ATCH 5 - Specialized Experience Form (3 Pages) - EXAMPLE.pdf
PDF 134 KB Posted
- Attached to
- Design Build - Renovate Dish Room - Miami, FL
- Solicitation number
- 36C24823R0072_01
About this file
This solicitation seeks proposals for a design-build renovation of the dish room at a Veterans Affairs medical center in Miami, Florida. Offerors must be verified as Service-Disabled Veteran Owned Small Businesses. The project value is between $500,000 and $1,000,000. The acquisition will follow a two-phase selection process with initial proposals due on the cutoff date specified in the solicitation. Phase I proposals will be evaluated to determine which offerors may submit proposals for Phase II. The renovation scope includes design and construction services to upgrade the medical center's dish room facilities. The award is set aside exclusively for SDVOSBs.
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Other files
| File | Type | Posted |
|---|---|---|
| ATCH 4 - EMR (1 PAGE).docx | DOCX document | |
| ATCH 1 - DOL Wage Determination.pdf | ||
| ATCH 3 - Past Performance Questionnaire.pdf | ||
| ATCH 2 - PRICE MATRIX.xlsx | XLSX spreadsheet | |
| SOLICITATION 36C24823R0072.pdf |
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Text version
SPECIALIZED EXPERIENCE FORM
SPECIALIZED EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of THREE (3) projects, more than 3 will not be evaluated; less than 3 may result in a lower rating.
a. Contractor Information of awarded contract (Firm Name, Address, DUNS Number and Cage Code, Phone number, POC Name, POC email, Company email)
b. Contract and/or Task Order Number and Award Date (mm/dd/yyyy)
c. Project Title/Name and Location
d. Work Performed as: Prime Contractor, Subcontractor, Joint Venture, Other (explain)
e. Percent (%) of project work performed by your company
f. if you work as subcontractor, who was the prime?
(Firm Name, Address, DUNS Number and Cage Code, Phone number, POC Name, POC email, Company email)
g. Government Agency/Company which awarded contract to offeror, and Contact Information, such Contracting Officer/Procurement Official/Point of Contract (Name, Title, Email, Phone Number).
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 2
h. Description of project’s scope of work and the offeror’s specific roles and responsibilities in the project:
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement. Detail how work performed is relevant to the effort required by the solicitation? Use continuation sheet for additional information, if necessary
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 3
i. Describe any difficulties and/or obstacles encountered during performance; steps taken toward resolution
j. Describe unforeseen conditions and how each were resolved
k. Performance Period, including contract start date (mm/dd/yyyy), and original completion date, if not completed, projected date (mm/dd/yyyy) contract start date:
original completion date, if not completed, projected completion date (mm/dd/yyyy)
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
If not completed, Why?
m. Project is 50% or more complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not 50% completed for any reason, rating may be lower.
n. The Offerors shall indicate if any of the contracts listed were terminated and the type and reasons for the termination.
o. Original Contract Price (Award Amount), Final Contract Price (to include all modifications, if applicable), Explain Differences.
Original Contract Price: Final Contract Price:
Explain Differences:
File details come from the government source that posted it. Updated .