Attachment 3 Past Experience Information Sheet.docx

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Attached to
C-130H Disassemble and Transport
Solicitation number
47QFWA19K0091
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File Type Posted
ID07190086 PWS dated 9.9.19.pdf PDF
Attachment 2 CDRLs.docx DOCX document
Attachment 1 Pricing Spreadsheet.xlsx XLSX spreadsheet
SOLICITATION COVERSHEET 12.19.19.pdf PDF
Attachment 4 QASP.docx DOCX document
ID07190086 Wage Determination.pdf PDF

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ATTACHMENT 3

PAST EXPERIENCE INFORMATION SHEET

(NOTE: This Attachment falls off of the PWS at the time of task order/contract award).

Provide the information requested in this form for each contract/program being described. Provide concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in the PWS, Sections L.5 and L.6 of this solicitation.

A.Offeror Name (Company/Division):_________________________________________
CAGE Code:_________________________________________
DUNS Number:_________________________________________

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes.)

B. Program Title: _____________________________________________________________

C. Contract Specifics:

1. Contracting Agency or Customer:__________________________________________________

2. Contract Number:__________________________________________________
3. Contract Type:__________________________________________________
4. Period of Performance:__________________________________________________
5. Total Contract $ Value:________________________(Total cost to inlcude all options)
6. Current Contract $ Value:_____________________ (Do not include unexercised options)

D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition):_________________________________________

E. Milestones:

1. Start Date:____________________________________________________
2. Completion Date:____________________________________________________

F. Primary Customer Points of Contact: (For Government contracts provide current information on both individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

Client Program Manager and/or Site Manager Information
Name

Office

Telephone

E-Mail

Contracting Officer Information
Name

Office

Telephone

E-Mail

G. Describe in as much detail as possible why this experience is relevant with respect to the scope of the overall task and to the requirements as described in PWS. Scope is defined as the range of work/skills being referenced is similar in nature to the requirements identified in the SOW/PWS. Please reference back to PWS Section M.3, Past Experience (PE) “similar” language.

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