2.2.1- RFP ATTACHMENT 3_70B06C23R00000121_PRIOR EXPERIENCE QUESTIONNAIRE.docx

Prior Experience Questionnaire

Please complete the Prior Experience Questionnaire by providing the demographic and corporate experience information for your firm below. Vendors may provide up to three (3) reference projects for ongoing projects or projects completed within the three years immediately prior to the date of the Offeror’s proposal demonstrating relevant experience performing projects similar in size and scope to this requirement. A project is considered a single contract or task/delivery order, or a collection of orders under a BPA or IDIQ contract. The vendor’s response must provide a clear, specific, and concise description of its relevant corporate experience. Any state, local, or private sector experience can be considered. Extraneous narrative, elaborate brochures, public relations (PR) material, etc. shall not be submitted. If vendors choose to submit as a prime/sub team or under a contractor teaming arrangement (CTA) see FAR 9.6 for CTA requirements)) please indicate which firm’s experience is being demonstrated. All team members must meet the small business size standards. Vendors may choose only to submit as a prime or sub. Prior experience of the prime is preferred. The Government will assess the collective experience in each vendor’s submittal. A lack of any relevant prior experience will result in a low confidence rating The Prior Experience Questionnaire must be submitted to the Contract Specialist – Shaun Saad at shaungalen.saad@cbp.dhs.gov no later than August 30th, 5PM EST.

1. Firm Information

Firm’s Name and Address:

Name and Title of Representative:

Phone:

Fax:

E-mail Address:

Services/ Apps provided under projects:

If teaming with another firm(s), list their name(s) and address(es):

Firm 1 - Name:

Address:

Firm 2 - Name:

Address:

(NOTE: If more than two partners are proposed, add the remaining information on a separate sheet of paper.)

Has this team worked together previously: □ Yes □ No Contract or Order # GSA Contract (if any) #:

FSS Schedule (if any) #:

Contract Period:________________________________________________________

2. List up to three [3] projects which demonstrate the firm's or team's prior experience performing work similar to that required by the SOW using the format below:

Contract #, Name of contractor (CTA or sub), and Project Name and Location

Nature of the work and scope

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value and cost per user of the app

Contract #, Name of contractor (CTA or sub), and Project Name and Location

Nature of the work performed

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value

Contract #, Name of contractor (CTA or sub), and Project Name and Location

Nature of the work performed

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value

Submitted by: