fb2ATTACHMENTS .doc

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Attached to
Farm Bill Administrative Assistance
Solicitation number
AG-9104-S-12-0004
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Attachment 1 - Experience Offeror Questionnaire Attachment 2 - Past Performance Reference Information Sheet

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AG-9104-S-12-0004 2 .rtf RTF text file
AG-9104-S-12-0004.rtf RTF text file
fbadminassistanceSOW.doc DOC document
fbSolicitationForm.pdf PDF

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ATTACHMENT 1 FACTOR 2

FACTOR 2 - EXPERIENCE -OFFEROR QUESTIONNAIRE

1. Contract/Projects which best illustrates current qualifications relevant to this contract. (List not more than 5 projects since 2005)

NOTE: A Reference Information Sheet MUST be filled out for each project listed.

PRIME/JOINT VENTURE:

Project Description & Location
Nature of firm's Responsibility
Project Owner's Name and Address
Contract/

Project Dates

Estimated Cost (in thousands)
Any other additional information that you want to provide
(i.e. prime contractor, joint venture, sub-contractor)
(actual or est.)
Entire Project
Work for Which Responsible

ATTACHMENT 2 FACTOR 3

FACTOR 3 - PAST PERFORMANCE - REFERENCE INFORMATION SHEET

1. Contract/Project name and location (city, state, country)

2. Contract/Project owners name (Government Agency, commercial firm or other organization)

3. Contract/Project owner's complete address

4. Contract number of project
5. Date of contract
6. Date work was begun
7. Date work was completed

Initial: _______________ Actual: _______________

8. Initial contract price
9. Final invoiced amount (or amount invoiced to date)
10a. Technical point of contact (name, title, phone number, fax
10b. Contracting point of contact (name, title, phone number, fax
number and e-mail address)
Number and e-mail address)

11. Description of contract work (describe nature and scope of work. Also include an explanation of any performance problems or other conflicts with the customer. (Offerors will be evaluated for the ability to provide timely, complete work; be certain to explain any differences between the initial and actual completion dates in block 7.)(Use additional pages if necessary)

12. Current status of the contract/project (check one)

____ Contract continuing, on schedule
____ Terminated for convenience
____ Work completed, no further action pending
____ Other (explain)

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