Attachment 06 - Specialized Experience Form 3 pages.pdf
PDF 126 KB Posted
- Attached to
- Y1DA--BB - Renovate Common Area Restrooms
- Solicitation number
- 36C24825R0119
About this file
The Specialized Experience Form is a three-page document designed for contractors to detail their past project experience relevant to a federal contract opportunity. The form requires submission of three projects, with specific instructions to provide comprehensive information about each project, including contractor details, contract numbers, project titles, roles performed, work percentages, and government agency contact information.
Key sections require contractors to describe the project's scope of work, specific roles and responsibilities, difficulties encountered, unforeseen conditions, performance periods, completion status, and contract pricing details. The form emphasizes providing sufficient detail to permit evaluation of project relevancy to the procurement, with a clear warning that submitting fewer than three projects or projects less than 50% complete may result in a lower rating. This form is specifically associated with the VA's solicitation (36C24825R0119) for renovating common area restrooms at the Malcom Randall VA Medical Center in Gainesville, FL, with a 730-calendar-day performance period.
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Text version
SPECIALIZED EXPERIENCE FORM
SPECIALIZED 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:
File details come from the government source that posted it. Updated .