Attach(B)_ExhibitA(ExperienceProjectDataSheet).docx

N4008425R8907 -ATTACHMENT B

EXHIBIT A – EXPERIENCE PROJECT DATA SHEET

NAME OF OFFEROR:

EXPERIENCE CONTRACT DATA SHEET (FACTOR 1)

The purpose of this form is to provide supporting project information for Factor 1 –Corporate Experience. This form is to be completed by the Offeror. Only projects that are within the maximum submittal number and that fit the submittal requirements will be considered for evaluation.

If the project submitted was not self-performed by the offeror but instead performed by a Joint Venture which included the offeror or a subcontractor of the offeror the project description shall also indicate as such and clearly describe the scope of work performed by each of the members of the JT or by the offeror’s subcontractor.

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

1. Contract Number:

2. Contracting Issuing Organization (or Prime Contractor):

3. Project Number and / or Contract Title:

4. Project Location:

(Note: If worked as a subcontractor - List only the contract / project work that your company performed – do not list the prime contract.

5a. Award Date (mm/dd/yyyy):

Completion Date (mm/dd/yyyy): (Including all options) Percentage of project complete:

Number of Option:

5b. Performance Period:

Base period:

First Option Period:

Second Option period:

Third Option Period:

Fourth Option Period:

6. Award Amount (Of the Offeror’s Work):

Base period:

First Option Period:

Second Option period:

Third Option Period:

Fourth Option Period:

Total Contract Price (Including all options):

7. Name of Prime Contractor performed the Contract (as shown on the contract documents)

8. Prime Contractor’s Point of Contact info. (Name, Phone No and Email Address)

9. If any, Subcontractor’s Point of Contact info.

(Name, Phone No and Email Address)

10. Owner/Customer Point of Contact info. (Name, Phone No and Email Address)

11. Provide a clear description of the contract scope of work performed and the relevancy to the project requirements of this RFP. The description shall provide specific details and shall not restate the criteria.

12. If your company performed as Prime Contractor on this project, provide a detailed description of what type of work and percentage (%) of work that your company subcontracted for the project. Identify the number of subcontractors used, the type of work each subcontractor performed, and the overall percentage of work each subcontractor performed.

13. If your company performed as Subcontractor on this project, provide a detailed description of what type of work and percentage (%) of work that your company performed.

14. Customer Evaluation of work performed (List and attach Evaluation, Letter of Appreciation, etc.)

15. Provide any information on problems encountered and the corrective actions taken:

16. If your firm is submitting past performance or experience information pertaining to a “proposed” subcontractor, the proposal shall clearly describe the roles and responsibilities of the entity, including specific affirmative commitment(s) of resources (workforce, management, facilities, or other resources) demonstrating that such an entity will have meaningful involvement in the performance of this project, in order for past performance or experience of that entity to be considered.

CUI//FECON

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

Rev. Jan 2018