ATTACHMENT 7 - Specialized Experience Form.pdf
PDF 134 KB Posted
- Solicitation number
- 36C24826R0028
About this file
This is a Specialized Experience Form template used to document contractor qualifications and past performance on relevant federal contracts. Offerors must submit exactly three (3) projects; submissions with more than three projects will not be evaluated, and fewer than three may result in lower ratings.
For each project, the form requires comprehensive documentation including: contractor information (firm name, address, DUNS number, CAGE code, contact details); contract/task order number and award date; project title and location; role performed (prime contractor, subcontractor, joint venture, or other); percentage of work performed by the company; prime contractor information if applicable; and government agency/contracting officer contact information. The form also requires detailed description of the project scope, offeror's specific roles and responsibilities, and relevance to the current solicitation. Additional required information includes description of difficulties/obstacles and their resolution, unforeseen conditions and resolutions, performance period with start and original/projected completion dates, actual completion date, completion percentage (with notation that projects less than 50% complete may receive lower ratings), contract termination status (if applicable), and original versus final contract price with explanation of any differences. Continuation sheets may be used for additional information if necessary.
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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 .