S02 - Attachment_6_Experience Information Sheet_(MANDATORY) DB_672-21-000_(4 Pages).docx
DOCX document 26 KB Posted
- Attached to
- Z2DA--Hurricane Recovery Project Phase 2
- Solicitation number
- 36C24822R0038
About this file
This document contains an experience information sheet template and details of a federal contract opportunity for hurricane recovery project phase 2 services. The experience information sheet template outlines the information required from offerors, including contact details, descriptions of up to three relevant past project experiences with specifics on scope, role, difficulties, schedule and pricing. The federal contract opportunity is a design-build project issued by the Department of Veterans Affairs Network Contracting Office 8, with a budget between $5-10 million. It seeks to repair damages from hurricanes Irma and Maria at the VA Caribbean Healthcare System in Puerto Rico. The 100% service-disabled veteran-owned small business set-aside solicitation will issue on December 29, 2021 via SAM.gov, with proposal responses due January 28, 2022. The primary point of contact is identified for any questions.
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EXPERIENCE INFORMATION SHEET
36C24822R0038 ATTACHMENT: 6
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of THREE (3) projects, more than 3 will not be evaluated; less than 3 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, Joint Venture, Other (explain)
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 50% or more complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not 50% 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:
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