ATTACHMENT B - Experience Reference.doc
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- DRAFT Chemical, Environmental, and Munitions (Unrestricted) - CHEM-RU Solicitation Federal contract opportunity
- Solicitation number
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About this file
This document contains an experience reference form for federal contractors to submit project experience information. The form requests details on previous projects including location, contract number, role as prime or subcontractor, description of work performed, original and final contract amounts and dates, modifications, schedule performance, safety record, government and customer satisfaction. Contractors must provide a completed form for each project experience being claimed, with the option to include additional pages up to the specified page count. The form also requests information on small business and socioeconomic subcontracting goals and achievements. Contractors must identify points of contact at their firm and the project owner who can verify project details.
This draft solicitation appears to be for environmental, chemical, and munitions services for the Department of the Army Corps of Engineers Engineering Support Center in Huntsville. However, as it is marked as a draft, no further procurement details such as required services, response dates, pricing terms or other solicitation requirements are provided. The attached experience reference form would be completed and submitted by contractors as part of a proposal in response to the final solicitation.
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Text version
ATTACHMENT B
EXPERIENCE - REFERENCE
(May be modified/formatted as needed but offeror’s proposal shall contain at a minimum all the information below. This form is not included in the page count.)
SOLICITATION NO. W912DY-20-R-0016
PROJECT EXPERIENCE FORM
Please provide a completed form for each project for which experience is being claimed (Offeror fills out this section).
Name of Offeror: __________________________________________________
Name of Project: __________________________________________________
Location of Project: ________________________________________________
Contract Number Project Performed Under: _______________________ Task Order Number: ___________________________ Was the Project Firm-Fixed Price or Cost Reimbursable (including Time & Materials)? ________________________________________________________________________________________________________ Was the offeror the prime contractor or subcontractor? ___________________________________________________________ Please explain primary role/duties performed as the prime or the subcontractor: ________________________________________
Brief Description of Project (Offeror can add additional information in additional pages, provided page count is not exceeded.)
Contract Amount at Award: _____________________________________________
Final Contract Amount: ________________________________________________
Amount added by Modification: _________________________________________
Explanation of any Cost Growth/Overruns: ____________________________________________________________________
Multiple Interim Schedule Milestones (to include scheduled start date): ______________________________________________
Original Contract Completion Date: ____________________________________
Final Contract Completion Date: _______________________________________
Actual Completion Date: ______________________________________________
Time added by Modification: ___________________________________________
Explanation of any Late Finish: ______________________________________________________________________________ Additional Project Information (Offeror can add attachment provided page count is not exceeded): ________________________________________________________________________________________________________
Was the project terminated early or were cure/show cause letters received? FORMCHECKBOX Yes FORMCHECKBOX No Explain early termination (default/convenience) or cure/show cause letters.
Safety record: ____ Accidents, ____ Incidents, ____Violations
List and explain any customer concerns or dissatisfaction
What were the SDB, WOB and small business percent goals in the original contract, if any? N/A________SDB:______ WOB: _____ Small Business: ______ HUBZONE: ______ SDVOSB: _______
What was the actual percent achieved at contract completion?
N/A______SDB: ______ WOB: _____ Small Business: _____ HUBZONE: ______ SDVOSB: _______
Was the project owner an agency of the federal government? FORMCHECKBOX Yes FORMCHECKBOX No
Name, address, email, and telephone number of the owner:
Name and telephone number of a representative of your firm who is knowledgeable of this project and can readily be contacted:
Name, address, email, and telephone number of a representative of the owner who is knowledgeable of this project and can be readily contacted:
Name, address, email, and telephone number of the Contracting Officer if project was for federal government:
File details come from the government source that posted it. Updated .