J.P-3 Project Verification Form.docx

ATTACHMENT J.P-3

PROJECT VERIFICATION FORM

In accordance with Section L.5.2 and L.5.3, this attachment may be used for the following purposes:

· Customer (Federal and Non-Federal) Project experience verification in accordance with L.5.1.7.1 and L.5.1.7.2,

· Joint Venture (JV) project experience verification in accordance with Section L.5.1.7.3,

· Multiple Award Schedule Contractor Teaming Arrangement (MAS CTA) project experience verification in accordance with Section L.5.1.7.4.

Offeror fills out Parts I, II, and III. The Offeror is responsible for submitting the completed form with the claimed Qualifying Project or Federal Experience Project within the proposal.

Project Experience Customer Verification: To obtain customer project experience verification in accordance with L.5.1.7.1 and L.5.1.7.2, this form must be sent to the cognizant Contracting Officer, Contracting Officer’s Representative, other Government employee, or Corporate Officer/Official (customer) to verify the claimed project elements (qualifications). The customer must provide verification within Part IV of this form, verifying the Offeror performed the work detailed in Parts II and III.

JV and MAS CTA Project Experience Verification: To verify the work performed as a member of a Joint Venture or MAS CTA, the Project Verification Form must be signed by a member of the Joint Venture within part V or MAS CTA (other than the Offeror) within part VI, verifying the Offeror performed the work detailed in Parts II and III.

Customer, Joint Venture, or Certifying MAS CTA Member: You are receiving this form because the Offeror claims that it performed the project identified in this form and is using the project to demonstrate experience for its OASIS+ proposal. To verify the Offeror’s claimed project experience, please ensure you sign this form, certifying the that Offeror identified in Part I performed the project as detailed in Parts II and III as follows:

Part IV - Customer Certification/Signature Part V - Joint Venture Certification/Signature Part VI - MAS CTA Certification/Signature

Note: For MAS CTA project verification, this process is not required if individual award forms and FPDS-NG Reports were issued to each member.

PART I: OFFEROR INFORMATION

OFFEROR’S NAME:

a. If work was performed as a Joint Venture:

JOINT VENTURE NAME:

JOINT VENTURE UEI:

PART II: PROJECT IDENTIFICATION

CONTRACTOR NAME:

CONTRACT NUMBER:

ORDER NUMBER (if applicable):

PROJECT NAME:

FUNDING AGENCY ID OR CUSTOMER:

TOTAL PERIOD OF PERFORMANCE, INCLUDING OPTIONS: (MM/YYYY – MM/YYYY or MM/YYYY – Present)

PROJECT VALUE:

PROJECT NAICS:

If the Offeror is using this attachment to support “QP - Relevance” to the proposed Domain(s) in accordance with RFP Section L.5.2.3.1, the Offeror shall complete the below two sections which describes the relevance to each proposed Domain, and affirms that the relevant portion of the work exceeds the minimum QP criteria for each proposed Domain (e.g. >$500K average annual value). If the Offeror is submitting a QP across multiple Domains, this form may be used to demonstrate/verify relevance for additional proposed domains by copying the below two rows and providing the requested information for each additional Domain.

RELEVANCE TO PROPOSED DOMAIN(S): The Offeror must include a narrative statement clearly explaining how the project is relevant to each proposed Domain where relevance is claimed (Not to exceed 750 characters per Domain).

RELEVANT WORK MEETS OR EXCEEDS MINIMUM QP $ THRESHOLD: Offeror must provide two pieces of information which will be validated in PART IV by the customer:

1) QP minimum average annual dollar value for each Domain where relevance is claimed

2) Average annual dollar value of relevant work for each Domain where relevance is claimed

PART III: PROJECT QUALIFICATIONS (Offeror must check as applicable)

· Performance spanned 4 or more sub-areas detailed in section 1.C.2.7 Facilities Domain of J.P-5.

· Performance spanned > 5 different Labor Categories.

· Performance spanned 5 or more different Labor Categories.

· Performance spanned 5 or more distinct functional areas ref. Attachment J.P-5).

· Performance spanned 5 or more sub-areas outlined within the Environmental Functional Area (ref. Attachment J.P-5).

