ATTACHMENT O - Experience Past Performance Reference - 2 DEC 2020.doc
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- Attached to
- Quality Assurance (QA) Seeding Solicitation Federal contract opportunity
- Solicitation number
- W912DY20R0028
About this file
This solicitation is for an unrestricted full and open multiple award task order contract (MATOC) for quality assurance (QA) seeding services. The $49 million contract has a period of performance of one base year plus four option years and will issue task orders up to $500,000 on average to support sites throughout the United States, U.S. territories, and outlying areas. Services will involve environmental remediation under NAICS code 562910 with a small business size standard of 750 employees. The Department of the Army Corps of Engineers Engineering Support Center Huntsville is the contracting agency. Questions should be directed to Therisa Means at the specified email. The solicitation requests experience and past performance references using the attached form to evidence qualifications for the hazardous substance removal, cleanup, and disposal services and operational support under product service code F108.
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Text version
EXPERIENCE - PAST PERFORMANCE 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-0028
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 attachment 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:
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