009_Past_Project_Experience_Form.docx
DOCX document 25 KB Posted
- Solicitation number
- 140P3025R0004
About this file
The document is a Past Project Experience Form for the National Mall and Memorial Parks Crosswalk Line Striping Project. The form is designed for offerors to document their prior project experience, requiring detailed information about up to five individual projects. Key details to be captured include project description, contract number, location, contract amount, client/agency information, project dates, contractor status (prime or subcontractor), contract modifications, schedule adherence, time extensions, and potential disputes or defaults.
The associated federal contract opportunity (Solicitation Number 140P3025R0004) is for construction and service-related crosswalk line striping at the National Mall and Memorial Parks, administered by the Department of the Interior National Park Service National Office. The form serves as a critical evaluation tool for assessing potential contractors' qualifications and past performance, with strict guidelines about how information can be presented and used. Contractors are advised that the information is considered source selection sensitive and cannot be used for promotional purposes or to imply government endorsement.
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Text version
National Mall and Memorial Parks – Crosswalk Line Striping Project Experience Form (Offerors must complete this form for evaluation purposes – Offerors may use another format but must include all of the information requested per this form) Contents to be included for Technical Volume
NAME OF FIRM
POINT OF CONTACT
TELEPHONE NO.
EMAIL:
PRIOR PROJECT EXPERIENCE
(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)
PROJECT DESCRIPTION
(USE BLANK PAGE IF NECESSARY)
CONTRACT OR PROJECT NO.
LOCATION
CITY, STATE
CONTRACT AMOUNT (ROUND TO NEAREST DOLLAR)
| ORIGINAL |
| FINAL |
1.
| $ |
| $ |
2.
| $ |
| $ |
3.
| $ |
| $ |
4.
| $ |
| $ |
5.
| $ |
| $ |
NAME OF CLIENT / AGENCY
| POINT OF CONTACT |
| TELEPHONE NO. / EMAIL |
1.
2.
3.
4.
5.
| ORIGINAL PROJECT DATES |
| PRIME CONTRACTOR OR SUBCONTRACTOR |
| ANY CONTRACT MODIFICATIONS? (YES/NO) |
| HOW MANY |
| INITIATED BY: CLIENT, CONTRACTOR OR BOTH? |
| START |
| COMPLETION |
1.
2.
3.
4.
5.
| WERE THERE ANY TIME EXTENSIONS? (YES/NO) |
| IF SO, INDICATE NEW COMPLETION DATE? |
| WAS THE SCHEDULE MET? |
(YES/NO)
IF NOT, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
| HAVE YOU EVER ENTERED INTO A DISPUTE? (YES/NO) |
| IF SO, WHAT WAS THE REASON? |
(USE BLANK PAGE IF NECESSARY)
HAVE YOU EVER BEEN DEFAULTED?
(YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
Notice to Contractor
Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.
This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.
The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.
File details come from the government source that posted it. Updated .