B08_Past_Performance_Questionnaire_EDIS_IDS_Install.pdf
PDF 166 KB Posted
- Attached to
- EDIS GLENMONT MANSION IDS INSTALLATION
- Solicitation number
- 140P4526Q0041
About this file
This is a Past Performance Questionnaire and References form for RFQ 140P4526Q0041 issued by the National Park Service for EDIS INSTALL Intrusion Detection System services in West Orange, New Jersey.
Contractors must complete the questionnaire to receive consideration for award. The form requires submission of basic company information including contractor name, DUNS number, address, phone, fax, and business type classification. Contractors must document their experience in the specific work types requested, including years of experience as a prime contractor and/or subcontractor. The questionnaire includes a section asking whether the contractor has ever failed to complete awarded work or required performance/payment bonds, with space to explain any affirmative responses. A certification statement requires the signatory to attest that all statements are complete and correct and that named references are authorized to verify the contractor's capability to perform the project. The form requires submission of three past performance references completed within the last five years, with details including contract type, contract number (if applicable), total contract value, the agency or firm for which work was performed, contact person name and telephone number, email address, work start and end dates, and a brief description of duties performed. If handwritten responses are provided, they must be legible. Completed forms must be returned via email to Roselyn Sessoms at roselyn_sessoms@ios.doi.gov. The RFQ number is 140P4526Q0041.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P4526Q0041_Amd_0001.pdf | ||
| A04_EDIS_315008_Mansion_Security-Project_Manual.pdf | ||
| A06_EDIS_315008_Mansion_Security-Drawings.pdf | ||
| B03_NJ20260031_05082026.pdf | ||
| B08_BLANK_EDIS_Glenmont_IDS_Price_Schedule.xls | XLS spreadsheet | |
| Sol_140P4526Q0041.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
RFQ:140P4526Q0041 – EDIS INSTALL Intrusion Detection System, West Orange, NJ
Past Performance Questionnaire
Contractor Name: Duns #
Address: City: State: Zip:
Phone Number: Fax Number:
Type of Business:
_____Company ____Co-partnership ______Corp._____ Individual ____Non-Profit Org.
How many years do you or your firm has in the types of work requested by this solicitation?
_________________year(s).
How many years experience in contracting have you or your business had as a Prime Contractor? _________year(s) and/or Sub-contractor: _______(years)
List below the three (3) projects your business has completed within the last five (5) years of the proposed service requested by this solicitation, include the contract amount, the type of project, date completed and your reference contact name, address, email address and telephone number: (SEE ATTACHED SHEET)
Have you ever failed to complete any work awarded to you? ______Yes _____No
Has work ever been completed by performance/payment bond? ______Yes ______No
If “Yes” to either item, specify location and reason:
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the National Park Service with any information needed to verify my capability to perform this project.
Certifying Official Name and Title:
Signature (Sign in Ink):
Date:
140P4526Q0041 POINT OF CONTACT: ROSELYN SESSOMS, roselyn_sessoms@ios.doi.gov
RFQ 140P4526Q0041 – EDIS INSTALL Intrusion Detection System, West Orange, NJ
140P4526Q0041 POINT OF CONTACT: ROSELYN SESSOMS, roselyn_sessoms@ios.doi.gov
PAST EXPERIENCE & REFERENCES
REFERENCES:
This form must be completed by all quoters in order to receive consideration. If additional space is needed, this form may be duplicated as necessary. List any current or past experience which is pertinent to this position. Past performance and experience may be a combination of up to two contracts similar in size and complexity to those stated in the Technical Provisions and work experience in similar positions, performing duties similar in nature and complexity to the required services. Include (separately) details of any training which would enable you to better perform the work outlined in the specifications. Reference information should include a point-of-contact's name, telephone number and e-mail address. (IF
HANDWRITTEN, MUST BE LEGIBLE)
Experience No. 1
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Month/Year work began: Month/Year work ended: ________________________________________
Brief description of duties:
Experience No. 2
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
RFQ 140P4526Q0041 – EDIS INSTALL Intrusion Detection System, West Orange, NJ
140P4526Q0041 POINT OF CONTACT: ROSELYN SESSOMS, roselyn_sessoms@ios.doi.gov
E-mail address: ____________________________________________
Month/Year work began: Month/Year work ended: ________________________________________
Brief description of duties
Experience No. 3
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Month/Year work began: Month/Year work ended: ________________________________________
Brief description of duties:
Return form to:
Email:
roselyn_sessoms@ios.doi.gov mailto:linda_richardson@nps.gov
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