Attachment 09 - Experience Information Sheet.docx
DOCX document 22 KB Posted
- Solicitation number
- 36C24822R0157
About this file
This document contains an experience information sheet template and details of a federal contract opportunity for electrical panelboard corrective work. The experience information sheet template requests information on three past project experiences including contractor details, contract numbers and dates, work performed as prime or subcontractor, percentage of work performed, description of scope and roles, performance details, completion dates, and pricing details.
The federal contract opportunity is for project number 573-19-614 to correct electrical panelboard deficiencies at Building 1 located at the Gainesville VA Medical Center in Florida. A site visit is scheduled for August 10th, 2022 at 1PM. Proposals are due by August 31st, 2022 at 3:30PM. This requirement is set aside for Service-Disabled Veteran-Owned Small Businesses. Vendor verification can be found on the VetBiz website. The contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 07 - Past Performance Questions.docx | DOCX document | |
| Attachment 04 - Wage Determination.pdf | ||
| S02 - SOLICITATION - Correct Electric PanelBoard - 36C24822R0157.pdf | ||
| Attachment 11 - VHA Supplemental Contract Requirements for Combatting COVID-19.docx | DOCX document | |
| Attachment 08 - EMR.docx | DOCX document | |
| Attachment 06 -Price Metric.xls | XLS spreadsheet | |
| Attachment 05 - LOS Certification.doc | DOC document | |
| Attachment 02 - Drawing.pdf | ||
| Attachment 01 - Statement of Work.docx | DOCX document | |
| Attachment 10 - Specialized Experience Form.pdf | ||
| Attachment 03 - Specifications.pdf |
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Text version
EXPERIENCE INFORMATION SHEET
36C24822R0157 Attachment
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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