SIR Attachment 3 - Past Experience Information Form_REVISED 10-06-26 for Amendment 0003.docx

DOCX document 48 KB Posted

Attached to
Printer Consumables for the Strategic Sourcing for the Acquisition of Various Supplies and Equipment (SAVES) Program
Solicitation number
697DCK-25-R-00368
Issued by

About this file

This is a Past Experience Information Form (Attachment 3) that vendors must complete and submit to document their relevant experience for Federal Aviation Administration (FAA) Solicitation 697DCK-25-R-00368. Vendors must email the completed form to Kay F. Morello (kay.f.morello@faa.gov) and Stephen Young (Stephen.young@faa.gov) by the proposal due date of October 6, 2026 at 5:00 PM ET. The form requires vendors to provide detailed information about past contracts involving printer consumable sales, including contract numbers, customer details, period of performance, yearly commercial sales value, variety of brand names supplied, and total contract value. Vendors must demonstrate that their past experience meets the size, scope, and complexity requirements specified in the solicitation's Factor 5 evaluation criteria.

The narrative section of the form, limited to two pages, must address four mandatory areas: technical compliance and product quality, schedule performance and on-time delivery, customer satisfaction with service and products, and cost control efforts. The form is designed for the FAA's five-year IDIQ contract vehicle to supply 750+ items of toner and printer consumables under the Strategic Sourcing for the Acquisition of Various Equipment and Supplies (SAVES) program. This small business set-aside (NAICS 325992, 1500-employee threshold) will be awarded on a Lowest Priced, Technically Acceptable (LPTA) basis, and the government reserves the right to verify all submitted information.

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Other files

File Type Posted
21- 697DCK-25-R-00368.0004 Executed.pdf PDF
SIR Attachment 5 - Proposal Checklist_REVISED 10-06-26 for Amendment 0003.pdf PDF
SIR Attachment 4 - Past Performance Questionnaire_REVISED 10-06-26 for Amendment 0003.docx DOCX document
SIR Attachment 2 Pricing Model Evaluation Worksheet -REVISED FINAL updated 09-29-26 for Amendment 0003.xlsx XLSX spreadsheet
SAVES Print Questions Answers_697DCK-25-R-00368_Amendment0003.pdf PDF
21- Amendment 0003_697DCK-25-R-00368.0003 Signed.pdf PDF
SOW Attachment IV - Printer Consumables List - REVISED FINAL updated 09-29-26 for Amendment 0003.xlsx XLSX spreadsheet
SIR Attachment 7_ SAVES NMR Waiver_FE_Amend0002.pdf PDF
SIR Attachment 3 - Past Experience Information Form_rev.09172026_Amend0002.docx DOCX document
SAVES Print Questions Answers_697DCK-25-R-00368 _Amendment0002.pdf PDF
21- Amendment 0002_697DCK-25-R-00368.0002_Signed.pdf PDF
SIR Attachment 6 - Invoice Sample_Amend0002.xlsx XLSX spreadsheet
21- Amendment_697DCK-25-R-00368.00001 Executed.pdf PDF
SIR Attachment 5 - Proposal Checklist_08112026.pdf PDF
06- SIR_697DCK-25-R-00368_final_08112026.pdf PDF
SOW Attachment I Quote Request Form (CONUS and OCONUS) Template.xlsx XLSX spreadsheet
SIR Attachment 1_Printer Consumables SOW - 05-20-26.pdf PDF
SOW Attachment II CONUS Quote Response (CONUS Template).xlsx XLSX spreadsheet
SIR Attachment 2 Pricing Model Evaluation Worksheet - REVISED FINAL - 08-06-26.xlsx XLSX spreadsheet
SOW Attachment V Monthly Activity Report (MAR) Template.xlsx XLSX spreadsheet
SIR Attachment 3 - Past Experience Information Form 05-18-2026.docx DOCX document
SIR Attachment 4 - Past Performance Questionnaire_08112026.docx DOCX document
SOW Attachment IV - Printer Consumables List.xlsx XLSX spreadsheet
SOW Attachment III OCONUS Quote Response (OCONUS Template).xlsx XLSX spreadsheet
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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 and time. 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 .