ESBD_474659_1765400012004_3202600042_Form3.pdf
PDF 95 KB Posted
- Solicitation number
- 3202600042
- Issued by
- Texas
About this file
This is a References and Past Project Performance form (Form 3) for a Request for Proposal issued by the State of Texas for Unemployment Insurance Appeals Mentoring and Support Services (RFP No. 3202600042). Respondents are required to complete and submit this form as part of their proposal package. The form requests documentation of the respondent's ability to perform similar services through references related to comparable contracts or projects completed within a specified timeframe. Respondents must provide a minimum number of references, with a preference for references from state, federal, and/or local governmental entities, though the Texas Workforce Commission (TWC) may not be listed as a reference. The form includes sections for up to three project references, each requiring detailed information about the project description, contact information, contract amounts, service types, and whether the respondent served as the primary contractor or subcontractor.
The form also requires respondents to disclose comprehensive information regarding past contract performance and conduct during the preceding five years. This includes disclosure of any sanctions, liquidated damages, or other monetary remedies assessed under existing or past contracts; any disciplinary actions for substandard work or unethical practices; any orders or judgments from federal or state authorities limiting business activities; and any civil or criminal litigation, compromise agreements, settlements, consent decrees, or judgments related to contract performance or the services sought in the solicitation. Additionally, respondents must indicate whether their company has experienced project terminations, work stoppages, or contract terminations for default or convenience within the past five years, with full details required if applicable, including the other party's name, address, and telephone number.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
REFERENCES AND PAST PROJECT PERFORMANCE
FORM 3 – REFERENCES AND PAST
PROJECT PERFORMANCE SHEET
Must Be Completed and Returned.
RFP No. 3202600042 Unemployment Insurance Appeals Mentoring & Support
Services
Respondent must provide a minimum of [number] [(#)] 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 [number] [(#)] years, and [choose one: (1) must or (2) it is preferable they]be from state, federal, and/or local governmental entities.
Do not include TWC as a reference.
[IF MORE THAN THREE REFERENCES ARE BEING REQUESTED, ADD
ADDITIONAL BOXES TO THE TABLE]
#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:
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:
#3-Project Description:
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:
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.
FORM 3 – REFERENCES AND PAST PROJECT PERFORMANCE SHEET
File details come from the government source that posted it. Updated .