· Performance across all QPs spanned 8 or more distinct functional areas (ref. Attachment J.P-5).

· Emergency Work Request/Response: Demonstrate performance where the work consisted of correcting failures that constituted an immediate danger to personnel or property during normal working hours or after working hours. Response time required was within one hour of notification. Emergencies include but are not limited to broken water pipes, water intrusion, stalled elevators with trapped passengers, electrical power outages, electrical problems that may cause fire or shock, gas or oil leaks, major air conditioning or heating problems, etc.

· Managing 2 or more first-tier subcontractors/teaming partners.

· Managing 3 or more first-tier subcontractors/teaming partners.

· Managing 5 or more first-tier subcontractors/teaming partners.

· Providing services that involve 5 or more personnel with individual security clearances: Secret, Top Secret, Q (DOE).

· Staffing personnel with individual security clearances (Secret, Top Secret, Q (DOE)).

· Surge Capability: providing surge support (>10% QP value increase) with < 45 days lead time.

· Urgent Work Request/Response: Demonstrate performance where the work consisted of correcting failures that interrupted or adversely impacted building occupant operations but did not pose immediate danger during normal working hours. Response time required was within 24 hours of notification. Urgent work requests include but not limited to inoperative electrical circuits, temperature complaints, inoperative lighting above a workstation, flush valve stuck open, any malfunctions to equipment that affect the operations of building and its occupants.

· Annual value over $1M or 5 FTEs.

· Annual value over $2M.

· Annual value over $2.5M or 12 FTEs.

· Annual value over $3M.

· Annual value over $4M or 20 FTEs.

· Annual value over $7.5M.

· Annual value over $10M.

· Annual value over $10M or 50 FTEs.

· Annual value over $75M.

· Annual value over $100M.

· Climate Change Policy and Sustainability Initiatives.

· Contingency & Exercise Support that includes evidence of using SPOT and/or demonstration of SOFA/ACSA knowledge.

· Environmental Community Relations, Public Participation, and Stakeholder Engagement.

· Environmental Permitting and Compliance.

· Environmental Regulatory Development and Implementation

· Hazardous Waste Operations and Emergency Response (HAZWOPER) by Certified Personnel.

· Investigation and/or Remediation of PFAS/PFOA, PCBs, VOCs, or Nuclear/Radiological Contamination.

· Performance spanned 3 or more of the following specialized functional sub-areas: Building Management Services, Electrical Maintenance, HVAC Maintenance, Janitorial, Landscaping/Grounds Maintenance, Plumbing and Pipefitting.

· RCRA Requirements

· Surge Capability: providing surge support (>10% QP value increase ) with < 45 days lead time.

· Performance in 5 or more different locations.

· Performance that involved work at an OCONUS location.

· Applied Research or Experimental/Exploratory/Advanced Development as demonstrated by the PSC assigned to the project (PSC contains A in the 1st position and 2 or 3 in the 4th position).

· Project with an assessed Technology Readiness Level (TRL) of 3 or higher.

PART IV: CUSTOMER CERTIFICATION (or Corporate Officer/Official of the customer with cognizance over the submitted project for Non-Federal projects) By signing this section, the Customer named in this section certifies the Offeror identified in Part I performed the project as detailed in Parts II and III.

NAME:

TITLE:

AGENCY OR CUSTOMER:

EMAIL:

PHONE NUMBER:

SIGNATURE:

DATE:

PART V: JOINT VENTURE CERTIFICATION

By signing this section, the joint venture member named in this section certifies the Offeror identified in Part I performed the project as detailed in Parts II and III.

JOINT VENTURE MEMBER NAME:

JOINT VENTURE MEMBER UEI:

NAME:

TITLE:

AGENCY OR COMPANY:

EMAIL:

PHONE NUMBER:

SIGNATURE:

DATE:

PART VI: MAS CTA MEMBER CERTIFICATION

By signing this section, the MAS CTA member named in this section certifies the Offeror identified in Part I performed the project as detailed in Parts II and III.

NAME:

TITLE:

AGENCY OR CUSTOMER:

EMAIL:

PHONE NUMBER:

SIGNATURE:

DATE: