EXHIBIT A - Statement of Prior Experience.docx
DOCX document 34 KB Posted
- Attached to
- Z1DA--Sterile Storage Improvements Construction Federal contract opportunity
- Solicitation number
- 36C24426R0056
About this file
This is an Exhibit A template for Statement of Prior Experience that contractors must submit to demonstrate their qualifications for federal construction projects. The form requires offerors to document no more than three (3) prior projects completed within five years of the solicitation issue date, providing detailed information about each project including the offeror's company name, project title, contract number, original and final contract values, completion dates, and a comprehensive description of work performed and its relevance to the solicited project. Contractors must identify the specific elements of work their firm performed, detail work performed by major subcontractors and indicate whether those same subcontractors will be used on the awarded project, and provide points of contact with current phone numbers and email addresses from the government agency or project owner for reference purposes.
Part 2 of the form requires offerors to name all subcontractors and teaming partners to be utilized on the contract, with a maximum of three (3) subcontractors permitted per discipline. This exhibit is directly applicable to the Z1DA--595-23-104 Sterile Storage Improvements Construction project at Lebanon VA Medical Center in Pennsylvania, which is a 100% Service Disabled Veteran Owned Small Business (SDVOSB) set-aside with a construction cost magnitude between $2,000,000 to $5,000,000, firm fixed-price contract for a 300-calendar-day period of performance, and proposals due May 07, 2026, by 1:00 pm EST. The NAICS code is 236220 (Commercial and Institutional Building Construction) with a small business size standard of $45.0 million in annual receipts.
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Text version
PART 1: Prepare no more than three (3) Part 1 forms:
Provide the following information requested in this format for each of the projects/contracts being described. Projects may be on going and cannot have been completed any later than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use additional space as required.
A. Offeror (Your) Name (Company/Division):
B. Project/Contract Title:
C. Contract Specifics:
1. Description of Effort as Prime or _Subcontractor
2. Contract Number
3. Original Contract $ Value Current/Final Contract $ Value
4. If amounts in 3 above are different, provide a brief description of the reason:
5. Completion Date:
1. Original Date:
2. Current Schedule: _____________________
3. Estimate/Final Completion Date:
4. Primary cause for Contract Modifications
D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. (Use as much space as necessary)
In addition, address the following
1. Describe the specific elements of the work performed by your firm.
2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on projects awarded under this solicitation. Should you intend to use these same subcontractors, please list their company names and described their principal areas of work that they will perform.
3. Address any technical areas about this project you consider uniquely relevant to this solicitation.
E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR); include a current phone number and email address for each.
EXHIBIT A STATEMENT OF PRIOR EXPERIENCE
End of Part 1- Questionnaire Requirements – Prepare and send Exhibit C Package to the reference(s) for each of the no more than three Construction Projects, or Specialty Trade if applicable provided in Exhibit A, Part 1. See below for Exhibit A, Part 2.
Page 1 of Page 1 of Part 2 - Additional offeror information required.
A. Name subcontractors and/or Teaming Partners to be utilized on this contract. Multiple subcontractors may be named for the same discipline but are limited to a maximum of three (3) subcontractors per discipline. As a minimum, provide the name(s) of subcontractors to be utilized in the following areas:
(Specialty Trades will address their specific trade for any major subcontractor or Teaming partner)
Page 1 of Page 1 of
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