Attachment B - Corp Experience Form.docx

DOCX document 20 KB Posted

Attached to
Y1EZ--652-19-104 Expand Steam Distribution System (VA-22-00050503)
Solicitation number
36C24622R0063
Issued by

About this file

This document is a corporate experience form template to be completed by offerors responding to solicitation number 36C24622R0063 to expand steam distribution systems at Department of Veterans Affairs facilities. Offerors must provide references for a minimum of three and maximum of five completed projects similar in size and scope involving multi-phase steam distribution system expansion in hospitals with total contract values over $500,000. For each reference, offerors must include the customer name and address, point of contact information, contract value and dates, as well as a description of the contract scope of work. The related federal contract opportunity is to expand steam distribution systems at a Veterans Affairs medical center under solicitation number Y1EZ--652-19-104 with an opportunity type of solicitation from the VA Veterans Integrated Service Network 6.

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Other files

File Type Posted
36C24622R0063 0003.docx DOCX document
Pre Bid Question Response Memo.pdf PDF
Site visite sign in expand steam 9-1-2022.pdf PDF
36C24622R0063 0002.docx DOCX document
36C24622R0063 0001.docx DOCX document
Expand steam parking and meeting start location.pdf PDF
Drawings Expand Steam Distribution System.pdf PDF
Attachment A - Base Proposal Item Price Breakdown.xlsx XLSX spreadsheet
36C24622R0063_1.docx DOCX document
Specifications Expand Steam Distribution System.pdf PDF
Attachment C - Past Performance Questionnaire.docx DOCX document
Safety Handbook.pdf PDF
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ATTACHMENT B : CORPORATE PROJECT EXPERIENCE FORM

Please list your contracts in chronological order beginning with the most recent one. Offerors must provide a minimum of three (3) and a maximum of five (5) references of their choice of completed projects, similar in size and scope (minimum threshold: Projects where the principle objective was multi-phase Expand Steam Distribution Systems requirements in hospitals within the United States, with a total contract value exceeding $500,000) to the requirement being solicited. Experience of subcontractors may be used to fulfill this requirement, but future unavailability of the subcontractor to perform work may result in contract termination.

Contract #1

1.Customer/Company Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

RFP 36C24622R0063_1

Contract #2

1.Customer/Company Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

Contract #3

1.Customer/Company Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

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