Experience information Sheet.pdf
PDF 216 KB Posted
- Solicitation number
- 36C24826Q0188
About this file
This document is an Experience Information Sheet template designed for contractors to provide detailed information about past projects. The four-page template is structured to capture comprehensive project details across multiple sections, including contractor information, contract details, project specifics, work performance, obstacles encountered, and contract pricing. Key sections require information such as firm name, SAM UEI, contract number, project location, work performed (as prime or subcontractor), performance period, completion status, and contract pricing.
The template is intended to help contractors systematically document their previous project experiences, presumably for use in competitive bidding or qualifications submissions. Each project requires a separate four-page form, with sections prompting detailed descriptions of the project's scope of work, the contractor's specific roles and responsibilities, difficulties encountered, site conditions, performance periods, and an attestation of project completion. The form appears designed to provide a standardized method for contractors to comprehensively showcase their past performance and project management capabilities to potential clients or government agencies.
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Text version
EXPERIENCE INFORMATION SHEET
Project No. 1
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Project Location:
D. WORK PERFORMED AS PRIME OR SUBCONTRACTOR
E. PERCENT OF PROJECT WORK PERFORMED BY YOUR COMPANY
F. IF YOU WERE A SUBCONTRACTOR, WHO WAS THE PRIME CONTRACTOR?
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
Phone:
Email:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND 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 4 for additional information if necessary.
I. DESCRIBE ANY DIFFICULTIES AND/OR OBSTACLES ENCOUNTERED DURING PROJECT PERFORMANCE
AND STEPS TAKEN TOWARD RESOLUTION
J. DESCRIBE DIFFERING SITE CONDITIONS AND HOW EACH WAS RESOLVED
K. PERFORMANCE PERIOD
Contract Start Date (mm/dd/yyyy) Original Completion Date
L. COMPLETION DATE
If not completed, why?
M. ATTESTING THE EXAMPLE PROJECT IS 100% COMPLETE?
N. INDICATE IF ANY OF THE PROJECT WAS TERMINATED, THE TYPE OF TERMINATION AND REASON FOR TERMINATION
O. CONTRACT PRICE
Award Amount:
Final Price (with mods):
Explain Difference:
CONTINUATION PAGE
P. ADDITIONAL INFORMATION
Project No. 2
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND OFFEROR'S SPECIFIC ROLES AND RESPONSIBILITIES
IN THE PROJECT
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement.
Original Completion Date
L. COMPLETION DATE
Project No. 3
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND OFFEROR'S SPECIFIC ROLES AND RESPONSIBILITIES
IN THE PROJECT
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement.
Original Completion Date
L. COMPLETION DATE
Project No. 4
A. CONTRACTOR INFORMATION OF AWARDED CONTRACT
Firm Name:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
B. CONTRACT INFORMATION
Contract Number:
Task Order Number (if applicable):
Award Date (mm/dd/yyyy):
C. PROJECT INFORMATION
Project Number:
Project Title:
Firm Address:
SAM UEI:
POC Name:
Phone:
Email:
G. GOVERNMENT AGENCY/COMPANY WHICH AWARDED CONTRACT TO OFFEROR
Agency or Company Name:
Contracting Officer or Company POC:
Name:
Address:
H. DESCRIPTION OF PROJECT'S SCOPE OF WORK AND OFFEROR'S SPECIFIC ROLES AND RESPONSIBILITIES
IN THE PROJECT
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement.
Original Completion Date
L. COMPLETION DATE
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