Attachment J Specialized Experience Information Sheet.docx
DOCX document 23 KB Posted
- Solicitation number
- 36C24821R0082
About this file
This document contains a specialized experience information sheet and details of a related federal contract opportunity for design-build services. The opportunity involves replacing eight air handling units at the West Palm Beach Veterans Affairs Medical Center, with a construction value between $2 million and $5 million. Interested parties must submit the experience sheet demonstrating relevant past performance on four projects as a prime contractor or subcontractor. The design-build contract will be awarded on a firm-fixed-price basis, and is set aside for Service-Disabled Veteran-Owned Small Businesses. The solicitation will be issued on May 12, 2021, with responses due June 14, 2021. The work will be overseen by the Department of Veterans Affairs Network Contracting Office 8 located in Tampa, Florida.
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Text version
SPECIALIZED EXPERIENCE INFORMATION SHEET
SPECIALIZED EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of four (4) projects, more than 4 will not be evaluated; less than 4 may result in a lower rating.
a. Contractor Information of awarded contract (Firm Name, Address, DUNS Number and Cage Code, Phone number, POC Name, POC email, Company email)
b. Contract and/or Task Order Number and Award Date (mm/dd/yyyy)
c. Project Title/Name and Location
d. Work Performed as: Prime Contractor, Subcontractor
e. Percent (%) of project work performed by your company
f. If you work as subcontractor, who was the prime?
(Firm Name, Address, DUNS Number and Cage Code, Phone number, POC Name, POC email, Company email)
g. Government Agency/Company which awarded contract to offeror, and Contact Information, such Contracting Officer/Procurement Official/Point of Contract (Name, Title, Email, Phone Number).
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 2
h. Description of project’s scope of work and the offeror’s specific roles and responsibilities in the project: Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement. Detail how work performed is relevant to the effort required by the solicitation? Use continuation sheet for additional information, if necessary.
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 3
i. Describe any difficulties and/or obstacles encountered during performance; steps taken toward resolution.
j. Describe unforeseen conditions and how each were resolved.
k. Performance Period, including contract start date (mm/dd/yyyy), and original completion date, if not completed, projected date (mm/dd/yyyy) contract start date:
Original completion date, if not completed, projected completion date (mm/dd/yyyy)
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
If not completed, Why?
m. Project is complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not completed for any reason, rating may be lower.
n. The Offerors shall indicate if any of the contracts listed were terminated and the type and reasons for the termination.
o. Original Contract Price (Award Amount), Final Contract Price (to include all modifications, if applicable), Explain Differences.
Original Contract Price: Final Contract Price:
Explain Differences:
Section h. Continuation Page 36C24821R0082
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