Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

PART II – PAST PERFORMANCE & RELEVANT EXPERIENCE

II.1

Customer/Client’s Name: __________________________ Contact Person: __________________________ Phone Number: __________________________ Email: __________________________ Job/Project Value: __________________________ Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

II.2

Contact Person: __________________________ Phone Number: __________________________ Email: __________________________ Job/Project Value: __________________________ Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

II.3

Contact Person: __________________________ Phone Number: __________________________ Email: __________________________ Job/Project Value: __________________________ Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED:

II.4 LARGEST CONTRACT IN THE PAST THREE YEARS

Contact Person: __________________________ Phone Number: __________________________ Email: __________________________ Job/Project Value: __________________________ Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED: