Attachment_5_Specialized_Experience_Information_Sheet.docx

DOCX document 23 KB Posted

Attached to
Remove and Replace Irrigation System Federal contract opportunity
Solicitation number
140A2322R0029
Issued by
Department of the Interior Bureau of Indian Affairs Bureau of Indian Education

About this file

This document contains a specialized experience information sheet template for contractors to submit details on relevant past projects for evaluation as part of a federal solicitation for removing and replacing an irrigation system at a Bureau of Indian Affairs boarding school. Contractors must provide details for three past projects including company information, contract details, work performed as prime or subcontractor, government agency awarded, detailed scope of work, performance period, completion status, difficulties encountered, and pricing information. Relevant experience installing or maintaining irrigation systems would be considered highly relevant for this solicitation from the Department of the Interior Bureau of Indian Affairs Bureau of Indian Education to remove and replace an irrigation system supporting a football field.

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SPECIALIZED EXPERIENCE INFORMATION SHEET

SPECIALIZED EXPERIENCE INFORMATION SHEET

PROJECT NO. [ ] Page 1 Must have a total of four (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

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 differing site 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 complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not 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:

Section h. Continuation Page 140A2322R0029

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