Att_4_-_Experience.pdf

FA7000-18-Q-0003

Attachment 4

EXPERIENCE FORM

Quoter Information:

Company Name: _____________________________________________________________________________

Address: ____________________________________________________________________________________

Telephone Number:____________________________Email:__________________________________________

Point of Contact: _____________________________________________________________________________

INSTRUCTIONS:

In accordance with (IAW) Addendum to FAR 52.212-1, Instructions to Offerors, quoters shall provide verifiable details on projects that were completed (items have been returned to their owner) within three (3) years of the solicitation closing date for moving and storage services involving Building Contents (furniture, assorted goods, etc.)

and Fine Art or Historical Artifacts. Evaluation will be made IAW with Addendum to FAR 52.212-2, Evaluation –

Commercial Items. One (1) project may be used for both types of work, or two (2) separate projects may be submitted. Prime contractors may submit Experience projects for subcontractors who will be utilized on the USAFA

Chapel Move.

PART I: Previous Project Details – Building Contents:

Project Title: _________________________________________________________________________________

Owner/Customer: _____________________________________________________________________________

Performed as (indicate one): Prime Contractor OR Subcontractor

Potential Role on the USAFA Chapel Move (indicate one): Prime Contractor OR Subcontractor

Place of Performance: __________________________________________________________________________

Contract Number: _____________________________ Contract Value: __________________________________

Contract Period or Dates of Performance: __________________________________________________________

Number of Months Stored: _____________

Project Description:____________________________________________________________________________

Square Footage Packed and Moved: _____________ Damage/Loss Claims Filed (check one)? ___ Yes ___ No

Client/Customer Information to Verify Above Project

Name: _______________________________________________________________________________________

Address: _____________________________________________________________________________________

Telephone Number:____________________________Email:___________________________________________

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FA7000-18-Q-0003

Attachment 4

Client/Customer Information to Verify Above Project

Name: _______________________________________________________________________________________

Address: _____________________________________________________________________________________

Telephone Number:____________________________Email:___________________________________________

PART II: Previous Project Details – Fine Art / Historic Artifact:

Project Title: _________________________________________________________________________________

Owner/Customer: _____________________________________________________________________________

Performed as (indicate one): Prime Contractor OR Subcontractor

Potential Role on the USAFA Chapel Move (indicate one): Prime Contractor OR Subcontractor

Place of Performance: __________________________________________________________________________

Contract Number: _____________________________ Contract Value: __________________________________

Contract Period or Dates of Performance: __________________________________________________________

Number of Fine Art Pieces or Historical Artifacts Handled: ______________________Value: ________________

Type of art/artifact (painting, sculpture, historic object, etc.): __________________________________________

Damage/Loss Claims Filed (check one)? Yes No Number of Months Stored: _____________

Description of art/artifacts and any special handling requirements: ______________________________________