Attachment 08 - Specialized Experience Form (3 pages).pdf
PDF 134 KB Posted
- Attached to
- DB - Replace CLC3 Finishes - Lake City Federal contract opportunity
- Solicitation number
- 36c24823r0142
About this file
This document contains a specialized experience form template and information on a federal contract opportunity for DB - Replace CLC3 Finishes - Lake City. The specialized experience form is a three page template requesting details on three past project experiences including contractor information, contract details, scope of work performed, difficulties encountered, performance period, completion status and pricing. The related federal contract opportunity is soliciting for DB - Replace CLC3 Finishes - Lake City through a two-phase solicitation process. Phase one RFIs are due June 26, 2023 and phase one solicitation responses are due July 5, 2023. The soliciting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 10 - Past Performance Questionnaire (4 pages).pdf | ||
| Attachment 03 -Price Matrix (1 Page).xls | XLS spreadsheet | |
| Attachment 02 - Specifications (98 Pages).pdf | ||
| Attachment 06 - Letter of Commitment Key Subcontract (1 page).pdf | ||
| Attachment 07 - Letter of Commitment for Design Firm Teaming Arrangement (1 page).pdf | ||
| Attachment 01 - Statement of work (5 Pages).pdf | ||
| Attachment 04 - Wage Determination Davis Bacon A (6 pages).pdf | ||
| Attachment 11 - Safety or Environmental Violations.pdf | ||
| Attachment 09 - Subcontractor Past Performance Consent Form (1 page).pdf | ||
| S02 - SOLICITATION - 36C24823R0142.pdf | ||
| Attachment 05 - Drawings - 573A4-23-800.pdf |
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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 .