ESBD_399060_1740512373221_Form 3 References and Past Performance.docx
DOCX document 50 KB Posted
- Attached to
- FY25 Foster Youth Conference
- Solicitation number
- 3202500183
- Issued by
- Collin County, Texas
About this file
This is a References and Past Performance Form (Form 3) from the Texas Workforce Commission (TWC) for RFP #3202500183 regarding the FY25 Foster Youth Conference. The form requires respondents to provide a minimum of three references from contracts or projects performed within the last five years. Of these references, at least one must be knowledgeable about services similar to those described in the RFP, one must be from a government client, and one must be a general reference. TWC cannot be used as a reference.
The form requests detailed information for each reference including project descriptions, contact information, contract amounts (original and final), types of services provided, contractor/subcontractor status, contract dates, and performance history. Additionally, respondents must disclose any sanctions, disciplinary actions, legal proceedings, or early contract terminations within the past five years. The form includes specific fields for documenting any civil or criminal litigation, settlement agreements, or consent decrees related to contract performance or relevant services.
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Text version
FORM 3 REFERENCES AND PAST PROJECT PERFORMANCE SHEET
Must Be Completed and Returned.
3202500183 FY25 Foster Youth Conference
Respondent must provide a minimum of three (3) references who are willing and able to provide documentation about Respondent’s ability to perform similar requested services. These references must relate to similar contracts or projects performed as described in Section 2.2 of the RFP within the last five (5) years. The three (3) references must include: at least one (1) reference knowledgeable of the Respondent’s specific performance in providing services similar to the services described in this RFP, at least one (1) reference from a government client, and one (1) general reference. Do not include TWC as a reference.
References and Past Project Performance
#1-Project Description:
Contact Name:
Name of the organization to which the service was provided:
Reason for contract termination/expiration, if contract is no longer in effect:
| Contact Number: |
| Contact E-Mail Address: |
| Original Contract Amount: |
| Final Contract Amount: |
Types of services directly provided by the Respondent and whether the Respondent was the contractor or Subcontractor:
#2-Project Description:
Contact Name:
Name of the organization to which the service was provided:
Reason for contract termination/expiration, if contract is no longer in effect:
| Original Contract Amount: |
| Final Contract Amount: |
Types of services directly provided by the Respondent and whether the Respondent was the contractor or Subcontractor:
#3-Project Description:
Contact Name:
Name of the organization to which the service was provided:
Reason for contract termination/expiration, if contract is no longer in effect:
| Contact Number: |
| Contact E-Mail Address: |
| Original Contract Amount: |
| Final Contract Amount: |
Types of services directly provided by the Respondent and whether the Respondent was the contractor or Subcontractor:
Contract Performance
| Start Date: |
| Projected Completion Date: |
| Actual Completion Date: |
The Respondent has been assessed any Sanctions, including liquidated damages or other such monetary remedies, under any existing or past contracts during the last five (5) years, and, if so, note the reason for and the amount assessed or paid for each incident.
The Respondent was the subject of (i) any threatened, pending, or resolved disciplinary action for substandard work and/or unethical practices; or (ii) any order, judgment or decree of any federal or state authority barring, suspending or otherwise limiting the right of the Respondent to engage in any business, practice, or activity, during the last five (5) years.
The Respondent has been involved in any civil or criminal litigation and/or entered into any compromise agreement, settlement agreement, or resulting consent decree or judgements, if applicable, related to contract performance, the goods and/or services sought by this Solicitation, or that a reasonable person knowledgeable of the applicable industry would consider relevant to the work under the Contract. Respondents are not required to violate any confidentiality provision but must provide information not prohibited from disclosure.
Indicate if your company has had a project terminated, stopped in the middle, contract terminated for default or convenience within the past five (5) years. Yes or No, If yes, provide explanation full details including the others party’s name, address, and telephone number.
REFERENCES AND PAST PROJECT PERFORMANCE SHEET
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