Attachment B - Experience Information Sheet.pdf
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- Solicitation number
- 36C24824R0011
About this file
The attached document is an Experience Information Sheet template to be completed by offerors responding to solicitation number 36C24824R0011 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8. The template requests details on relevant past performance projects including contractor information, contract numbers and award dates, work descriptions and responsibilities, performance periods, completion dates, difficulties encountered and resolutions, and pricing details. Offerors must fill in the template with past performance histories demonstrating experience providing HVAC services, such as replacing air handling units, as the solicitation seeks to award a contract for project 673-21-151 to replace the air handling unit in building ED-203. Relevant experience working with the VA as a prime or subcontractor on similar HVAC projects would be favorable in evaluating offerors for this opportunity.
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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:
File details come from the government source that posted it. Updated .