Attachment 07 - Experience_Matrix.pdf

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Attached to
Multiple Award Basic Ordering Agreement for Construction Services at Cannon AFB, NM Federal contract opportunity
Solicitation number
FA485524R0004
Issued by
Department of the Air Force Special Operations Command

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This document contains an experience matrix and details of a federal solicitation for construction services. The experience matrix requires offerors to provide details of up to five previous construction projects involving sustainment, maintenance, repair, alteration or renovation work requiring multiple trades. Projects must include at least one design-build project and engineering design performed by licensed professionals. The federal solicitation is for a multiple award basic ordering agreement for construction services at Cannon Air Force Base in New Mexico. The BOA would be used for a broad range of sustainment, maintenance, repair and construction projects through task orders awarded on a project-by-project basis. Categories of work include design-build, partial design-build and construction only. Solicitation FA485524R0004 provides additional proposal and submittal requirements. The agreement is with the Department of the Air Force Special Operations Command for work at Cannon Air Force Base.

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Experience Matrix

Self-Certification: By providing my signature herein I, the undersigned, certify that the company or companies identified below have granted 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 the company. I further certify that I am an individual who has the authority to sign for and legally bind the Offeror.

Offeror / Company Name

Signature Date

Printed Name and Title of Authorized Agent

Provide previous experience performing general construction that includes 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 performance by licensed/registered Engineers and/or Architects.

Experience Submission Number: 1 of 5 (Offeror may provide up to five (5) 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 the Offeror a Prime or Subcontractor? Prime Contractor Subcontractor

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

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

9. Government contracting official’s name, phone number, and email address for the contract listed in line 3:

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

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

Provide previous experience performing general construction that includes 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 performance by licensed/registered Engineers and/or Architects.

Experience Submission Number: 2 of 5 (Offeror may provide up to five (5) 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 the Offeror a Prime or Subcontractor? Prime Contractor Subcontractor

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

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

9. Government contracting official’s name, phone number, and email address for the contract listed in line 3:

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

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

Provide previous experience performing general construction that includes 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 performance by licensed/registered Engineers and/or Architects.

Experience Submission Number: 3 of 5 (Offeror may provide up to five (5) 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 the Offeror a Prime or Subcontractor? Prime Contractor Subcontractor

7. If subcontract is selected for line 6, provide the

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

Provide previous experience performing general construction that includes 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 performance by licensed/registered Engineers and/or Architects.

Experience Submission Number: 4 of 5 (Offeror may provide up to five (5) 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 the Offeror a Prime or Subcontractor? Prime Contractor Subcontractor

7. If subcontract is selected for line 6, provide the

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

Provide previous experience performing general construction that includes 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 performance by licensed/registered Engineers and/or Architects.

Experience Submission Number: 5 of 5 (Offeror may provide up to five (5) 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 the Offeror a Prime or Subcontractor? Prime Contractor Subcontractor

7. If subcontract is selected for line 6, provide the

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

Offeror Company Name:
Printed Name and Title of Authorized Agent:
Date:
Response1 BOA Offeror Name:
CAGE Code:
Response2 ParentAffiliateSubcontractor:
CAGE Code_2:
3 Government Contract Number and Program Title:
4 Contract Total Dollar Value in USD:
5 Award Date and Period of Performance:
Prime Contractor:
Subcontractor:
7 If subcontract is selected for line 6 provide the name of the prime contractor the effort was awarded to:
8 Customer Name requiring activity or prime contractor:
9 Government contracting officials name phone number and email address for the contract listed in line 3:
10 Government technical representative or COR name phone number and email address for the contract listed in line 3:
11 Examples of the tasks performed for the provided effort should correlate to the effort Be concise limited to 2600 characters:
Response1 BOA Offeror Name_2:
CAGE Code_3:
Response2 ParentAffiliateSubcontractor_2:
CAGE Code_4:
3 Government Contract Number and Program Title_2:
4 Contract Total Dollar Value in USD_2:
5 Award Date and Period of Performance_2:
Prime Contractor_2:
Subcontractor_2:
7 If subcontract is selected for 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 Government contracting officials name phone number and email address for the contract listed in line 3_2:
10 Government technical representative or COR name phone number and email address for the contract listed in line 3_2:
11 Examples of the tasks performed for the provided effort should correlate to the effort Be concise limited to 2600 characters_2:
Response1 BOA Offeror Name_3:
CAGE Code_5:
Response2 ParentAffiliateSubcontractor_3:
CAGE Code_6:
3 Government Contract Number and Program Title_3:
4 Contract Total Dollar Value in USD_3:
5 Award Date and Period of Performance_3:
Prime Contractor_3:
Subcontractor_3:
7 If subcontract is selected for 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 Government contracting officials name phone number and email address for the contract listed in line 3_3:
10 Government technical representative or COR name phone number and email address for the contract listed in line 3_3:
11 Examples of the tasks performed for the provided effort should correlate to the effort Be concise limited to 2600 characters_3:
Response1 BOA Offeror Name_4:
CAGE Code_7:
Response2 ParentAffiliateSubcontractor_4:
CAGE Code_8:
3 Government Contract Number and Program Title_4:
4 Contract Total Dollar Value in USD_4:
5 Award Date and Period of Performance_4:
Prime Contractor_4:
Subcontractor_4:
7 If subcontract is selected for 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 Government contracting officials name phone number and email address for the contract listed in line 3_4:
10 Government technical representative or COR name phone number and email address for the contract listed in line 3_4:
11 Examples of the tasks performed for the provided effort should correlate to the effort Be concise limited to 2600 characters_4:
Response1 BOA Offeror Name_5:
CAGE Code_9:
Response2 ParentAffiliateSubcontractor_5:
CAGE Code_10:
3 Government Contract Number and Program Title_5:
4 Contract Total Dollar Value in USD_5:
5 Award Date and Period of Performance_5:
Prime Contractor_5:
Subcontractor_5:
7 If subcontract is selected for 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 Government contracting officials name phone number and email address for the contract listed in line 3_5:
10 Government technical representative or COR name phone number and email address for the contract listed in line 3_5:
11 Examples of the tasks performed for the provided effort should correlate to the effort Be concise limited to 2600 characters_5:
through:
through1:
through_2:
through_21:
through_3:
through_31:
through_4:
through_41:
through_5:
through_51:

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