Attachment A - Offeror Experience Form.pdf

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Attached to
MOUNT ST. HELENS SPIRIT LAKE TUNNEL INTAKE
Solicitation number
W9127N-22-R-0020
Issued by

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The attached document is an Offeror Experience Form seeking details of relevant past performance for Solicitation Number W9127N-22-R-0020 to replace the aging intake gate at the Mount St. Helens Spirit Lake Tunnel. Offerors should provide details of previous projects including scope, value, location, schedule, and their role as prime contractor or subcontractor. The solicitation is for a project that will construct a temporary access road and barge loading facility at Spirit Lake, perform mechanical dredging, install a cofferdam, replace the inlet gate with a new slide gate structure, and repair the concrete headwall. The work will be performed for the U.S. Army Corps of Engineers Engineering District Portland and focuses on addressing Spirit Lake's drainage issues and allowing continued access for maintenance of the intake gate.

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FOR OFFICIAL USE ONLY

SOURCE SELECTION SENSITIVE INFORMATION

Source Selection Information -- See FAR 2.101 and 3.104.

ATTACHMENT A

OFFEROR’S EXPERIENCE FORM

NAME OF OFFEROR: ____________________________________________________________________

PROJECT TITLE: ________________________________________________________________________

CONTRACT NUMBER: ___________________________________________________________________

GEOGRAPHIC LOCATION: _______________________________________________________________

CONTRACT AWARD AMOUNT (U.S. DOLLAR) $______________________________________________

FINAL CONTRACT AMOUNT (U.S. DOLLAR) $________________________________________________

CONTRACT COMPLETION DATE: __________________________________________________________

CONTRACT DURATION (PERIOD OF PERFORMANCE): ________________________________________

(If not complete, provide % currently complete)

DESCRIPTION OF THE PROJECT’S SCOPE AND MAGNITUDE: (The description should provide sufficient detail to demonstrate the similarities with the proposed project.)

DETAILS OF OFFEROR’S INVOLVEMENT IN THE PERFORMANCE OF THE PROJECT: (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Specifically describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the solicitation requirement.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_600 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5833

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