Atch 3 Past Performance Questionnaire 20200115.docx

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Attached to
Gym Equipment Maintenance Federal contract opportunity
Solicitation number
fa461020Q0011
Issued by
Department of the Air Force Space Command

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File Type Posted
FA461020Q0011 Gym Equipm Maint Solicitation 20200127.pdf PDF
Atch 1 PWS Gym Equip Maint 20200115.doc DOC document
Atch 2 CA WD 2015-5647 Rev 9 20191223.pdf PDF

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Text version

GYM EQUIPMENT MAINTENANCE

TECHNICAL RESPONSE QUESTIONNAIRE

Source Selection Sensitive (when filled-out) IAW FAR 2.101 and FAR 3.104

INSTRUCTIONS: For each sub-factor below, in the first table provide a detailed description of specific tasks performed for that factor that correspond to your “Project References” 1, 2, 3. Use the reference table to provide at least one but up to three (3) references for factor 1 to support the experience claimed in the first table. [Reference Addendum to FAR 52.212-1, Paragraph C.1.(a)].

Factor 1: Three (3) years of experience providing specific gym equipment maintenance and repair services within the last five (5) years preceding the release of this request for proposal. Provide detailed information in performing gym equipment maintenance and repair services as described in factor 1. Provide reference(s) and contact information to support the experience claimed by offeror.

To Be Considered Technically Acceptable for Factor 1: The contractor’s responses evidence that the contractor has three (3) years of experience performing the tasks described factors 1 within the last five (5) years preceding the release of this request for proposal. References provided must support the experience claimed by offeror.

Use the narrative block in the first table to provide a description of gym equipment maintenance and repair services performed for below item that corresponds to your referenced projects (i.e. ref. #1,2,3).

Gym Equipment Maintenance and Repair Services for Fitness and and Sports Centers.
At least three (3) years of experience within the last five (5) years?

(ref. Atch 1 PWS dated 15 January 2020)

|_| Yes |_| No

Narrative:

At least one reference but no more than 3 references for factor 1.

Project Reference #1 for factor 1

Contract #
Period of Performance
Total Value
Contract Type

(Firm Fixed Price [FFP] or Cost)

Performed By (provide name of company)
Performed as Prime (P) or Sub Contractor (S)?

Check as appropriate

|_| P |_| S

POC Name:

Phone #:

Email:

Project Reference #2 for factor 1 (leave blank if N/A)

Contract #
Period of Performance
Total Value
Contract Type

(Firm Fixed Price [FFP] or Cost)

Performed By (provide name of company)
Performed as Prime (P) or Sub Contractor (S)?

|_| P |_| S

POC Name:

Project Reference #3 for factor 1 (leave blank if N/A)

Contract #
Period of Performance
Total Value
Contract Type

(Firm Fixed Price [FFP] or Cost)

Performed By (provide name of company)
Performed as Prime (P) or Sub Contractor (S)?

|_| P |_| S

POC Name:

FOR OFFICIAL USE ONLY (FOUO) FA4610-20-Q-0011

Attachment 3 Technical Experience Questionnaire

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