19AQMM18R0252_Attachment_4_Corp_Experience_Template_1_Apr_2019.docx
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- Attached to
- INL/WHP IDIQs - Functional Area 4 - Operations, Logistics, and Facility Support Services
- Solicitation number
- 19AQMM18R0252
About this file
This document contains a template for corporate experience references to be submitted in response to solicitation 19AQMM18R0252. The template requests information on a reference contract or subcontract performed for pest control, grounds maintenance, janitorial services, scheduled and unscheduled maintenance of facilities and equipment, construction management, engineering, general logistics, operations and maintenance logistics management and support, distribution and transportation logistics, hazardous and nonhazardous material storage and handling, camp/FOL logistics support services, horizontal maintenance activities, and geographic information systems services. For each reference, offerors should provide the customer name and details, name of performing entity, contract details including period of performance, place of performance, labor categories used, and services provided. Subcontractors and partners utilized and their work should also be described.
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Text version
19AQMM18R0252 – ATTACHMENT 4 – 1 APRIL 2019
SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104
WHEN COMPLETED, FOR OFFICIAL USE ONLY
19AQMM18R0252 – ATTACHMENT 4
CORPORATE EXPERIENCE REFERENCE TEMPLATE
OFFEROR NAME:
OFFEROR DUNS:
OFFEROR CAGE CODE:
CONTRACT REFERENCE INFORMATION
Customer Identification: Include name, address, email, and telephone number of customer
Name of entity performing the work:
Full address and DUNS / CAGE numbers of entity performing the work:
Contract Number:
Total Contract Value:
Type of Contract (FFP, CPFF, T&M, etc.):
Date Work Started:
Date Work Concluded:
Place of performance:
Briefly describe the number of type of labor categories used in performing this contract:
TYPE OF SERVICES RENDERED (check all that apply)
| Type of Service Provided |
| Brief Description of Service |
|_| Pest Control
|_| Grounds Maintenance
|_| Janitorial
|_| Scheduled and Unscheduled Maintenance of Facilities
|_| Scheduled and Unscheduled Maintenance of Equipment
|_| Construction Management and Engineering
|_| General Logistics Services
|_| Operations & Maintenance Logistics Management and Support
|_| Distribution and Transportation Logistics
|_| Nonhazardous and Hazardous Material Storage and Handling
|_| Camp / FOL Logistics Support Services
|_| Horizontal Maintenance Activities
|_| Geographic Information Systems (GIS) Services
|_| Environmental Consulting Services
|_| Concept Development and Requirements Analysis
USE OF SUBCONTRACTORS / PARTNERS
List the name, address, and DUNS number of any subcontractors or partners utilized in performing the above services.
For each subcontractor / partner listed describe the work performed by each.
SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104
WHEN COMPLETED, FOR OFFICIAL USE ONLY
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