S02 - ATTACHMENT 6 - SPECIALIZED EXPERIENCE FROM.pdf
PDF 72 KB Posted
- Attached to
- Z1DA-- (PROJ: 546-CSI-125) D/B Replace LINAC (Linear Accelerator) Federal contract opportunity
- Solicitation number
- 36C24822R0126
About this file
This document contains a template for submitting specialized experience information related to a federal solicitation. The template requests details on three past projects including contractor and contract information, work performed and role, description of scope and relevance to the opportunity, performance period and completion dates, difficulties encountered and resolutions, and pricing details. The related federal contract opportunity is for replacing a linear accelerator at a Veterans Affairs medical center. It involves drafting a statement of work for the project.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24822R0126_2.docx | DOCX document | |
| S02 - ATTACHMENT 5- PAST PERFORMANCE QUESTIONNAIRE.pdf | ||
| S02 ATTACHMENT 3- PRICE MATRIX.xlsx | XLSX spreadsheet | |
| Attachment 1 Site Plan 09- CSI-125 Site and Floor Plan.pdf | ||
| S02 - ATTACHMENT 4 - EMR (1 PAGE).docx | DOCX document | |
| Attachment 2 - Wage Determination.pdf | ||
| 36C24822R0126.docx | DOCX document |
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Text version
SPECIALIZED EXPERIENCE FORM
SPECIALIZED 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:
File details come from the government source that posted it. Updated .