Att J.4 REPs Summary Form .pdf

Attachment J.4 - REPs Summary Form Human Capital and Training Solutions 8(a)

Company Name: DUNS#:

REP #1

GENERAL INSTRUCTIONS

- The Government uses this form to verify the minimum requirements and scoring elements for six REPs. Offerors must complete all sections and substantiate each answer by submitting enough supporting documents.

- Each REP must meet the definition and minimum requirements specified in Section L.5.3.

- Offerors should highlight the section(s) that substantiate(s) the minimum requirement and scoring elements for each REP within the supporting documents.

- Offerors are allowed to submit a maximum of two (2) REPs as a Collection of Task Orders (COT) (ref. Section L.5.3.1). No more than 2 COTs are allowed. For each COT, Offerors must complete and submit Attachment J.4.1 (COTs Summary Form); for 2 COTs, 2 of the Attachment J.4.1 must be submitted.

, Select the REP type:

1. Is this REP a Collection of Task Orders?(if yes, leave this REP's section blank and fill out Attachment J.4.1)

2. REP Contract/Task Order/Purchase Order Number:

3. Customer (Agency/Org/Company):

4. Primary Reference (from awarding party) - Name:

Email:

5. Period of Performance (Performed) - Start Date:

6. Period of Performance (Estimated) - Start Date:

7. Total Obligated Value:

8. What NAICS code applies to this REP:

9. Select the supporting document submitted to substantiate the NAICS code, if any.

Note: Only for Non-Federal projects with no Past Performance record (no Attachment J.5 (Past Performance Evaluation Form)), Offerors can select "Self-Certified":

10. Did this REP include a "Cost-Reimbursement" type line item?

11. Did the offeror for this REP utilize resources from a parent organization, affiliate, division, or subsidiary?

(If Yes, MRCL documents must be submitted, see Section L.6)

, Phone:

, End Date:

, End Date:

, Total Estimated Value (including Options):

Naming Convention:

For each file, include your company name abbreviation at the beginning of the file's name. For example, for ABC company, this attachment should be named: "ABC_Att J.4_REPs Summary Form.pdf".

For all other supporting documents, use the same logic. For example, award documents of REP#2 can be: "ABC_Award doc_REP#2.pdf"

Acronyms:

COT: Collection of Task Orders REP: Relevant Experience Project KSA: Key Service Area

If applying for both Pools, a maximum of two REPs under Pool 1 can be used under Pool 2; please indicate which REP(s) were used as a common REP(s) under both Pools (if any):

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KSA 1 Scope Explanation: KSA 1 Customization Explanation:

KSA 1 Scope- Supporting Document Name: KSA 1 Customization- Supporting Document Name:

Check if this REP represents KSA 1:

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

KSA 2 Scope- Supporting Document Name: KSA 2 Customization- Supporting Document Name:

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

KSA 3 Scope- Supporting Document Name: KSA 3 Customization- Supporting Document Name:

Check if this REP represents KSA 2:

Check if this REP represents KSA 3:

Provide explanations about how this REP represents each KSA and the customization component. Then specify the supporting document(s) for each part:

12. Is this REP performed by an entity that has been acquired by the Offeror?

(if yes, Novation/Acquisition/Name-change documents must be submitted, see Section L.6)

13. Did this REP involve Subcontracting/Teaming with at least three separate entities?

14. What document is submitted to substantiate the past performance rating for this REP?

15. Supporting Document - Identify the file name of the award documents to substantiate answers for questions 1 through 16:

16. How many KSA(s) does the scope of this REP represent (refer to Section C.3.1 for scope/definition of each KSA):

REP #2

, Select the REP type:

1. Is this REP a Collection of Task Orders?(if yes, leave this REP's section blank and fill out Attachment J.4.1)

2. REP Contract/Task Order/Purchase Order Number:

3. Customer (Agency/Org/Company):

4. Primary Reference (from awarding party) - Name:

Email:

5. Period of Performance (Performed) - Start Date:

6. Period of Performance (Estimated) - Start Date:

7. Total Obligated Value:

8. What NAICS code applies to this REP:

, Phone:

, End Date:

, End Date:

, Total Estimated Value (including Options):

9. Select the supporting document submitted to substantiate the NAICS code, if any.

Note: Only for Non-Federal projects with no Past Performance record (no Attachment J.5 (Past Performance Evaluation Form)), Offerors can select "Self-Certified":

10. Did this REP include a "Cost-Reimbursement" type line item?

11. Did the offeror for this REP utilize resources from a parent organization, affiliate, division, or subsidiary?

(If Yes, MRCL documents must be submitted, see Section L.6)

