Section_J_-_Att_No__003_-_Experience_and_PP_Form.pdf
PDF 192 KB Posted
- Attached to
- DIESEL FUEL DELIVERED TO ASH MOUNTAIN
- Solicitation number
- 140P8624Q0014
About this file
This document is an attachment to a solicitation for diesel fuel deliveries to Ash Mountain. The solicitation was issued by the Department of the Interior National Park Service Pacific West Region seeking diesel fuel to be delivered to Ash Mountain. Offerors are required to demonstrate three years of relevant experience providing diesel fuel deliveries, as well as submit completed past performance forms from three references. The solicitation number is 140P8624Q0014 and responses are due by the date specified on the FedBizOpps website. Pricing is to be provided per gallon of diesel fuel delivered to Ash Mountain.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P8624Q0014_Amd_0001.pdf | ||
| Section_J_-_Att_No__002_Scope_of_Work.pdf | ||
| Section_J_-_Att_No__001_Quote_Sheet.xlsx | XLSX spreadsheet | |
| Sol_140P8624Q0014.pdf |
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Text version
Offeror: _____________________________ RFQ 140P8624Q0014 Attachment No. 003
EXPERIENCE AND PAST PERFORMANCE
FORM
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 Instructions for the Submission of Quotation and Other Information (Section L).
List contracts and other pertinent work to describe how your experience is relevant to the requirements of this RFQ.
Use as many copies of this Form, or an equivalent, as may be required. Attach additional documents as needed. If you have no relevant experience, you must state that on this form in order to qualify for a neutral rating.
PART I – FINANCIAL DATA
I.1 FINANCIAL DATA AS OF ________________ (date)
CURRENT ASSETS $_________________ Name of Bank: _________________
CURRENT LIABILITIES $_________________ Point of Contact: _________________
NET WORTH $_________________ Phone Number: _________________
PART II – EXISTING COMMITMENTS
II.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK:
PERFORMANCE PERIOD:
II.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK:
PERFORMANCE PERIOD:
Offeror: _____________________________
PART III – PAST PERFORMANCE & RELEVANT EXPERIENCE
III.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.3 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.4 LARGEST CONTRACT IN THE PAST THREE YEARS
CONTRACT NUMBER __________________________
CONTRACT AMOUNT __________________________
CONTRACT DATE __________________________
AGENCY/OWNER: __________________________
DESCRIPTION OF WORK:
PART II – EXISTING COMMITMENTS
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