Attachment D Specialized Experience Form.pdf
PDF 68 KB Posted
- Solicitation number
- 36C24826R0057
About this file
This is a Specialized Experience Form template used to document contractor qualifications and past performance on federal contracts. Offerors must submit exactly three (3) projects; more than three will not be evaluated, and fewer than three may result in a lower rating.
For each project, offerors must provide: contractor information including firm name, address, DUNS number, CAGE code, and points of contact; contract/task order number and award date; project title and location; role as prime contractor, subcontractor, joint venture, or other arrangement; percentage of work performed by the company; prime contractor information if applying as a subcontractor; and government agency/contracting officer contact details. Additionally, offerors must describe the project scope of work and their specific roles and responsibilities with sufficient detail to demonstrate relevance to the current procurement, including any difficulties, obstacles, and unforeseen conditions encountered and how they were resolved. The form requires performance period dates (start and original/projected completion), actual completion date with explanation if incomplete, confirmation that projects are at least 50% complete, contract termination information if applicable, and original and final contract pricing with explanations of any differences. This template is designed to evaluate contractor experience and capability to perform on new federal solicitations.
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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 .