Attachment 4 - Reference Information Sheet.docx
DOCX document 33 KB Posted
- Solicitation number
- W912CM26QA007
About this file
This is a Reference Information Sheet template attachment to an RFQ for documenting relevant past contract experience. The form requires offerors, joint ventures, or other entities to provide detailed information about previously performed contracts that demonstrate experience relevant to the solicitation requirements. Respondents must complete sections identifying the contract number, the entity submitting the experience (prime contractor, subcontractor, or joint venture), work performed percentage, contract type (firm-fixed price, cost/time and materials, or other), customer/owner information with points of contact, award and completion dates, final pricing, and delivery/task order numbers. The form includes space for a detailed narrative description explaining how the referenced contract is relevant to the current RFQ requirements, with submissions limited to one double-sided page or two single-sided pages per project.
This template is associated with solicitation W912CM26QA007, issued by the Department of the Army Materiel Command Army Contracting Command, for maintenance and repair services of emergency power systems (EPS), uninterruptible power supply (UPS), and photovoltaic (PV) systems at multiple U.S. Army installations around Wiesbaden, Germany. The hybrid firm-fixed price and time and materials contract has a 12-month base period plus four 12-month option periods with performance beginning on or around July 29, 2026. Offerors must be registered in the System for Award Management (SAM) at time of submission, comply with German law, and submit all offers in English. The template itself does not specify response dates, award dates, or other specific solicitation parameters, as it serves solely as a mechanism for presenting relevant past performance experience.
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Text version
RFQ ATTACHMENT 4
RELEVANT EXPERIENCE
1. Contract No. (check one) : |_| #1 |_| #2 |_| #3
2. Experience for: |_| Offeror |_| Joint-Venture |_| Other (Explain)
Firm Name:
Address:
Phone Number:
Point of Contact: Contact Phone Number:
3. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain)
Percent of project work performed:
If subcontractor, who was prime (Name/Phone #):
4. Contract Number: Delivery/Task Order Number:
Title:
Location:
Award Amount:
Final Price:
5. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):
6. Type of Contract/Task Order: (Check ALL that apply)
|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):
7. Customer/Owner Name:
Point of Contact (POC): POC Phone Number:
FAX Number: POC E-mail address:
8. Provide a detailed description of the contract and the relevancy to the contract requirements of this RFQ.
9. Other Information:
*Individual blocks on this form may be expanded; however, total length for each project data sheet shall not exceed one (1) double-sided page (or two (2) single-sided pages).
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