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HSBP1013R0045 Attachment 4B (A0004 Version): Past Performance Relevant Experience Form Company Name: ____________________________________
Referenced Contract: ____________________________________ Instructions: Offerors will complete the following worksheet for each contract provided as a reference.
| ITEM |
| DESCRIPTION |
| YES/NO |
| QUANTITY |
| 1 |
| Did you serve as the prime contractor (rather than a subcontractor) for the referenced effort? |
| 2 |
| What were the total contract dollar value and the term of the contract, including all option periods? |
_____years
| 3 |
| Did you provide a full range of services (including janitorial, operations and maintenance, grounds maintenance, snow/ice removal, pest control, and trash and refuse removal)? What was the approximate square footage of this facility or campus location? |
Sq ft_______ Units ______
| 4 |
| Did the contract call for preventive maintenance, repairs and alterations? |
| 5 |
| Did you provide on call emergency repair services that were available 24 hours/days and 7 days per week? |
| 6 |
| Did you evaluate and make recommendations for improving your client’s maintenance procedures? |
| 7 |
| Did you conduct maintenance services that are subject to Agency and Federal programs and standards? |
| 8 |
| Was the client a Federal/State/municipal law enforcement facility? |
| 9 |
| Did you develop program performance baselines and controls? |
| 10 |
| Did you perform interior and routine maintenance on large HVAC (e.g. filters, vacuuming)? Indicate manufacturer/models. (use separate sheet if required.) |
Use separate sheet if required.
| 11 |
| Did you utilize environmentally friendly (green) cleaning materials and follow Federal/State/local disposal procedures? |
| 12 |
| Did you team with a diverse group of subcontractors that performed a variety of services? How many subcontractors were in place at one time? |
# of Subcontractors _________
| 13 |
| Did you evaluate and make recommendations for improving your client’s (preventive) maintenance web-based tracking data system(s)? |
| 14 |
| Did you use web-based tracking system to monitor maintenance progress? Which system did you use? |
| 15 |
| Did you develop and manage the client’s repairs and alterations and operation and maintenance schedules? If so, how many of such maintenance schedules did you manage? How many years for referenced project? |
Years ______
| 16 |
| Have you ensured that data from either equipment validation or other similar projects is adequately transferred to client? |
| 17 |
| Did you maintain on-site or off-site parts and supplies inventories? Please specify how large of an inventory budget, annually? |
annually
| 18 |
| Did you develop and operate under a comprehensive quality control plan? |
