Experience information Sheet.pdf
PDF 216 KB Posted
- Solicitation number
- 36C24826Q0128
About this file
This document is an Experience Information Sheet template for contractors to document their past project experience. The four-page template is designed to capture comprehensive details about previous contract work, including:
Section A through G collect key administrative information such as contractor details, contract number, project location, work performed (as prime or subcontractor), and the government agency that awarded the contract. Sections H through O require detailed narrative descriptions of the project's scope, roles, challenges encountered, performance period, completion status, termination details (if applicable), and contract pricing. The template is structured to allow contractors to provide up to four different project examples, with each project spanning four pages of detailed documentation. The form appears intended to help evaluators assess a contractor's past performance, capabilities, and relevant experience for a potential new contract opportunity.
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| WD-FL20260208 01-02-26.pdf | ||
| 673-CSI-132 - Hazardous Materials Report 60 PERCENTAGE.pdf | ||
| 673-CSI-132 RFI Responses.docx | DOCX document | |
| 36C24826Q0128 0003.pdf | ||
| 36C24826Q0128 0002.pdf | ||
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| VA James A Haley 1 5T MRI -90 CD-Progress Drawings 12-15.pdf | ||
| 36C24826Q0128 0001.pdf | ||
| 2510179R0-DRAWINGS.pdf | ||
| WD FL20250208 05232025.pdf | ||
| PAST AND PRESENT PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| EMR 1 page.pdf | ||
| 36C24826Q0128_1.pdf | ||
| 2510179R0-DRAWINGS.pdf | ||
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| 36C24826Q0128.docx | DOCX document |
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Text version
EXPERIENCE INFORMATION SHEET
Project No. 1
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Project Location:
D. WORK PERFORMED AS PRIME OR SUBCONTRACTOR
E. PERCENT OF PROJECT WORK PERFORMED BY YOUR COMPANY
F. IF YOU WERE A SUBCONTRACTOR, WHO WAS THE PRIME CONTRACTOR?
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
Phone:
Email:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND 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 page 4 for additional information if necessary.
I. DESCRIBE ANY DIFFICULTIES AND/OR OBSTACLES ENCOUNTERED DURING PROJECT PERFORMANCE
AND STEPS TAKEN TOWARD RESOLUTION
J. DESCRIBE DIFFERING SITE CONDITIONS AND HOW EACH WAS RESOLVED
K. PERFORMANCE PERIOD
Contract Start Date (mm/dd/yyyy) Original Completion Date
L. COMPLETION DATE
If not completed, why?
M. ATTESTING THE EXAMPLE PROJECT IS 100% COMPLETE?
N. INDICATE IF ANY OF THE PROJECT WAS TERMINATED, THE TYPE OF TERMINATION AND REASON FOR TERMINATION
O. CONTRACT PRICE
Award Amount:
Final Price (with mods):
Explain Difference:
CONTINUATION PAGE
P. ADDITIONAL INFORMATION
Project No. 2
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND OFFEROR'S SPECIFIC ROLES AND RESPONSIBILITIES
IN THE PROJECT
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement.
Original Completion Date
L. COMPLETION DATE
Project No. 3
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND OFFEROR'S SPECIFIC ROLES AND RESPONSIBILITIES
IN THE PROJECT
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement.
Original Completion Date
L. COMPLETION DATE
Project No. 4
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND OFFEROR'S SPECIFIC ROLES AND RESPONSIBILITIES
IN THE PROJECT
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement.
Original Completion Date
L. COMPLETION DATE
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