Attachment 3 Experience Reporting Form.docx

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Attached to
Regulated Medical Waste Service
Solicitation number
W81K0425RA037
Issued by

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This document is an Experience Reporting Form for a Sources Sought synopsis related to Regulated Medical Waste (RMW) services. The form is designed to collect detailed project experience from potential contractors, allowing them to demonstrate up to three relevant projects completed within the previous 36 months. Each project entry requires comprehensive information including firm name, contract details, work description, contract type, pricing arrangement, relevance to the immediate acquisition, contractor role, contract amount, contract dates, and termination history.

The associated federal contract opportunity involves the United States Army Health Care Activity seeking RMW disposal services for military medical treatment facilities (MTFs), USMEPCOM's Military Entrance Processing Stations, and the Armed Forces Medical Examiner System. The services will cover all fifty U.S. states, Guam, and Puerto Rico. The government will determine whether the requirement will be set aside for small businesses based on responses to this sources sought synopsis. This is a pre-solicitation market research effort, and respondents are advised that this is an informational document not constituting a formal solicitation, with no obligation for contract award or compensation for response preparation.

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Other files

File Type Posted
TECHNICAL EXHIBIT H - USMEPCOM CENTRAL REGION PICK UP RMW SITES WEIGHTS AND FREQUENCIES.pdf PDF
Attachment 2 Market Research Questionnaire.docx DOCX document
TECHNICAL EXHIBIT G - USMEPCOM WESTERN REGION PICK UP RMW SITES WEIGHTS AND FREQUENCIES.pdf PDF
Attachment 1 PWS RMW Sources Sought.pdf PDF
TECHNICAL EXHIBIT D - WESTERN REGION PICK UP RMW SITES WEIGHTS AND FREQUENCIES.pdf PDF
TECHNICAL EXHIBIT E - CENTRAL REGION PICK UP RMW SITES WEIGHTS AND FREQUENCIES.pdf PDF
TECHNICAL EXHIBIT F - EAST REGION PICK UP RMW SITES WEIGHTS AND FREQUENCIES.pdf PDF
Attachment 4 Questions and Answers Template.docx DOCX document
TECHNICAL EXHIBIT I - USMEPCOM EASTERN REGION PICK UP RMW SITES WEIGHTS AND FREQUENCIES.pdf PDF

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Attachment 3 - SOURCES SOUGHT – REGULATED MEDICAL WASTE

EXPERIENCE REPORTING FORM

EXPERIENCE REPORTING FORM

Provide the following information to show up to three (3) examples of projects each for your company and your teaming partner/subcontractor completed for a total of 24 months of the previous 36 months indicating experience with projects of same or similar type and scope to Support Staff Services. Use one form per project.

Project No. 1

a. Name of Firm:

b. Contract Number, Title, and Location of Project:

c. Contract Type and Pricing Arrangement:

d. Type of Work/Description of the job:

e. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:

f. Role (Prime, Joint Venture, or Subcontractor, etc.):

g. Contract or Subcontract (Award) Amount:

h. Dates of Contract: Began: Completed:

i. Were You Terminated or Assessed Liquidated Damages? yes no. If “yes”, provide explanation:

Project No. 2

b. Contract Number, Title, and Location of Project:

c. Contract Type and Pricing Arrangement:

d. Type of Work/Description of the job:

Nature of the Contractual Effort or Items Purchased:

e. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:

f. Role (Prime, Joint Venture, or Subcontractor, etc.):

g. Contract or Subcontract (Award) Amount:

Project No. 3

b. Contract Number, Title, and Location of Project:

c. Contract Type and Pricing Arrangement:

d. Type of Work/Description of the job: Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:

f. Role (Prime, Joint Venture, or Subcontractor, etc.):

g. Contract or Subcontract (Award) Amount:

File details come from the government source that posted it. Updated .