3. Attachment A - Offeror Experience Form.pdf

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Attached to
John Day Dam Bearing Shoe Repair - Phase 2
Solicitation number
W9127N22R0023
Issued by

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This document contains an Offeror Experience Form template to be completed by bidders responding to Solicitation Number W9127N22R0023 issued by the U.S. Army Corps of Engineers, Portland District. The solicitation seeks a contractor to perform construction work replacing approximately 72 feet of bearing shoes on the middle third and 90 feet on the top third of the downstream gate at the John Day Dam navigation lock in Klickitat County, Washington. This is a follow-on project to work completed in March 2018 replacing the bottom third of the bearing shoes which are at risk of failure due to lateral cracking. Bidders must provide details of relevant past project experience including their role, responsibilities, and tasks performed that are similar in scope to the requirements of this solicitation for bearing shoe replacement work.

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FOR OFFICIAL USE ONLY

SOURCE SELECTION SENSITIVE INFORMATION

Source Selection Information -- See FAR 2.101 and 3.104.

ATTACHMENT A

OFFEROR’S EXPERIENCE FORM

NAME OF OFFEROR: ____________________________________________________________________

PROJECT TITLE: ________________________________________________________________________

CONTRACT NUMBER: ___________________________________________________________________

GEOGRAPHIC LOCATION: _______________________________________________________________

CONTRACT AWARD AMOUNT (U.S. DOLLAR) $______________________________________________

FINAL CONTRACT AMOUNT (U.S. DOLLAR) $________________________________________________

CONTRACT COMPLETION DATE: __________________________________________________________

CONTRACT DURATION (PERIOD OF PERFORMANCE): ________________________________________

(If not complete, provide % currently complete)

DESCRIPTION OF THE PROJECT’S SCOPE AND MAGNITUDE: (The description should provide sufficient detail to demonstrate the similarities with the proposed project.)

DETAILS OF OFFEROR’S INVOLVEMENT IN THE PERFORMANCE OF THE PROJECT: (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Specifically describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the solicitation requirement.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_600 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5833

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