Experience_and_Past_Performance_Form.pdf

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Attached to
Contract for Polymers and Aluminum Sulfate for Yos
Solicitation number
140P8521Q0035
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Offeror: _____________________________ RFQ # 140P8521Q0035 Attachment No. 02

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 Instructions to Offerors and Other Information (L.5 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 (especially chemical deliveries):

I.2

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED (especially chemical deliveries):

Offeror: _____________________________ RFQ # 140P8521Q0035

PART II – PAST PERFORMANCE & RELEVANT EXPERIENCE

II.1

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

II.2

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED (especially chemical deliveries):

Offeror: _____________________________ RFQ # 140P8521Q0035

II.3

Customer/Client’s Name: __________________________

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Job/Project Value: __________________________

Performance Period: __________________________

BRIEF DESCRIPTION OF THE SERVICE PROVIDED (especially chemical deliveries):

II.4 LARGEST CONTRACT IN THE PAST THREE YEARS

Contact Person: __________________________

Phone Number: __________________________

Email: __________________________

Offeror: _____________________________ RFQ # 140P8521Q0035

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