Attach6_ExhibitA_ExperienceProjectDataSheet.docx

EXHIBIT “A”

EXPERIENCE PROJECT DATA SHEET (FACTOR 1)

NAME OF OFFEROR: ____________________________________

Submit relevant projects performed by the company as prime/sub-contractor or Joint Venture that are relevant to work requirements specified in the solicitation. Each project shall include one or more of the following service(s) in the work scope.

ANNEX 1502000 FACILITY INVESTMENT

a. Maintenance and Repair of HVAC and Refrigerant Systems

b. Maintenance and Repair of Fire Protection Systems

c. Maintenance and Repair of Electrical Receiving and Distribution Systems

d. Maintenance and Repair of Vertical Transportation Equipment

e. Maintenance and Repair of Feed Water Pump

f. Maintenance and Repair of Automatic Sliding Doors

g. Exhaust Hoods and Ducts Cleaning and Repair Services

ANNEX 1503010 CUSTODIAL

h. Custodial Services

ANNEX 1503050 GROUNDS MAINTENANCE AND LANDSCAPING

i. Grounds Maintenance and Landscaping.

Submit a project as PROJECT #1 that demonstrates experience as follows:

1) Providing Maintenance and Repair of HVAC and Refrigerant Systems;

2) Completed within the past five (5) years before the date of issuance of this solicitation or more than 80%completed at the time of proposal submission; AND

3) Has an annual value of Y10,000,000 or more for all HVAC and Refrigerant Systems.

PROJECT NO. (check one) : |X| #1 |_| #2 |_| #3

1. Contract No:

2. Contract Issuing Organization (or Prime Contractor)

3. Contract Number

Contract Title:

4. Project Location:

NOTE: If worked as a subcontractor, list only the contract/project work that your company performed.

5. Award Date:

6. Completion Date including all options:

9. Award Amount (of the offeror’s work) if Recurring/Non-Recurring IDIQ contract

To

To

To

To

To

TOTAL CONTRACT PRICE (Including All Options): ¥

10. Award Amount (of the offeror’s work) if Stand-Alone Contract

Award Amount: ¥

Period of Performance: From: To:

11. Type of Work:

ANNEX 1502000 FACILITY INVESTMENT

a. Maintenance and Repair of HVAC and Refrigerant Systems

12. Your company performed the Work as:

|_| Prime Contractor |_| Sub Contractor

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract: ______

13. Customer/Owner/Prime Contractor Information:

Customer/Prime Name: Point of Contact:

Phone Number: FAX Number:

E-mail address:

14. Provide a detail description of the project (the project work for which the Offeror was responsible for) including the specific types of work.

Submit a project as PROJECT #2 that demonstrates experience as follows:

1) Providing Maintenance and Repair of Grounds Maintenance and Landscaping;

2) Completed within the past five (5) years before the date of issuance of this solicitation or more than 80%completed at the time of proposal submission; AND

3) Has an annual value of Y10,000,000 or more for all Grounds Maintenance and Landscaping.

PROJECT NO. (check one) : |_| #1 |X| #2 |_| #3

1. Contract No:

2. Contract Issuing Organization (or Prime Contractor)

3. Contract Number

Contract Title:

4. Project Location:

NOTE: If worked as a subcontractor, list only the contract/project work that your company performed.

5. Award Date:

6. Completion Date including all options:

9. Award Amount (of the offeror’s work) if Recurring/Non-Recurring IDIQ contract

To

To

To

To

To

TOTAL CONTRACT PRICE (Including All Options): ¥

10. Award Amount (of the offeror’s work) if Stand-Alone Contract

11. Type of Work:

ANNEX 1503050 GROUNDS MAINTENANCE AND LANDSCAPING

i. Grounds Maintenance and Landscaping

12. Your company performed the Work as:

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract: ______

13. Customer/Owner/Prime Contractor Information:

Phone Number: FAX Number:

14. Provide a detail description of the project (the project work for which the Offeror was responsible for) including the specific types of work.

Submit two (2) projects as PROJECT #3 and #4 out of the services trades listed above (b. through h) that demonstrates experience as follows:

1) Completed within the past five (5) years before the date of issuance of this solicitation or more than 80%completed at the time of proposal submission; AND

3) Has an annual value of Y3,000,000 or more for each services trades above.

PROJECT NO. (check one) : |_| #1 |_| #2 |X| #3

1. Contract No:

2. Contract Issuing Organization (or Prime Contractor)

3. Contract Number

Contract Title:

4. Project Location:

NOTE: If worked as a subcontractor, list only the contract/project work that your company performed.

5. Award Date:

6. Completion Date including all options:

9. Award Amount (of the offeror’s work) if Recurring/Non-Recurring IDIQ contract

To

To

To

To

To

TOTAL CONTRACT PRICE (Including All Options): ¥

10. Award Amount (of the offeror’s work) if Stand-Alone Contract

11. Type of Work (Check one below):

|_| b. Maintenance and Repair of Fire Protection Systems |_| c. Maintenance and Repair of Electrical Receiving and Distribution Systems |_| d. Maintenance and Repair of Vertical Transportation Equipment |_| e. Maintenance and Repair of Feed Water Pump |_| f. Maintenance and Repair of Automatic Sliding Doors |_| g. Exhaust Hoods and Ducts Cleaning and Repair Services

ANNEX 1503010 CUSTODIAL

|_| h. Custodial Services

12. Your company performed the Work as:

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract: ______

13. Customer/Owner/Prime Contractor Information:

Phone Number: FAX Number:

14. Provide a detail description of the project (the project work for which the Offeror was responsible for) including the specific types of work.

PROJECT NO. (check one) : |_| #1 |_| #2 |_| #3 |X| #4

1. Contract No:

2. Contract Issuing Organization (or Prime Contractor)

3. Contract Number

Contract Title:

4. Project Location:

NOTE: If worked as a subcontractor, list only the contract/project work that your company performed.

5. Award Date:

6. Completion Date including all options:

9. Award Amount (of the offeror’s work) if Recurring/Non-Recurring IDIQ contract

To

To

To

To

To

TOTAL CONTRACT PRICE (Including All Options): ¥

10. Award Amount (of the offeror’s work) if Stand-Alone Contract

11. Type of Work (Check one below):

|_| b. Maintenance and Repair of Fire Protection Systems |_| c. Maintenance and Repair of Electrical Receiving and Distribution Systems |_| d. Maintenance and Repair of Vertical Transportation Equipment |_| e. Maintenance and Repair of Feed Water Pump |_| f. Maintenance and Repair of Automatic Sliding Doors |_| g. Exhaust Hoods and Ducts Cleaning and Repair Services

ANNEX 1503010 CUSTODIAL

|_| h. Custodial Services

12. Your company performed the Work as:

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract: ______

13. Customer/Owner/Prime Contractor Information:

Phone Number: FAX Number:

14. Provide a detail description of the project (the project work for which the Offeror was responsible for) including the specific types of work.

CUI//FECON

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY