ESBD_527225_1781307713875_ATTACHMENT G.5 References and Past Project Performance_final.pdf
PDF 105 KB Posted
- Attached to
- Concrete Pads
- Solicitation number
- TMD26-CHE-0044399
- Issued by
- Comal County, Texas
About this file
This is a References and Past Project Performance Sheet form required for submission in response to the Concrete Pads solicitation (IFB No. TMD26-CHE-0044399) issued by the Texas Department of Transportation (TMD) in Texas. Respondents must provide a minimum of three references from state, federal, and/or local governmental entities demonstrating similar work performed within the last five years. For each reference, respondents must document the project description, contact information, organization name, contract amounts (both original and final), service types provided, contractor status, project dates, and reasons for any contract termination or expiration. TMD cannot be listed as a reference.
The form requires respondents to disclose any sanctions or liquidated damages assessed during the past five years, any threatened, pending, or resolved disciplinary actions for substandard work or unethical practices, and any civil or criminal litigation or settlement agreements related to contract performance or services relevant to the solicitation. Respondents must also indicate whether any projects were terminated, stopped mid-completion, or terminated for default or convenience within the past five years, and if so, provide full details including the other party's name, address, and telephone number. This disclosure requirement ensures transparency regarding the respondent's past performance and compliance history.
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Text version
G.5 REFERENCES AND PAST PROJECT
PERFORMANCE SHEET
Must Be Completed and Returned with Response.
Solicitation IFB No. TMD26-CHE-0044399 - CONCRETE PADS
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 the solicitation within the last five (5) years and be from state, federal, and/or local governmental entities. Do Not include TMD as a reference.
#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Reason for contract termination/expiration, if contract is no longer in effect: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:
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
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