Section_J_-_Att_No__004_Experience_and_PP_Form.pdf

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Attached to
SAN JOAQUIN BRIDGE PACK SUPPORT Federal contract opportunity
Solicitation number
140P8623Q0073
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is an experience and past performance form for solicitation number 140P8623Q0073 from the National Park Service Pacific West Region to provide support for the San Joaquin Bridge pack. Offerors must complete this form to demonstrate relevant past experience comparable to the work required, including contracts and descriptions of how their experience relates to the requirements of this solicitation. They must provide financial data as of a given date as well as details of existing commitments and past performance, including contract numbers, amounts, agencies/owners, points of contact, descriptions of work, and performance periods. The largest contract in the past three years must also be included. This form aims to assess offeror qualifications for the bridge pack support work being solicited.

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Section_J_-_Att_No__003_SCA_WD_2015_-5609_Rev_20_12_27_2022.pdf PDF
Section_J_-_Att_No__002_SOW.pdf PDF
Section_J_-_Att_No__001_Quote_Sheet.pdf PDF
Sol_140P8623Q0073.pdf PDF

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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 RFQ Section L – Instructions, Conditions, and Notices to Offerors. 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:

RFQ No. 140P8623Q0073 Attachment No. 004

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:

RFQ No. 140P8623Q0066 Attachment No. 004

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