SIR Attachment 3 - Past Experience Information Form_rev.09172026_Amend0002.docx
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- Solicitation number
- 697DCK-25-R-00368
About this file
This is a Past Experience Information Form (Attachment 3) that vendors must complete and submit to the Federal Aviation Administration (FAA) as part of their proposal for Solicitation 697DCK-25-R-00368. The form requires vendors to provide detailed information about a relevant past experience example demonstrating their capability to perform the current requirement for printer consumables under the SAVES program.
Vendors must submit the completed form directly to Ms. Kay F. Morello (kay.f.morello@faa.gov) and Stephen Young (Stephen.young@faa.gov) no later than the proposal due date of October 20, 2026 at 5:00 PM ET. The form requires vendors to identify whether they served as the prime contractor, provide contract and order numbers, customer information, period of performance, and yearly commercial value of printer consumable sales. The narrative section, limited to two pages, must address four mandatory evaluation areas: (i) Technical quality and compliance with contract requirements; (ii) Schedule/Timeliness including meeting deadlines and reliable delivery; (iii) Customer Satisfaction with the vendor's service and products; and (iv) Cost Control efforts. According to Amendment 0002, vendors must demonstrate experience with at least three of the following brand names: Brother, Canon, Dell, Epson, HP, Lexmark, Okidata, or Xerox. The government reserves the right to verify all information submitted on this form.
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Attachment 3 (SIR # 697DCK-25-R-00368)
FACTOR 5 – PAST EXPERIENCE INFORMATION FORM
After completing this Past Experience Information Form, return it directly to this office via email to Ms. Kay F. Morello (kay.f.morello@faa.gov and Stephen.young@faa.gov) no later than the Proposal due date. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
Vendor Name (Prime Offeror):
Point of Contact Information:
Who was the vendor for this example?
Will this vendor serve as the prime contractor for the current requirement?
Contract Number and Order Number (if applicable):
Customer:
Customer Contracting Office Point of Contact Information:
Period of Performance:
Did the vendor serve as the prime contractor for this example?
Yearly commercial value of printer consumable sales:
Variety of brand names:
Contract value:
Narrative demonstrating example meets the size, scope and complexity requirements listed in the SIR under Factor 5 - Experience:
Begin narrative on following page. Narrative must not exceed two pages.
At a minimum the following areas must be addressed:
(i) Technical (quality of product or service) - The Contractor must describe past compliance with contract requirements and accuracy of orders and deliverables.
(ii) Schedule/Timeliness - The Contractor must detail how it met deadlines, provided reliable delivery and process and delivery orders on time.
(iii)Customer Satisfaction - The Contractor must describe satisfaction of customers with the Contractor’s service and product.
(iv) Cost Control - The Contractor must describe past efforts to control costs.
Experience Example Narrative:
RFP/SIR # 697DCK-25-R-00368
File details come from the government source that posted it. Updated .