Revised Attachment 16 Experience Information Sheet 4 Pages.pdf
PDF 174 KB Posted
- Solicitation number
- 36C24826R0094
About this file
This is an Experience Information Sheet template used to document and evaluate contractor past performance on awarded federal contracts.
The form requires contractors to provide comprehensive details about previously completed or ongoing contract work, including: contractor company information (name, address, DUNS number, contact details); contract/task order number and award date; project title and location; role as prime contractor or subcontractor with percentage of work performed; prime contractor information if applicable; and government agency and contracting officer contact information. Contractors must describe the project scope of work and their specific roles and responsibilities in sufficient detail to demonstrate relevance to the current procurement, including explanation of how the prior work relates to the solicitation requirements.
Additional required information includes: documentation of any difficulties, obstacles, or differing site conditions encountered and their resolutions; performance period with contract start date and original/projected completion dates; actual completion date and explanation if not completed; confirmation of 100% project completion status; notification of any contract terminations with reasons; original contract price (award amount) and final contract price with all modifications, including explanation of any differences. The form includes continuation pages to accommodate detailed responses where necessary and is designed to allow government evaluators to assess contractor capability and experience relevant to proposed contract efforts.
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Text version
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1
a. Contractor Information of Awarded Contract (Firm Name, Address, DUNS Number, Phone number, POC Name, POC e‐mail, Company e‐mail)
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 or Subcontractor
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).
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 page for additional information, if necessary.
PROJECT NO. [ ] Page 3
i. Describe any difficulties and/or obstacles encountered during project performance; steps taken toward resolution
j. Describe differing site condition(s) occurrence(s) 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 (mm/dd/yyyy): Original completion date (mm/dd/yyyy):
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
m. Attesting the example project is 100% complete? YES [ ]
n. The Offerors shall indicate if any of the example project provided was 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:
PROJECT NO. [ ] Page 4
CONTINUATION PAGE:
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