12. Is this REP performed by an entity that has been acquired by the Offeror?

(if yes, Novation/Acquisition/Name-change documents must be submitted, see Section L.6)

13. Did this REP involve Subcontracting/Teaming with at least three separate entities?

14. What document is submitted to substantiate the past performance rating for this REP?

15. Supporting Document - Identify the file name of the award documents to substantiate answers for questions 1 through 16:

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

KSA 1 Scope- Supporting Document Name: KSA 1 Customization- Supporting Document Name:

Check if this REP represents KSA 1:

16. How many KSA(s) does the scope of this REP represent (refer to Section C.3.1 for scope/definition of each KSA):

Provide explanations about how this REP represents each KSA and the customization component. Then specify the supporting document(s) for each part:

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

KSA 2 Scope- Supporting Document Name: KSA 2 Customization- Supporting Document Name:

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

KSA 3 Scope- Supporting Document Name: KSA 3 Customization- Supporting Document Name:

Check if this REP represents KSA 2:

Check if this REP represents KSA 3:

REP #3

, Select the REP type:

1. Is this REP a Collection of Task Orders?(if yes, leave this REP's section blank and fill out Attachment J.4.1)

2. REP Contract/Task Order/Purchase Order Number:

3. Customer (Agency/Org/Company):

4. Primary Reference (from awarding party) - Name:

Email:

5. Period of Performance (Performed) - Start Date:

6. Period of Performance (Estimated) - Start Date:

7. Total Obligated Value:

8. What NAICS code applies to this REP:

, Phone:

, End Date:

, End Date:

, Total Estimated Value (including Options):

9. Select the supporting document submitted to substantiate the NAICS code, if any.

Note: Only for Non-Federal projects with no Past Performance record (no Attachment J.5 (Past Performance Evaluation Form)), Offerors can select "Self-Certified":

10. Did this REP include a "Cost-Reimbursement" type line item?

11. Did the offeror for this REP utilize resources from a parent organization, affiliate, division, or subsidiary?

(If Yes, MRCL documents must be submitted, see Section L.6)

12. Is this REP performed by an entity that has been acquired by the Offeror?

(if yes, Novation/Acquisition/Name-change documents must be submitted, see Section L.6)

13. Did this REP involve Subcontracting/Teaming with at least three separate entities?

Check if this REP represents KSA 1:

14. What document is submitted to substantiate the past performance rating for this REP?

15. Supporting Document - Identify the file name of the award documents to substantiate answers for questions 1 through 16:

16. How many KSA(s) does the scope of this REP represent (refer to Section C.3.1 for scope/definition of each KSA):

Provide explanations about how this REP represents each KSA and the customization component. Then specify the supporting document(s) for each part:

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

KSA 2 Scope- Supporting Document Name: KSA 2 Customization- Supporting Document Name:

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

KSA 3 Scope- Supporting Document Name: KSA 3 Customization- Supporting Document Name:

Check if this REP represents KSA 2:

Check if this REP represents KSA 3:

REP #4

1. Is this REP a Collection of Task Orders?(if yes, leave this REP's section blank and fill out Attachment J.4.1)

2. REP Contract/Task Order/Purchase Order Number:

3. Customer (Agency/Org/Company):

4. Primary Reference (from awarding party) - Name:

Email:

5. Period of Performance (Performed) - Start Date:

6. Period of Performance (Estimated) - Start Date:

7. Total Obligated Value:

8. What NAICS code applies to this REP:

, Phone:

, End Date:

, End Date:

, Total Estimated Value (including Options):

9. Select the supporting document submitted to substantiate the NAICS code, if any.

Note: Only for Non-Federal projects with no Past Performance record (no Attachment J.5 (Past Performance Evaluation Form)), Offerors can select "Self-Certified":

10. Did this REP include a "Cost-Reimbursement" type line item?

11. Did the offeror for this REP utilize resources from a parent organization, affiliate, division, or subsidiary?

(If Yes, MRCL documents must be submitted, see Section L.6)

12. Is this REP performed by an entity that has been acquired by the Offeror?

((if yes, Novation/Acquisition/Name-change documents must be submitted, see Section L.6)

13. Did this REP involve Subcontracting/Teaming with at least three separate entities?

14. What document is submitted to substantiate the past performance rating for this REP?

15. Supporting Document - Identify the file name of the award documents to substantiate answers for questions 1 through 16:

