Attachment_3b_Appendix_B_Work_Sample_Cover_Sheet4May26.docx
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- Attached to
- Tinker AFB 2026 Multiple Award Construction Contract (MACC)- Draft Request for Proposal (RFP)
- Solicitation number
- FA8137-25-R-0013
About this file
This is a Work Sample Cover Sheet template for the Tinker AFB FY26 Multiple Award Construction Contract (MACC) IDIQ solicitation (FA8137-25-R-0013). The template provides instructions for offerors to submit up to ten work samples (WS1-WS10) demonstrating relevant prior construction experience. Each work sample submission requires identification of the contractor name, contract/task order number, subcontract number if applicable, customer/agency name with office symbol and program information, period of performance in MM/YYYY format, final or most recent total contract value including all options, and a work sample identifier. Offerors must include a project description limited to two pages that briefly describes the work sample and, if applicable, explains the relationship between the prime contractor and any subsidiary or legal entity whose work sample is being submitted as a prime work sample. The cover sheet itself does not specify products or services required, response dates, or pricing terms, as it is a procedural attachment for documenting relevant construction experience as part of the proposal evaluation process.
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Text version
<<Input OFFEROR NAME>>
WORK SAMPLE COVER SHEET
PART I: WORK SAMPLE IDENTIFICATION
Contractor Name:
Contract Number:
Task Order Number (if applicable):
Subcontract Number (if applicable):
Customer:
Period of Performance:
Work Sample Value:
Work Sample Identifier (WS1, WS2, etc):
PART II: PROJECT DESCRIPTION (2 page limit)
Instructions to Appendix B – Work Sample Cover Sheet
DELETE THIS PAGE UPON COMPLETION OF THE WORK SAMPLE COVER SHEET
Offerors shall follow the instructions below when filling out Appendix B Work Sample Cover Sheet.
Please mark “Not Applicable” or “N/A” if requested data is not applicable to subject Work Sample.
PART I: WORK SAMPLE IDENTIFICATION
Contractor Name: Offerors shall enter the Contractor’s Name of this work sample.
Contract Number: Offerors shall enter the Contract Number.
Task Order Number: Offerors shall enter the Task Order Number (if applicable).
Subcontract Number: Offerors shall enter the Subcontract Number (if applicable).
Customer: Offerors shall enter the agency, organization, or client name. If the customer was a Government agency, or organization, Offerors shall include the office symbol and program name this work sample supports.
Period of Performance: Offerors shall include the period of performance if the contract/order including all options. Offerors shall list the period of performance in the following format (MM/YYYY – MM/YYYY or MM/YYYY – Present):
Work Sample Value: Offerors shall enter the final or most recent total contract/order value of the work sample. The total value shall include the value of all options.
Work Sample Identifier: Works samples shall be numbered WS1-WS10. Insert the applicable work sample number.
PART II: WORK SAMPLE DESCRIPTION (2 page Limit) Offerors shall provide a brief description of the work sample. If the Offeror uses a subsidiary or legal entity work sample as a prime work sample, the Offeror may use this section to further describe the relationship identified in Appendix B.
Page 1 of 3 FA813725R0013 Appendix B Work Sample Cover Sheet
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