Attachment C-Relevant Experience Form.pdf
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- Solicitation number
- 36C25625Q0217
About this file
This is a Relevant Experience Form template (Attachment A) that offerors must complete as part of solicitation 36C25625Q0217 for Fire Alarm and Sprinkler System Maintenance Testing and Inspection services at the Michael E. DeBakey VA Medical Center.
The form requires contractors to provide details for up to three contracts, listed chronologically starting with the most recent, that are no more than 5 years old (though ongoing contracts that began over 5 years ago are acceptable). For each contract, vendors must provide customer information, contact details, contract value, term dates, current status (ongoing or completed), and a detailed description of the scope of work performed. The form is structured identically for all three contract entries, with space provided for additional details if needed.
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Text version
36C25625Q0217
ATTACHMENT A
RELEVANT EXPERIENCE FORM
Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list ongoing contracts that began more than 5 years ago.
Contract #1
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated 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 Request
For Quote documents. Attach separate sheet if additional space is needed.)
Contract #2
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated 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 Request
Contract #3
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated 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 Request
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