J.P-3 Project Verification Form v2 (Amd 0003).pdf

ATTACHMENT J.P-3

PROJECT VERIFICATION FORM (Current as of AMD 0003)

In accordance with Sections 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 Contractor performed the work detailed in Parts II and III.

JV and MAS CTA Project Experience Verification: To verify work performed as a member of a JV, the Project Verification Form must be signed by a member of the Joint Venture (other than the Offeror) within Part V.

To verify work performed as a member of a MAS CTA (when a contract award form and/or FPDS report was not issued to the member) the Project Verification Form must be signed by a member of the MAS CTA (other than the offeror) OR the CO, COR, or other Government employee within Part VI, verifying the Contractor performed the work detailed in Parts II and III.

Customer, Joint Venture, or Certifying MAS CTA Member: You are receiving this form because the Contractor claims that it performed the project identified in this form and is using the project to demonstrate experience in response to the OASIS+ Solicitation. To verify the Contractor’s claimed project experience, please ensure you sign this form, certifying the that Contractor identified in Part II 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

PART I: OFFEROR INFORMATION

OFFEROR NAME:

OFFEROR UEID:

If work was performed as a Joint Venture:

JOINT VENTURE NAME:

JOINT VENTURE UEID:

PART II: PROJECT IDENTIFICATION (Contractor who performed the work)

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)

TOTAL CONTRACT OR ORDER

VALUE:

PROJECT NAICS/PSC Code:

The following information is only required to verify work performed as member of a joint venture or MAS CTA (when an individual award form was not issued to the member):

TOTAL PROJECT VALUE

PERFORMED BY CONTRACTOR:

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 following 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 providing the requested information for each additional Domain.

Domain #1:

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 1000 characters per Domain).

Identify Domain #1:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #1:

2) Average annual value of relevant work for Domain #1:

Domain #2 (if applicable):

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 1000 characters per Domain).

Identify Domain #2:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #2:

2) Average annual value of relevant work for Domain #2:

Domain #3 (if applicable):

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 1000 characters per Domain).

Identify Domain #3:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #3:

2) Average annual value of relevant work for Domain #3:

Domain #4 (if applicable:):

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 1000 characters per Domain).

Identify Domain #4:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #4:

2) Average annual value of relevant work for Domain #4:

Domain #5 (if applicable):

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 1000 characters per Domain).

Identify Domain #5:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #5:

2) Average annual value of relevant work for Domain #5:

Domain #6 (if applicable):

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 1000 characters per Domain).

Identify Domain #6:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #6:

2) Average annual value of relevant work for Domain #6:

Domain #7 (if applicable):

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 1000 characters per Domain).

Identify Domain #7:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #7:

2) Average annual value of relevant work for Domain #7:

Domain #8 (if applicable):

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 1000 characters per Domain).

Identify Domain #8:

Relevance Narrative:

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 value of relevant work for each Domain where relevance is claimed.

1) QP minimum average annual value for Domain #8:

2) Average annual value of relevant work for Domain #8:

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

CAPABILITY QUALIFICATION

INTEGRATED Performance spanned 3 or more distinct functional areas (ref.

Attachment J.P-5, Functional Areas and Sub-Areas).

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

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).

MANAGEMENT &

STAFFING

Emergency Call Back (After Hours): Demonstrate performance where the work consisted of correcting failures that constituted an immediate danger to personnel or property. Response time required was within one hour, or less, of notification.

Emergency Call Back requests include, but are not limited to broken water pipes, electrical power outages, electrical problems that may cause fire or shock, gas or oil leaks, major air conditioning, heating problems or fire alarm malfunctions, etc.

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.

SCALE - ALL OFFERORS

EXCLUDING PROTÉGÉS

Annual value over $500K or 3 FTEs.

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.

SCALE - PROTÉGÉ

OFFERORS ONLY

Annual value over $250K or 2 FTEs.

Annual value over $500K or 3 FTEs.

Annual value over $1M.

Annual value over $1.25M or 6 FTEs.

Annual value over $1.5M.

Annual value over $2M or 10 FTEs.

Annual value over $3.75M.

Annual value over $5M.

Annual value over $5M or 25 FTEs.

Annual value over $37.5M.

Annual value over $50M.

SPECIALIZED

FUNCTIONAL

EXPERIENCE

CERCLA Requirements.

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, UXOs, 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.

MULTIPLE & OCONUS

LOCATIONS

Performance in 3 or more different locations.

Performance in 5 or more different locations.

Performance that involved work at an OCONUS location.

FEDERAL EXPERIENCE:

COMPETITION

Competitive task order in MA-IDIQ, MA-BOA, or MA-BPA environment.

FEDERAL EXPERIENCE:

COST-REIMBURSEMENT

Providing services under cost-reimbursement type contract.

FEDERAL EXPERIENCE:

ADVANCED R&D

R&D effort performed through the SBIR/STTR programs under Phase II or Phase III.

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

For federal projects: Contracting Officer with cognizance over the submitted project. For non-federal projects: Corporate Officer/Official of the commercial entity with cognizance over the submitted project.

By signing this section, the Contracting Officer or Corporate Official named in this section certifies the Contractor identified in Part II performed the project as detailed in Parts II and III.

NAME OF CONTRACTING

OFFICER OR CORPORATE

OFFICIAL (required):

TITLE:

EMAIL (required):

PHONE NUMBER (required):

AGENCY OR CUSTOMER:

SIGNATURE OF CONTRACTING

OFFICER OR CORPORATE

OFFICIAL:

DATE:

For federal projects: If Contracting Officer signature is not available, then Contracting Officer Representative, or other Government representative with cognizance over the submitted project.

By signing this section, the COR or Government representative named in this section certifies the Contractor identified in Part II performed the project as detailed in Parts II and III.

NAME OF COR OR OTHER

GOVERNMENT

REPRESENTATIVE:

TITLE:

EMAIL:

PHONE NUMBER:

AGENCY OR CUSTOMER:

SIGNATURE OF COR OR

GOVERNMENT

REPRESENTATIVE:

DATE:

PART V: JOINT VENTURE CERTIFICATION (if applicable)

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

JOINT VENTURE MEMBER

NAME:

JOINT VENTURE MEMBER UEID:

CORPORATE OFFICIAL NAME:

CORPORATE OFFICIAL TITLE:

EMAIL:

PHONE NUMBER:

SIGNATURE:

DATE:

PART VI: MAS CTA MEMBER CERTIFICATION (if applicable)

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

CORPORATE OFFICIAL NAME:

CORPORATE OFFICIAL TITLE:

COMPANY NAME:

EMAIL:

PHONE NUMBER:

SIGNATURE:

DATE:

COR OR GOV SIGNATURE: