Attachment_1b_Appendix_B_Work_Sample_Cover_Sheet.docx
DOCX document 34 KB Posted
- Attached to
- RAF Fairford Fuels and Marshalling Services Federal contract opportunity
- Solicitation number
- FA557025R0001
About this file
The document is a Work Sample Cover Sheet template for a federal contract opportunity, specifically designed to be used by offerors to document and validate previous work experience. The template requires contractors to provide detailed information across three parts: Work Sample Identification (including contractor name, contract number, customer, period of performance, and work sample value), Points of Contact (including Contracting Officer and Contracting Officer's Representative details), and a two-page Project Description. The form instructs offerors to number work samples WS1-WS6 and provide at least two points of contact for each work sample to assist in validation. Contractors must complete the form with precise details about their previous contract work, ensuring all requested fields are filled out accurately, with "N/A" used when information is not applicable.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_1e_Appendix_E_Past_Performance_Information_Sheet.docx | DOCX document | |
| Solicitation - FA557025R0001.pdf | ||
| Attachment_1a_Appendix_A_Corporate_Relationships_and_Structures.xlsx | XLSX spreadsheet | |
| Attachment 1d_Appendix D_M Cross_Reference.xlsx | XLSX spreadsheet | |
| Attachment_1f_Appendix_F_RAF Fairford Fuels MS PWS.pdf | ||
| Attachment_1_Section_L_Instructions_to_Offerors_Final.pdf | ||
| Attachment_1c_Appendix_C_Fuels and Marshalling_Self_Scoring_Matrix.xlsx | XLSX spreadsheet | |
| Attachment_2_Section_M_Evaluation_Criteria.pdf |
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Text version
<<Input OFFEROR NAME>>
WORK SAMPLE COVER SHEET
PART I: WORK SAMPLE IDENTIFICATION
Contractor Name:
Contract Number:
Task Order Number (if applicable):
Subcontract Number (if applicable):
Customer:
Period of Performance:
Work Sample Value:
Work Sample Identifier (WS1, WS2, etc):
PART II: WORK SAMPLE INFORMATION/POINTS OF CONTACT
1. Contracting Officer Name:
Title:
Agency or Customer:
Phone Number:
Email Address:
2. Contracting Officer’s Representative or Relevant Customer Point of Contact Name:
Title:
Agency or Customer:
Phone Number:
Email Address:
3. Alternate Contracting Officer’s Representative or Relevant Customer Point of Contact Name:
Title:
Agency or Customer:
Phone Number:
Email Address:
PART III: PROJECT DESCRIPTION (2 page limit)
Instructions to Appendix B – Work Sample Cover Sheet
DELETE THIS PAGE UPON COMPLETION OF THE WORK SAMPLE COVER SHEET
Offerors shall follow the instructions below when filling out Appendix B Work Sample Cover Sheet.
Please mark “Not Applicable” or “N/A” if requested data is not applicable to subject Work Sample.
PART I: WORK SAMPLE IDENTIFICATION
Contractor Name: Offerors shall enter the Contractor’s Name of this work sample.
Contract Number: Offerors shall enter the Contract Number.
Task Order Number: Offerors shall enter the Task Order Number (if applicable).
Subcontract Number: Offerors shall enter the Subcontract Number (if applicable).
Customer: Offerors shall enter the agency, organization, or client name. If the customer was a Government agency, or organization, Offerors shall include the office symbol and program name this work sample supports.
Period of Performance: Offerors shall include the period of performance if the contract/order including all options. Offerors shall list the period of performance in the following format (MM/YYYY – MM/YYYY or MM/YYYY – Present):
Work Sample Value: Offerors shall enter the final or most recent total contract/order value of the work sample. The total value shall include the value of all options.
Work Sample Identifier: Works samples shall be numbered WS1-WS6. Insert the applicable work sample number.
PART II: WORK SAMPLE INFORMATION/POINTS OF CONTACT
Contracting Officer: Offerors shall provide the contact information for either the current Contracting Officer working the contract or the most recent Contracting Officer if the contract has ended. If there is no available Contracting Officer then leave this section blank.
Contracting Officer’s Representative (COR) or Relevant Customer Point of Contact: Offerors shall provide the contact information for the Primary (or Alternate if Primary is not available) COR. If a COR is not available, or if the work sample is not for a Government contract, Offerors shall provide a relevant customer point of contact that would be able to assist in validation of the work sample.
Each Offeror shall provide at least two (2) Points of Contact for each work sample.
PART III: WORK SAMPLE DESCRIPTION (2 page Limit) Offerors shall provide a brief description of the work sample. If the Offeror uses a subsidiary or legal entity work sample as a prime work sample, the Offeror may use this section to further describe the relationship identified in Appendix B.
Page 1 of 3 FA561325R0001 Appendix B Work Sample Cover Sheet
File details come from the government source that posted it. Updated .