Attachment 4 Exp Info Sheet.pdf
PDF 174 KB Posted
- Attached to
- Y1DA--FY26: NRM (PROJ:673-23-107) BB Install Continuous Water Quality for Legionella Directive Compliance
- Solicitation number
- 36C24826R0056_1
About this file
The document is an Experience Information Sheet template designed for contractors to provide detailed information about a previous contract or project. The multi-page form requires comprehensive documentation of project details, including contractor information, contract/task order number, project title and location, work performed (as prime or subcontractor), contract performance period, and contract pricing.
The template seeks extensive project-related information across multiple sections, including a description of the project's scope of work, specific roles and responsibilities, difficulties or obstacles encountered, site conditions, contract start and completion dates, project completion status, and any contract terminations. Contractors are expected to provide granular details that demonstrate the project's relevance to a potential new procurement, explaining how their past work relates to the current solicitation's requirements. The form allows for a comprehensive review of a company's previous contract performance and experience.
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Text version
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1
a. Contractor Information of Awarded Contract (Firm Name, Address, DUNS Number, Phone number, POC Name, POC e‐mail, Company e‐mail)
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 or Subcontractor
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).
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 page for additional information, if necessary.
PROJECT NO. [ ] Page 3
i. Describe any difficulties and/or obstacles encountered during project performance; steps taken toward resolution
j. Describe differing site condition(s) occurrence(s) 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 (mm/dd/yyyy): Original completion date (mm/dd/yyyy):
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
m. Attesting the example project is 100% complete? YES [ ]
n. The Offerors shall indicate if any of the example project provided was 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:
PROJECT NO. [ ] Page 4
CONTINUATION PAGE:
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