1.9.1 Attachment 1 - Demonstrated Prior Experience Questionnaire COVID-19 At-Home Testing Kits.docx

DEMONSTRATED PRIOR EXPERIENCE QUESTIONNAIRE

COVID-19 At-Home Testing Kits

Please complete the Demonstrated Prior Experience Questionnaire by providing the demographic and corporate experience information for your firm below. Offerors may provide up to three (3) reference projects for ongoing projects or projects completed within the last three (3) years of the date of this RFQ demonstrating relevant experience performing projects similar in size, scope, and complexity to this BPA. A project is considered a single contract or task/delivery/call order, or a collection of orders under a BPA or IDIQ contract. The Offeror’s response must provide a clear, specific, and concise description of your relevant corporate experience that provides only Federal experience. Extraneous narrative, elaborate brochures, public relations (PR) material, etc. shall not be submitted. If Offerors choose to submit as a prime/sub team or under a contractor teaming arrangement (CTA), please indicate which firm’s experience is being demonstrated. Offerors may choose only to submit as a prime. The Government will assess the collective experience in each Offeror’s submittal. The Corporate Experience Questionnaire must be submitted to the Contracting Officer (CO) – Sharon Edwards, Contracting Officer, at Sharon.Edwards@fema.dhs.gov and Erich Ducote, at erich.ducote@fema.dhs.gov no later than the specified submission date. (Page limit is five (5) pages using Times New Roman, font size 11.)

1. Firm Information

Name:

Address:

Name and Title of Representative:

GSA Schedule #:

Phone:

E-mail Address:

2. Labor Categories provided under projects:

3. If teaming with another firm(s), list their name(s) and address(es):

Firm Name:

Firm Address:

(NOTE: If more than three partners are proposed, add the remaining information on a separate sheet of paper.)

Contract Period:

5. List up to three [3] projects which demonstrate the firm's or team's prior experience performing work similar to that required by the PWS using the format below:

Project Name and Location

Nature of the work performed

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value

Contract Type

Software-as-a-Service (SaaS) – Yes/No

FedRAMP Level

6. Describe problems, failures, or data breaches that occurred during performance of the example and what actions were taken to mitigate/overcome them and ensure quality of performance.

7. Describe difficulties or constraints that occurred and what the company did to overcome them.

8. Describe challenges related to keeping software compliant with evolving cyber security requirements.

Submitted by (Print Name: First Last):