Attachment B - Corp Experience Form.docx
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- Solicitation number
- 36C24624R0045
About this file
This is a corporate experience form attachment for solicitation number 36C24624R0045 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6. Offerors must provide details for a minimum of two and maximum of five completed or in-progress contracts valued over $2 million involving multi-phase construction renovations of steam system distribution equipment, piping, boiler fuel system piping, and components for hospitals in the United States. For each contract example, offerors must include the customer name and address, point of contact information, contract value, term, effective date, and status as ongoing or completed. A detailed scope of work is also required describing the contract requirements.
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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 two (2) and a maximum of five (5) examples of their choice of completed projects or in progress of similar contracts in size and scope (Projects where the principle objective was multi-phase construction renovations of steam system distribution equipment and piping as well as boiler fuel system piping and components for hospitals within the United States, with a total contract value exceeding $2,000,000). See Technical Capability Sub-Factor 2 – Corporate Experience for all required information to be included.
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 36C24624R0045
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.)
Contract #4
| 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 #5
| 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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