ATTACHMENT_04_-_140P8626Q0013_-_RELEVANT_EXPERIENCE_FORM.pdf

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Attached to
EMERGENCY MEDICAL TECHNICIAN (EMT) SERVICES for AL
Solicitation number
140P8626Q0013
Issued by

About this file

This is an Existing Commitment and Relevant Experience Questionnaire template for RFQ 140P8626Q0013 (Template Rev 1, dated 9/13/2022). The form is designed for offerors to demonstrate their qualified past experience on work comparable to the current solicitation.

Part I requires offerors to list existing commitments, including up to two current projects with customer/client name, point of contact information, project value, period of performance, and percentage complete. Offerors must provide a brief description of project requirements for each commitment listed. Part II requests relevant experience from the past three years, with provisions for up to five detailed contract examples (sections II.1 through II.5). For each contract, offerors must provide the customer/contracting agency, POC details, contract number, contract title with location, prime or subcontractor status, award date, initial and final award amounts, scheduled and actual completion dates, and a brief project description. Additionally, offerors must describe how each past project's scope and magnitude compare to current requirements and explain unique conditions, challenges, and how the firm overcame them. A separate section (II.4) specifically requires the offeror's largest contract from the past five years with identical information fields. The instructions state that offerors without relevant experience must explicitly state that on the form to qualify for a neutral rating. The form allows use of equivalent attachments if additional space is needed.

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Offeror: _____________________________ RFQ - 140P8626Q0013 Attachment No. 04

Template Rev 1 – 9/13/2022

EXISTING COMMITMENT AND RELEVANT EXPERIENCE QUESTIONNAIRE

Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. List jobs of similar nature/scope as performed within the last THREE (3) years.

0BPART I – EXISTING COMMITMENTS

I.1 Customer/Client’s Name Customer Point of Contact (POC) Name

POC Phone Number POC Email Job/Project Value Period of Performance Project % Complete

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

I.2

Customer/Client’s Name Customer Point of Contact (POC) Name

POC Phone Number POC Email Job/Project Value Period of Performance Project % Complete

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

Template Rev 1 – 9/13/2022

PART II – RELEVANT EXPERIENCE

II.1

Customer/contracting agency Customer Point of Contact (POC) Name POC Phone Number POC Email Contract number Contract title with location Experience was as a Prime or Subcontractor Award date Initial award amount Award amount at contract completion Contract completion date Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND

MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO

OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

II.2

Customer/contracting agency Customer Point of Contact (POC) Name POC Phone Number POC Email Contract number Contract title with location Experience was as a Prime or Subcontractor Award date Initial award amount Award amount at contract completion Contract completion date Actual completion date

Template Rev 1 – 9/13/2022

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND

MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO

OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

II.3

Customer/contracting agency Customer Point of Contact (POC) Name POC Phone Number POC Email Contract number Contract title with location Experience was as a Prime or Subcontractor Award date Initial award amount Award amount at contract completion Contract completion date Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND

MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO

OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

II.4 (If needed)

Customer/contracting agency Customer Point of Contact (POC) Name POC Phone Number

Template Rev 1 – 9/13/2022

POC Email Contract number Contract title with location Experience was as a Prime or Subcontractor Award date Initial award amount Award amount at contract completion Contract completion date Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND

MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO

OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

II.5 (If needed)

Customer/contracting agency Customer Point of Contact (POC) Name POC Phone Number POC Email Contract number Contract title with location Experience was as a Prime or Subcontractor Award date Initial award amount Award amount at contract completion Contract completion date Actual completion date

BRIEF DESCRIPTION OF THE PROJECT REQUIREMENTS:

DESCRIBE THE ASPECTS OF THIS PROJECT THAT ARE DETERMINED SIMILAR IN SCOPE AND

MAGNITUDE TO THE CURRENT REQUIREMENT:

DESCRIBE UNIQUE CONDITIONS AND/OR CHALLENGES, AND HOW YOUR FIRM WAS ABLE TO

OVERCOME THOSE CONDITIONS AND/OR CHALLENGES:

Template Rev 1 – 9/13/2022

II.4 LARGEST CONTRACT IN THE PAST FIVE (5) YEARS

Customer/contracting agency Customer Point of Contact (POC) Name POC Phone Number POC Email Contract number Contract title with location Experience was as a Prime or Subcontractor Award date Initial award amount Award amount at contract completion Contract completion date Actual completion date

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