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

KSA 1 Scope- Supporting Document Name: KSA 1 Customization- Supporting Document Name:

Check if this REP represents KSA 1:

16. How many KSA(s) does the scope of this REP represent (refer to Section C.3.1 for scope/definition of each KSA):

Provide explanations about how this REP represents each KSA and the customization component. Then specify the supporting document(s) for each part:

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

KSA 3 Scope- Supporting Document Name: KSA 3 Customization- Supporting Document Name:

Check if this REP represents KSA 2:

Check if this REP represents KSA 3:

REP #5

, Select the REP type:

1. Is this REP a Collection of Task Orders?(if yes, leave this REP's section blank and fill out Attachment J.4.1)

2. REP Contract/Task Order/Purchase Order Number:

3. Customer (Agency/Org/Company):

4. Primary Reference (from awarding party) - Name:

Email:

5. Period of Performance (Performed) - Start Date:

6. Period of Performance (Estimated) - Start Date:

7. Total Obligated Value:

8. What NAICS code applies to this REP:

, Phone:

, End Date:

, End Date:

, Total Estimated Value (including Options):

9. Select the supporting document submitted to substantiate the NAICS code, if any.

Note: Only for Non-Federal projects with no Past Performance record (no Attachment J.5 (Past Performance Evaluation Form)), Offerors can select "Self-Certified":

10. Did this REP include a "Cost-Reimbursement" type line item?

11. Did the offeror for this REP utilize resources from a parent organization, affiliate, division, or subsidiary?

(If Yes, MRCL documents must be submitted, see Section L.6)

12. Is this REP performed by an entity that has been acquired by the Offeror?

(if yes, Novation/Acquisition/Name-change documents must be submitted, see Section L.6)

13. Did this REP involve Subcontracting/Teaming with at least three separate entities?

Check if this REP represents KSA 1:

14. What document is submitted to substantiate the past performance rating for this REP?

15. Supporting Document - Identify the file name of the award documents to substantiate answers for questions 1 through 16:

16. How many KSA(s) does the scope of this REP represent (refer to Section C.3.1 for scope/definition of each KSA):

Provide explanations about how this REP represents each KSA and the customization component. Then specify the supporting document(s) for each part:

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

KSA 2 Scope- Supporting Document Name: KSA 2 Customization- Supporting Document Name:

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

KSA 3 Scope- Supporting Document Name: KSA 3 Customization- Supporting Document Name:

Check if this REP represents KSA 2:

Check if this REP represents KSA 3:

REP #6

1. Is this REP a Collection of Task Orders?(if yes, leave this REP's section blank and fill out Attachment J.4.1)

2. REP Contract/Task Order/Purchase Order Number:

3. Customer (Agency/Org/Company):

4. Primary Reference (from awarding party) - Name:

Email:

5. Period of Performance (Performed) - Start Date:

6. Period of Performance (Estimated) - Start Date:

7. Total Obligated Value:

8. What NAICS code applies to this REP:

, Phone:

, End Date:

, End Date:

, Total Estimated Value (including Options):

9. Select the supporting document submitted to substantiate the NAICS code, if any.

Note: Only for Non-Federal projects with no Past Performance record (no Attachment J.5 (Past Performance Evaluation Form)), Offerors can select "Self-Certified":

10. Did this REP include a "Cost-Reimbursement" type line item?

11. Did the offeror for this REP utilize resources from a parent organization, affiliate, division, or subsidiary?

(If Yes, MRCL documents must be submitted, see Section L.6)

12. Is this REP performed by an entity that has been acquired by the Offeror?

(if yes, Novation/Acquisition/Name-change documents must be submitted, see Section L.6)

13. Did this REP involve Subcontracting/Teaming with at least three separate entities?

14. What document is submitted to substantiate the past performance rating for this REP?

15. Supporting Document - Identify the file name of the award documents to substantiate answers for questions 1 through 16:

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

KSA 1 Scope- Supporting Document Name: KSA 1 Customization- Supporting Document Name:

Check if this REP represents KSA 1:

16. How many KSA(s) does the scope of this REP represent (refer to Section C.3.1 for scope/definition of each KSA):

Provide explanations about how this REP represents each KSA and the customization component. Then specify the supporting document(s) for each part:

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

KSA 3 Scope- Supporting Document Name: KSA 3 Customization- Supporting Document Name:

Check if this REP represents KSA 2:

Check if this REP represents KSA 3:

*Save this document as "Companyname_Att J.4_REPs Summary Form.pdf" (PDF format) and submit it under "Volume 3" folder of your proposal.