Attachment B - Experience Information Sheet.pdf

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Y1DA--FY23: NRM-Tier 2 (PROJ: 673-14-104) BB Renovate and Replace Transportation Equipment Building 1
Solicitation number
36C24823R0186
Issued by

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This document contains an experience information sheet template to be completed by offerors responding to solicitation number 36C24823R0186. The template requests information on relevant past experience including contract details, scope of work performed, performance period, pricing, and outcomes. Offerors are to provide details on previous projects demonstrating experience providing renovation and replacement services for transportation equipment buildings. Specifically, the federal agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8, and the project involves renovating and replacing Transportation Equipment Building 1. Offerors must complete the template to be evaluated under Factor 2 Subfactor C of the solicitation.

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EXPERIENCE INFORMATION SHEET 36C24823R0186

EXPERIENCE INFORMATION SHEET - See Factor 2 Subfactor C PROJECT NO. [673-14-104] Page 1

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. [673-14-104] 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. [673-14-104] 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:

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