52.212-2 Attachment 2 - Technical Experience Project Worksheet.docx
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- W912P923R0039
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ATTACHMENT 2 – Technical Experience Project Worksheet Rivers Project Office Tree Planting and Forestry IDIQ
Use one (1) form per project and use additional pages as necessary to provide the requested information. Provide the following information to demonstrate experience. Each project should not exceed five (5) pages per project.
a. Name of Offeror on this solicitation: _____________________________________________________
b. Cage Code of Offeror on this solicitation: _________________________________________________ NOTE: If joint venture, Offeror must be registered as such in System for Award Management prior to due date and time of proposals.
c. Project Title & Contract/Task Order Number: ______________________________________________
d. Location/Site (Include Country, Prefecture and City where the project was performed):
e. Name of Company/Firm Involved in this completed project as the prime contractor (if this project was performed by a Joint Venture (JV), also indicate all JV members, cage codes, and copy of joint venture agreement).
f. What federal agency was the project completed for, if it was performed for a federal agency? _____________________________________________________________________________________
g. General Scope of Project/Project Description. Describe how this project demonstrates experience in elements listed in 52.212-2 Factor 1. Describe training of crew leader and tools used to complete the project.
h. Was a boat used to complete the project? Will your company have the capacity to operate a boat to access timber inventory data collection areas suitable for navigating the main channel and backwaters of the Mississippi and Illinois Rivers? Please describe basic information on boat and operator(s).
i. Date Construction Began: ______________________________________________________________ Completed/Percentage Complete: _________________________________________________________
j. Total Contract/Project Value:
Original: $ ____________________________________________________________________________ Modifications (Number of and Total Value: $ ________________________________________________ Reasons for Modification(s) if applicable:
k. Extent and Type of Work Subcontracted, if any:
l. If this project was performed by the Offeror’s parent/subsidiary/affiliate firm, describe the nature of the affiliation, and describe how the parent/subsidiary/affiliate firm’s resources (workforce, management, facilities, or other resources) will significantly contribute to the execution of this project.
m. Provide two (2) Points of Contact for Client/Agency (if the client is the U.S. Government, provide name and address of contracting office, name, and telephone number of Contracting Officer):
(1) Name and Title: ________________________________________________________________________ Telephone No. ________________________________________________________________________ E-mail: _______________________________________________________________________________ Address: _____________________________________________________________________________
(2) Name and Title: ________________________________________________________________________ Telephone No. ________________________________________________________________________ E-mail: _______________________________________________________________________________ Address: _____________________________________________________________________________
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