Attachment - 10 - Experience Information Sheet.docx
DOCX document 22 KB Posted
- Solicitation number
- 36C24821R0141
About this file
This document contains an experience information sheet template and details of a federal contract opportunity to expand and renovate the hemodialysis suite at the Bruce W. Carter VA Healthcare Center in Miami, Florida.
The experience information sheet template requests contractors provide details of three relevant past projects, including awarding agency and point of contact information, scope of work performed, difficulties encountered and resolutions, performance period, completion status, and pricing details.
The federal contract opportunity involves demolishing an existing hemodialysis suite, installing new equipment and systems for air conditioning, plumbing, and lighting. The solicitation will be issued on July 21, 2021 with responses due June 21, 2021. The project value is between $1-5 million and is set aside for Service-Disabled Veteran-Owned Small Businesses. The contracting agency is the Department of Veterans Affairs Network Contracting Office located in Miramar, Florida. All interested firms must register in the System for Award Management.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24821R0141 0002.pdf | ||
| Site Visit Page 2.docx | DOCX document | |
| Site Visit Page 1.docx | DOCX document | |
| 36C24821R0141 0001.pdf | ||
| RFIs Log Hemodialysis.pdf | ||
| Solicitation for 36C24821R0141.pdf | ||
| Attachment 8 - Past Performance Questionnaire.pdf | ||
| Attachment 5 - Wage Determination.pdf | ||
| Attachment 3 - Specifications Volume 2B.pdf | ||
| Attachment 9 - EMR.docx | DOCX document | |
| Attachment 1 - Specifications Volume 1.pdf | ||
| Attachment 4 - Drawings Complete Set.pdf | ||
| Attachment 6 - LOS Certification.doc | DOC document | |
| Attachment 7 - Price Matrix.xlsx | XLSX spreadsheet | |
| Attachment 2 - Specifications Volume 2A.pdf |
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Text version
EXPERIENCE INFORMATION SHEET
36C24821R0141 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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