Experience Matrix.pdf

PDF 1 MB Posted Jun 23, 2022

Attached to: Tinker AFB Mutiple Award Construction Basic Ordering Agreement (MACB) Federal contract opportunity
Solicitation number: FA813722R0057
Issued by: Department of the Air Force Materiel Command Air Force Sustainment Center

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Experience Matrix

Self-Certification: By providing my signature herein, I certify that the company identified below has granted the offeror permission (either in writing or verbally) to submit that company’s contract reference information as part of this Experience Matrix, and that said permission was provided by an authorized agent of that company. I further certify that I am an individual who has the authority to sign for and legally bind offeror.

Offeror / Company Name

Signature Date

Printed Name and Title of Authorized Agent

Provide previous experience performing general construction that include a broad range of sustainment, maintenance, repair, alteration/renovation, and minor construction projects; projects should be complex in nature, require multiple construction trades; include at least one (1) design build project which required detailed engineering design performed by licensed/registered Engineers and Architects.

Experience Submission Number : 1 of 5 (Offeror may provide up to five submissions)

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to 2,600 characters)

Experience Submission Number : 2 of 5 (Offeror may provide up to five submissions)

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Experience Submission Number : 3 of 5 (Offeror may provide up to five submissions

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Experience Submission Number : 4 of 5 (Offeror may provide up to submissions)

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Experience Submission Number : 5 of 5 (Offeror may provide up to five submissions)

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Teaming/Significant Subcontractors

Experience Submission Number : 1 of 3 (Offeror may provide up to three submissions for each subcontractor) Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Experience Submission Number : 2 of 3 (Offeror may provide up to three submissions for subcontracotr

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Experience Submission Number : 3 of 3 (Offeror may provide up to three submissions for each subcontractor)

Required Information Response

1. BOA Offeror Name: Cage Code:

2. Parent/Affiliate/Subcontractor: Cage Code:

3. Government contract number and program title:

4. Contract total dollar value (in USD): $

5. Award date and Period of Performance: through

6. Was contractor prime or subcontractor? : Prime contractor Subcontractor

7. If subcontractor is selected at line 6, provide the name of the prime contractor the effort was awarded to:

8. Customer name (requiring activity or prime contractor):

9. Contracting official’s name, phone number, and email address:

10. Government or commercial activity technical representative or COR name, phone number, and email address for the contract listed at line 3:

11. Example(s) of tasks performed for the provided effort should correlate to the effort: (Be concise - limited to

Response1 BOA Offeror Name:

Cage Code:

Cage Code_2:

3 Government contract number and program title_:

Contract dollar value:

5 Award date and Period of Performance:

POP Date start:

POP Date end:

Prime Contractor: Off

Sub Contractor: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to:

8 Customer name requiring activity or prime contractor:

9 Contracting officials name phone number and email address:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters:

Response1 BOA Offeror Name_2:

Cage Code_3:

Cage Code_4:

3 Government contract number and program title_2:

Contract dollar value2:

5 Award date and Period of Performance2:

POP Date start2:

POP DateEnd2:

Prime Contractor2: Off

Sub Contractor2: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_2:

8 Customer name requiring activity or prime contractor_2:

9 Contracting officials name phone number and email address_2:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_2:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_2:

Response1 BOA Offeror Name_3:

Cage Code_5:

Cage Code_6:

3 Government contract number and program title_3:

Contract dollar value3:

5 Award date and Period of Performance_3:

POP Date start3:

POP DateEnd3:

Prime Contractor3: Off

Sub Contractor3: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_3:

8 Customer name requiring activity or prime contractor_3:

9 Contracting officials name phone number and email address_3:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_3:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_3:

Response1 BOA Offeror Name:

Cage Code_7:

Cage Code_8:

3 Government contract number and program title4:

Contract dollar value4:

5 Award date and Period of Performance:

POP Date start4:

POP DateEnd4:

Prime Contractor4: Off

Sub Contractor4: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_4:

8 Customer name requiring activity or prime contractor_4:

9 Contracting officials name phone number and email address_4:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_4:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_4:

Response1 BOA Offeror Name_2:

Cage Code_9:

Cage Code_10:

3 Government contract number and program title_5:

Contract dollar value5:

5 Award date and Period of Performance_2:

POP Date start5:

POP DateEnd5:

Prime Contractor5: Off

Sub Contractor5: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_5:

8 Customer name requiring activity or prime contractor_5:

9 Contracting officials name phone number and email address_5:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_5:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_5:

Response1 BOA Offeror Name_4:

Cage Code_13:

Cage Code_14:

3 Government contract number and program title_7:

Contract dollar value7:

5 Award date and Period of Performance_4:

POP Date start7:

POP DateEnd7:

Prime Contractor7: Off

Sub Contractor7: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_7:

8 Customer name requiring activity or prime contractor_7:

9 Contracting officials name phone number and email address_7:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_7:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_7:

Response1 BOA Offeror Name_5:

Cage Code_15:

Cage Code_16:

3 Government contract number and program title_8:

Contract dollar value8:

5 Award date and Period of Performance_5:

POP Date start8:

POP DateEnd8:

Prime Contractor8: Off

Sub Contractor8: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_8:

8 Customer name requiring activity or prime contractor_8:

9 Contracting officials name phone number and email address_8:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_8:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_8:

Response1 BOA Offeror Name_6:

Cage Code_17:

Cage Code_18:

3 Government contract number and program title_9:

Contract dollar value9:

5 Award date and Period of Performance_6:

POP Date start9:

POP DateEnd9:

Prime Contractor9: Off

Sub Contractor9: Off

7 If subcontractor is selected at line 6 provide the name of the prime contractor the effort was awarded to_9:

8 Customer name requiring activity or prime contractor_9:

9 Contracting officials name phone number and email address_9:

10 Government or commercial activity technical representative or COR name phone number and email address for the contract listed at line 3_9:

11 Examples of tasks performed under the provided effort Be concise limited to 2600 characters_9:

Offeror/Company Name A:

Signature A:

Printed Name and Title of Authorized Agent:

Date A:

Parent/Affiliate/Subcontractor: [ ]

Parent/Affiliate/Subcontractor2: [ ]

Parent/Affiliate/Subcontractor3: [ ]

Parent/Affiliate/Subcontractor4: [ ]

Parent/Affiliate/Subcontractor5: [ ]

Parent/Affiliate/Subcontractor7: [ ]

Parent/Affiliate/Subcontractor8: [ ]

Parent/Affiliate/Subcontractor9: [ ]

File details come from the government source that posted it. Updated Jun 23, 2022.