Attachment 05_Organizational Experience Form.pdf
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- Solicitation number
- 6973GH-26-R-00060
About this file
This file is a blank template for offeror experience information, designated as Attachment #9 to SIR 6973GH-23-R-00204. The template is designed to be completed by offerors to document their relevant project experience and qualifications.
The template provides three identical project experience forms (Project #1, #2, and #3) that offerors must complete to demonstrate their experience. Each form requires offerors to provide company information (name, address, city, state, point of contact name, phone, and email); contract details (contract/task order/purchase order number and dollar value); project status (active with estimated completion date or completed with actual completion date); project title and location; a detailed project description that includes the offeror's role and specific responsibilities; and project owner or project manager information for the client (government entity or company name, address, telephone number, and email). The template references Sections L and M of the SIR document for minimum project value and recency criteria that must be met. Offerors are instructed to complete this form to substantiate their experience and capability to perform work under the solicitation.
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Text version
1. Offeror Information Company Name: __________________ Address: _______________________ City:_________________________ State: ________________________ POC Name:_____________________ Phone:_____________________________ Email:_______________________________
2. Contract /Task Order(TO) /Purchase Order (PO) Number:
3. Contract/TO/PO Dollar Value:
4. Project Status (Insert Date in Appropriate Status) ACTIVE (Est Completion Date ____________ ) COMPLETED (Completion Date_____________)
7. Project Description-- to include the role of the offeror on the project and specific responsibilities of the offeror in performance of the effort:
8. Project Owner or Project Manager for the Client – provide:
Government Entity or Name of Company:__________________________ Address:____________________________ Telephone Number:______________________________ E-mail:___________________________________
5. Project Title:
6. Project Location:
OFFEROR EXPERIENCE INFORMATION
To be completed by Offeror
(See Sections L and M of the SIR Document for Minimum Project Value and Recency Criteria)
SIR: 6973GH-23-R-00204
Attachment #9
PROJECT #1
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
Address: _______________________ City:_________________________ State: ________________________ POC Name:_____________________ Phone:_____________________________ Email:_______________________________
2. Contract /Task Order(TO) /Purchase Order (PO) Number:
3. Contract/TO/PO Dollar Value:
4. Project Status (Insert Date in Appropriate Status) ACTIVE (Est Completion Date ____________ ) COMPLETED (Completion Date_____________)
7. Project Description-- to include the role of the offeror on the project and specific responsibilities of the offeror in performance of the effort:
8. Project Owner or Project Manager for the Client – provide:
Government Entity or Name of Company:__________________________ Address:____________________________ Telephone Number:______________________________ E-mail:___________________________________
5. Project Title:
6. Project Location:
OFFEROR EXPERIENCE INFORMATION
To be completed by Offeror
(See Sections L and M of the SIR Document for Minimum Project Value and Recency Criteria)
PROJECT #2
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
Address: _______________________ City:_________________________ State: ________________________ POC Name:_____________________ Phone:_____________________________ Email:_______________________________
2. Contract /Task Order(TO) /Purchase Order (PO) Number:
3. Contract/TO/PO Dollar Value:
4. Project Status (Insert Date in Appropriate Status) ACTIVE (Est Completion Date ____________ ) COMPLETED (Completion Date_____________)
7. Project Description-- to include the role of the offeror on the project and specific responsibilities of the offeror in performance of the effort:
8. Project Owner or Project Manager for the Client – provide:
Government Entity or Name of Company:__________________________ Address:____________________________ Telephone Number:______________________________ E-mail:___________________________________
5. Project Title:
6. Project Location:
OFFEROR EXPERIENCE INFORMATION
To be completed by Offeror
(See Sections L and M of the SIR Document for Minimum Project Value and Recency Criteria)
PROJECT #3
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
Joshua D Huckeby Highlight
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