ATTACHMENT 6 - Specialized Experience Form.pdf
PDF 67 KB Posted
- Solicitation number
- 36C24826Q0585
About this file
This is a Specialized Experience Form template used to document relevant past contract performance as part of proposal submissions for federal procurements.
The form requires offerors to submit information on exactly three projects demonstrating specialized experience, with the stipulation that submissions containing more than three projects will not be evaluated and fewer than three may result in lower ratings. For each project, offerors must provide comprehensive contractor information including firm name, address, DUNS number, CAGE code, and points of contact with email addresses. Required project details include the contract/task order number and award date, project title and location, the offeror's role (prime contractor, subcontractor, joint venture, or other), and the percentage of work performed by the offeror's company. If acting as a subcontractor, the form requires complete information about the prime contractor. Offerors must identify the government agency that awarded the contract and provide contact information for the contracting officer or procurement official, including name, title, email, and phone number. The form requires a detailed description of the project scope and the offeror's specific roles and responsibilities, with explicit instruction to demonstrate relevance to the current solicitation's requirements. Additional sections require documentation of difficulties and obstacles encountered with resolution steps, unforeseen conditions and their resolutions, contract performance periods with start dates and original or projected completion dates, actual completion dates, completion percentage status (with notification that projects less than 50% complete may receive lower ratings), contract termination information if applicable, and original contract price compared to final contract price with explanation of any differences.
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Text version
SPECIALIZED EXPERIENCE FORM
SPECIALIZED EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of THREE (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, Joint Venture, Other (explain)
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 unforeseen 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 50% or more complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not 50% 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:
File details come from the government source that posted it. Updated .