Experience Information Sheet.docx
DOCX document 31 KB Posted
- Solicitation number
- 36C24825R0034
About this file
The Experience Information Sheet is a detailed template for contractors to document project experience for a federal contract opportunity. The specific solicitation is for a Bid-Build Construction RFP (Solicitation Number: 36C24825R0034) for a Hemodialysis Refresh Project (#516-23-117) at Bay Pines VA Hospital in St. Petersburg, Florida, issued by the Department of Veterans Affairs Veterans Health Administration.
The template requires comprehensive documentation of past project details, including contractor information, contract numbers, project scope, performance periods, challenges encountered, contract pricing, and completion status. Key sections require offerors to describe their specific roles, responsibilities, project relevance, obstacles overcome, and performance metrics. The document serves as a structured method for evaluating a contractor's qualifications and prior experience in similar construction or healthcare facility renovation projects, with a focus on providing detailed evidence of successful project execution.
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Text version
EXPERIENCE INFORMATION SHEET –
PROJECT NO. [ ] Page 1
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
36C24825R00345
| 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 ContractPrice:
Explain Differences:
File details come from the government source that posted it. Updated .