PAST PERFORMANCE REFERENCE ATTACHMENT A.pdf

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Attached to
Replacement of Existing Water Cooled Chillers *RFP*
Solicitation number
47PF0024R0022
Issued by

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This attachment is a past performance reference form for offerors to complete and submit as part of a proposal. It requests information on up to five past performance references for similar projects involving HVAC chiller and cooling tower replacement. References should include contract details like number, customer, contact information, facility type and size, project description and complexity, subcontracting details, and confirmation of on-time/on-budget completion. Offerors must identify predecessor companies and key personnel or subcontractors involved. The federal opportunity involves replacing water-cooled chillers, cooling tower, pumps, piping, controls and motor control center at the Senator Paul Simon Federal Building in Carbondale, Illinois, and also includes site work and a new metal fence.

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Text version

(The Solicitation)

PAST PERFORMANCE REFERENCE

ATTACHMENT A

Note: In accordance with the instructions contained in the paragraph entitled Basis of Award, the offeror shall complete this form and submit as part of their proposal. Make additional copies as necessary and complete one form for each reference. Please number each sheet (e.g. 1 of 5, 2 of 5) based on the number of references that you are submitting (minimum of 3, no more than 5).

1. OFFEROR (COMPANY NAME) 2. REFERENCE # OF

3. THIS PAST PERFORANCE REFERENCE IS FOR (select one)

NOTE TO OFFEROR: The Government reserves the right to approve or disapprove any changes in key personnel and/or subcontractor proposed by the Contractor after award. (See Section 00800 for further information)

OFFEROR

PREDECESSOR COMPANY(S): IDENTIFY NAME(S) OF COMPANY(S)

KEY PERSONNEL:WHO HAVE RELEVANT EXPERIENCE IDENTIFY NAME(S) OF KEY PERSONNEL

SUBCONTRACTOR(S) – IDENTIFY NAME(S) OF SUBCONTRACTOR(S)

4. CONTRACT STATUS AND TYPE

CURRENT GOVERNMENT

PREVIOUS NON GOVERNMENT

5. PROJECT NAME AND LOCATION (BUILDING, CITY, STATE)

6. CONTRACT NUMBER (IF FEDERAL GOVERNMENT CONTRACT) 7. CUSTOMER (COMPANY NAME OR GOVERNMENT AGENCY)

8. CONTACT PERSON (NAME AND TITLE) 9. CONTACT PHONE NUMBER

10. TYPE OF FACILITY (office building, courthouse, hospital, school, etc.) 11. SIZE OF PROJECT (SQUARE FOOTAGE)

13. IF COMPLETED PROJECT – COMPLETED ON TIME?

YES NO (If No, explain on back)

13A. START DATE 13B. COMPLETION DATE 13C. NUMBER OF DAYS

14A. IF CURRENT PROJECT – ON SCHEDULE?

YES NO (If No, explain on back)

14B. START DATE 14C. ESTIMATED COMPLETION DATE 14D. PERCENT COMPLETED

15. DESCRIPTION OF PROJECT AND COMPLEXITY

16. LIST WHICH ELEMENTS OF THE PROJECT WERE SUBCONTRACTED

17. PROBLEMS ENCOUNTERED AND CORRECTIVE ACTIONS TAKEN

YES NO

12. IS THE PROJECT FOR OR SIMILAR TO HVAC Chiller & Cooling Tower Replacement

File details come from the government source that posted it. Updated .