Section_J_-_Att_No__004_Experience_and_PP_Form.pdf

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Attached to
VAULT AND PORTABLE TOILET SERVICE
Solicitation number
140P8625Q0007
Issued by

About this file

This is an Experience and Past Performance Form template that serves as Attachment 004 to RFQ No. 140P8625Q0007 for Vault and Portable Toilet Services for the Department of Interior National Park Service Pacific West Region.

The form is divided into three main sections: Financial Data (Part I), Existing Commitments (Part II), and Past Performance & Relevant Experience (Part III). Part I requires current financial information including assets, liabilities, net worth, and banking details. Part II requests information about current contract commitments, while Part III asks for details about past performance and relevant experience, including the offeror's largest contract in the past three years. The form allows offerors to demonstrate their relevant experience through multiple contract examples, with fields for contract numbers, amounts, agency information, points of contact, and descriptions of how the experience relates to the current project requirements.

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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. 140P8625Q0007 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. 140P8625Q0007 Attachment No. 004

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