Attachment 03 - Experience Information Sheet.docx
DOCX document 22 KB Posted
- Solicitation number
- 36C24821R0103
About this file
This solicitation seeks proposals for a two-phase design-build project to replace flanged valves hospital-wide at a Veterans Affairs medical center. The project scope involves replacing valves to improve safety and functionality. Offerors must have experience with at least three similar projects and submit an Experience Information Sheet, cost breakdown, and project schedules by the response date of August 15, 2021. The work is set aside exclusively for service-disabled veteran-owned small businesses. The selected contractor will design and construct the valve replacement project for the Veterans Health Administration under the Department of Veterans Affairs.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 - solicitation MOD - 36C24821R0103 0001.pdf | ||
| Attachment 08- REFERENCE STANDARDS.doc | DOC document | |
| LOS CERTIFICATION SOLICITATION VERSION 1 Dec 17 2020.doc | DOC document | |
| Attachment 09- Wage Determination.pdf | ||
| Attachment 07 - NETWORK ANALYSIS SCHEDULES.doc | DOC document | |
| Attachment 06 - GENERAL REQUIREMENTS.doc | DOC document | |
| S02 - SOLICITATION FOR 36C24821R0103 - Replace Flanged Valve.pdf | ||
| Attachment 01 -Statement of Work.pdf | ||
| Attachment 02 - EMR.docx | DOCX document | |
| Attachment 05 - Base Offer Cost Breakdown.pdf |
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EXPERIENCE INFORMATION SHEET
36C24821R0103 Attachment 03
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:
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