T2942 Bidder Data Form.pdf

PDF 280 KB Posted

Attached to
T2942 - Pump Station/Collection System & Water Treatment Plant Operator - Ancora Psych
Solicitation number
21DPP00640
Issued by
Camden County, New Jersey

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This document is a Bidder Data Sheet from the State of New Jersey Department of the Treasury Division of Purchase and Property for Bid Solicitation #21DPP00640. The Bidder Data Sheet requests information from vendors/bidders on prior contracts of similar size and scope, as well as any contracts terminated for cause within the last five years. The contract opportunity is for Pump Station/Collection System & Water Treatment Plant Operator services in Ancora Psych, located in Mercer County, New Jersey. Vendors are required to provide details on their relevant experience, including the contracting agency, contract name and number, contract term, scope of work summary, and contact information for references. Additionally, vendors must disclose any contracts terminated for cause, including a summary of the termination.

The document does not provide details on pricing terms, set asides, incumbent information, funding requirements, or other salient commercial details. The focus is on collecting vendor qualifications and background information to assess the vendor's ability to successfully complete the required scope of work.

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STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY

DIVISION OF PURCHASE AND PROPERTY

33 WEST STATE STREET, P.O. BOX 230

TRENTON, NEW JERSEY 08625-0230

DPP Rev. 9.15.17 Page 1 of 2

BIDDER DATA SHEET

BID SOLICITATION #: VENDOR/BIDDER:

THIS FORM WILL BE USED IN ASSESSING A VENDOR’S/BIDDERS’S QUALIFICATIONS

AND CAPABILITY TO PERFORM THE CONTRACT SCOPE OF WORK.

PART I - CONTRACTS OF SIMILAR SIZE AND SCOPE

List prior contracts performed by the Vendor/Bidder. Emphasis should be placed on contracts that are similar in size and scope to the work required by this Bid Solicitation as evidence of the Vendor’s/Bidder’s ability to successfully complete the scope of work required by this Bid Solicitation. If the Vendor/Bidder has not had any prior contracts enter “None” below.

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Scope of Work:

Contact Name:

Contact Phone No.: Contact Email:

Contract Number:

Contract Term:

Contract Number:

Contract Term:

Contract Number:

Contract Term:

Attach additional sheets if necessary.

PART II - CONTRACTS TERMINATED FOR CAUSE

Provide a list of all contracts terminated for cause within the last five (5) years prior to the normal contract expiration date.

The Vendor/Bidder should provide a summary of any negative action, including negative audit findings, taken on any contract of a similar size and scope. The disclosure should include, but is not limited to, receipt of letters of potential default, default, notice(s) to cure, termination of services for cause, or other similar notifications/processes. Additionally, the Vendor/Bidder should provide details, including any negative audits, reports, or findings by any governmental agency for which the

Vendor/Bidder is/was the Vendor/Contractor on any Contract of similar scope. If no contracts were terminated for cause during the last five (5) years, enter “None” below.

Contract Number:

Contract Term:

Summary of Termination:

Contract Number:

Contract Number:

Contract Number:

Attach additional sheets if necessary.

BID SOLICITATION: 21DPP00640
VENDORBIDDER:
Contracting Agency Entity:
ContractProject Name:
Contract Number:
Contract Term:
Summary of Contract Scope of Work:
Summary of Contract Scope of Work_2:
Summary of Contract Scope of Work_3:
Contact Name:
Contact Phone No:
Contact Email:
Contracting Agency Entity_2:
ContractProject Name_2:
Contract Number_2:
Contract Term_2:
Summary of Contract Scope of Work_4:
Summary of Contract Scope of Work_5:
Summary of Contract Scope of Work_6:
Contact Name_2:
Contact Phone No_2:
Contact Email_2:
Contracting Agency Entity_3:
ContractProject Name_3:
Contract Number_3:
Contract Term_3:
Summary of Contract Scope of Work_7:
Summary of Contract Scope of Work_8:
Summary of Contract Scope of Work_9:
Contact Name_3:
Contact Phone No_3:
Contact Email_3:
Contracting Agency Entity_4:
ContractProject Name_4:
Contract Number_4:
Contract Term_4:
Summary of Contract Scope of Work_10:
Summary of Contract Scope of Work_11:
Summary of Contract Scope of Work_12:
Contact Name_4:
Contact Phone No_4:
Contact Email_4:
Contracting Agency Entity_5:
ContractProject Name_5:
Contract Number_5:
Contract Term_5:
Summary of Termination:
Summary of Termination_2:
Summary of Termination_3:
Contact Name_5:
Contact Phone No_5:
Contact Email_5:
Contracting Agency Entity_6:
ContractProject Name_6:
Contract Number_6:
Contract Term_6:
Summary of Termination_4:
Summary of Termination_5:
Summary of Termination_6:
Contact Name_6:
Contact Phone No_6:
Contact Email_6:
Contracting Agency Entity_7:
ContractProject Name_7:
Contract Number_7:
Contract Term_7:
Summary of Termination_7:
Summary of Termination_8:
Summary of Termination_9:
Contact Name_7:
Contact Phone No_7:
Contact Email_7:
Contracting Agency Entity_8:
ContractProject Name_8:
Contract Number_8:
Contract Term_8:
Summary of Termination_10:
Summary of Termination_11:
Summary of Termination_12:
Contact Name_8:
Contact Phone No_8:
Contact Email_8:

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