ATTACHMENT_DRAFT 70B06C23R00000121_Prior Experience Questionnaire (CEQ) JS_ss24July2023.docx

Priore Experience Questionnaire

Please complete the Prior Experience Questionnaire by providing the demographic and corporate experience information for your firm below. Vendors may provide up to three (3) reference projects for ongoing projects or projects completed within the last three (3) years of the date of this RFP demonstrating relevant experience performing projects similar in size and scope to this requirement. A project is considered a single contract or task/delivery order, or a collection of orders under a BPA or IDIQ contract. The vendor’s response must provide a clear, specific, and concise description of its relevant corporate experience. Any state, local, or private sector experience can be considered. Extraneous narrative, elaborate brochures, public relations (PR) material, etc. shall not be submitted. If vendors choose to submit as a prime/sub team or under a contractor teaming arrangement (CTA), please indicate which firm’s experience is being demonstrated. Vendors may choose only to submit as a prime or sub. The Government will assess the collective experience in each vendor’s submittal. A lack of any relevant prior experience will result in an unacceptable rating The Prior Experience Questionnaire must be submitted to the Contract Specialist – Shaun Saad at shaungalen.saad@cbp.dhs.gov

1. Firm Information

Firm’s Name and Address:

Name and Title of Representative:

Phone:

Fax:

E-mail Address:

Services/ Apps provided under projects:

If teaming with another firm(s), list their name(s) and address(es):

Firm 1 - Name:

Address:

Firm 2 - Name:

Address:

(NOTE: If more than two partners are proposed, add the remaining information on a separate sheet of paper.)

Has this team worked together previously: □ Yes □ No Contract or Order # GSA Contract (if any) #:

FSS Schedule (if any) #:

Contract Period:________________________________________________________

2. List up to three [3] projects which demonstrate the firm's or team's prior experience performing work similar to that required by the SOW using the format below:

Project Name and Location

Nature of the work performed

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value and cost per user of the app

Project Name and Location

Nature of the work performed

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value

Project Name and Location

Nature of the work performed

Customer Name and Address

The Firm’s Project Manager's Name and Phone Number

Period of Performance and Percentage Complete

Estimated or Final Value

Submitted by: