ATTACHMENT H - Experience Information Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Y1DA--FY23: NRM-Tier 1 (PROJ: 548-20-106) BB - Replace Emergency Generators and Paralleling Gear
- Solicitation number
- 36C24823R0005
About this file
This document contains an Experience Information Sheet template to be completed by offerors responding to Solicitation Number 36C24823R0005. The solicitation requires contractors to completely prepare the site and furnish labor, materials, and work to replace emergency generators and paralleling gear at the West Palm Beach VA Medical Center in West Palm Beach, Florida, as specified in the drawings and specifications in Attachment A. Offerors must complete the Experience Information Sheet template by providing details on four relevant past projects, including contractor information, contract numbers, work performed as prime or subcontractor, government agencies and points of contact, descriptions of scope and responsibilities, performance periods with start and completion dates, and pricing details such as original contract price, final contract price, and explanations for differences.
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Other files
| File | Type | Posted |
|---|---|---|
| Award Notice for SAM 36C24824C0014_1.pdf | ||
| 36C24823R0005 0002.docx | DOCX document | |
| Contractors Inquiry - Questions and Answers - Follow Up Questions.docx | DOCX document | |
| 36C24823R0005 0001.docx | DOCX document | |
| Contractors Inquiry Questions with Answers.pdf | ||
| 36C24823R0005_1.docx | DOCX document | |
| ATTACHMENT C - Submittal Register.xlsx | XLSX spreadsheet | |
| ATTACHMENT F - Contractors Inquiry.pdf | ||
| ATTACHMENT A - Combined Specs.pdf | ||
| ATTACHMENT G - Price Matrix.xlsx | XLSX spreadsheet | |
| ATTACHMENT D - Past Performance Questionnaire.pdf | ||
| ATTACHMENT E - EMR.pdf | ||
| ATTACHMENT B - Drawings.pdf |
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Text version
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of four (4) projects, more than 4 will not be evaluated; less than 4 may result in a lower rating.
a. Contractor Information of Awarded Contract (Firm Name, Address, DUNS Number, Phone number, POC Name, POC e-mail, Company e-mail)
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 or Subcontractor
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
36C24823R0005
| EXPERIENCE INFORMATION SHEET | |
| PROJECT NO. [ | ] 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 page for additional information, if necessary.
| EXPERIENCE INFORMATION SHEET | |
| PROJECT NO. [ | ] Page 3 |
i. Describe any difficulties and/or obstacles encountered during project performance; steps taken toward resolution
j. Describe differing site condition(s) occurrence(s) 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 (mm/dd/yyyy): |
| Original completion date (mm/dd/yyyy): |
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
m. Attesting the example project is 100% complete? YES [ ]
n. The Offerors shall indicate if any of the example project provided was 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:
PROJECT NO. [ ] Page 4
CONTINUATION PAGE:
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